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C. Squamous epithelia with basal striation

 

D. Two-layer epithelia with basal striation

 

E. Multilayered cuboidal

 

Parotid gland has the end-pieces formed by serocytes. What organelles of these cells

 

provide synthesis and secretion of saliva’s components?

 

A. Smooth endoplasmic reticulum

 

B. Golgy complex

 

C. Rough endoplasmic reticulum *

 

D. Mitochondria

 

E. Lysosomes

 

In structure of end-pieces of salivary glands, except for secretory exocrinocytes,

 

basket-shape cells which are placed outside of the secretory layer are determined and

 

promote receipt of products of secretion to ductal system. What special organelles it is

 

possible to determine in cytoplasm of basket-shape cells?

 

A. Villi

 

B. Acrosome

 

C. Neurofibrilles

 

D. Myofilaments*

 

E. Flagella

 

 

24 Tooth structure.

Before teeth come out first on their roots appears a solid tissue that looks like woven

 

bone. What tissue is it?

 

A Cement*

 

B Dentin

 

C Enamel

 

D Loose fibrous connective tissue

 

E Dense fibrous connective tissue

A histological specimen presenting a tooth slice shows that the intercellular dentin substance contains collagen fibers being tangential to the dentinoenamel junction and perpendicular to the dentinal tubules (Ebner's fibers). This dentin layer is called:

ANearpulp dentin*

BMantle dentin

CGranular layer

DInterglobular dentin

ESecondary dentin

Histological examination of trasverse enamel slice revealed linear banding in form of concentric circles that is pointing at an angle to the dentinoenamel junction. Name these structures:

ARetsius' lines*

BHunter-Schreger's lines

CEnamel plates

DEnamel fascicles

EEnamel spindles

It was revealed that a 42 y.o. patient suffering from paradontosis had roundish calcified formations 2-3 mm in diameter in the coronal pulp. Name these structures:

ADenticles*

BInterglobular spaces

CSclerotic dentin

DDead dentin

EIntertubular dentin

Examination of a tooth slice of a 42 y.o. man revealed on the dentinal-enamel border some solid inear fusiform structures as long as 1/3 of enamel depth. What structures were revealed?

41

AEnamel spindles*

BDenticles

CEnamel fascicles

D"Dead" tracts

ECarious damage

A histological specimen presents a developed tooth that has a coating resistant to acids, but it can be found only on the lateral surfaces of the tooth. What coating is meant?

ACuticle*

BDentine

CEnamel pellicle

DEnamel

ECement

In a peripheral zone of the pulp for the certain reasons activity of cells is temporarily delayed. What tissue of the tooth appears under threat of infringement of physiological regeneration?

A.Enamelum

B.Dentine *

C. Pulp

D.Cellular cementum E. Ancellular cementum

In two preparations of a tooth histological it is determined: in one - uncellular cementum, in the second - cellular. The second preparation is made of what site of a tooth?

A.From the apex of the root *

B.From the cervix of the tooth

C.From the bone

D.From crown of the tooth

E.From a site of border between crown and the root

In nearpulp dentine of the tooth of the adult person sites with the disorder accommodation of dentinal tubules and collagenic fibers are determined. Named the given kind of dentine.

A.Secondary (regular).

B.Primary

C.Tertiary (irregular) *

D.Sclerotic

E.Dead ways

The child complains of a toothache. The doctor - stomatologist ascertained caries damage of enamel. What quantity amount of mineral substances is reduced in a site of caries damages?

A.Phosphorus, fluorine, calcium *

B.Sodium, calcium, kalium

C.Кalium, phosphorus, fluorine

D.Magnesium, fluorine, calcium

E.Phosphorus, magnesium, kalium

At studying of tooth’s slice of the human of 40 years in a site of the root the transparent zone in which are have now dental tubules is determined. What age changes of dentine are observed on slice?

A.Formation of sclerotic dentine*

B.Formation of denticles

C.Condensation of dentine

D.Formation of dead ways

E.Caries damage

42

25 Tooth

During the embryogenesis of oral cavity the development of dental enamel was

development.

disturbed. What source of dental development was damaged?

 

A Epithelium*

 

B Mesenchyma

 

C Mesoderma

 

D Dental saccule

 

E Dental papilla

During the tooth development the enamel organ has prismatic cells with hexagonal intersection; the nucleus is situated in the central part of the cell. What cells are meant?

APreameloblasts*

BExterior enameloblasts

CCambial cells

DEnamel pulp cells

EPreodontoblasts

A histological specimen of mandible of an embryo shows a tooth germ with the dental papilla made up of small stellate basophilic cells. What tissue forms this part of the tooth germ?

AMesenchyma*

BEpithelial

CReticular

DCartilaginous

EOsseous

Histological study of an extirpated pulp revealed some cylindrical cells in its peripheral layer. What are these cells called?

AOdontoblasts*

BFibroblasts

CMonocytes

DAmeloblasts

EMyofibroblasts

As a result of the certain reasons on 5 month after a birth of the child process of destruction of Hertvig’s vagina around of the tooth’s root is broken. Development of what tooth’s tissue is prevented by this circumstance?

A.Pulp

B.Dental papilla

C.Dental sac

D.Cementum*

E.Dentine

At examination, answering a question on development of hard and soft tissues of the tooth, the student has made a mistake, when has told, that enamel is formed of mesenchyma’s cells. What should be a right answer?

A.From an internal layer of enamel organ *

B.From cells of pulp of the enamel organ

C.From external layer of enamel organ

D.From external layer of dental sac

E.From external cells of dental papilla

During formation of peripheral dentine in the tooth there was an infringement of secretory activity of odontoblasts. Define determine, what formation of fibers will change?

A.Elastic

B.Reticular

C.Radial collagenic fibers *

43

D.Tangential collagenic fibers

E.Nervous

On a histological preparation of the developmental jaw it is determined dentine which is at the stage of formation. Collagenic fibers which synthesize odontoblasts thin and are focused perpendicularly to dentine tubules. What fibers are formed in dentine?

A.Parallel

B.Radial

C.Tangential*

D.Circular E. Angular

On a histological preparation the cut of the jaw of the human’s germ of 2-nd month of development which contains damaged injured of dental epithelial organ is submitted. What histological part of the tooth will not develop?

A.Enamel *

B.Pulp

C.Cementum

D.Periodontium

E.Dentine

An anomaly of development of enamel has been found out. To what damage of structural components of the dental germs it is connected?

A.External epithelia of the enamel organ

B.Internal epithelia of the enamel organ*

C.Pulp of the enamel organ

D.Dental sac E. Dental pulp

In process of embryonic developments there was a damage superficial mesenchymal cells of dental papilla. It can result in infringement of formation of what structure of a tooth?

A.Dentine *

B.Enamel

C.Cementum

D.Periodontium

E.Cuticle

In the process of the tooth’s morphogenesis there was a damage of internal cells of dental sac. What formation of structures of the tooth will be broken?

A.Pulp

B.Enamel

C.Dentine

D.Cementum *

E.Periodontium

An insufficient development of a pulp of the tooth was revealed. What embryonic source has tested damage?

A.Mesenchyma *

B.Ectoderm

C.Endoderm

D.Oral epithelia

E.Nervous tube

On a histological preparation of sagital section of developmental jaw of a 3,5-month's human fetus it is observed epithelial enamel organ surrounded by compactly located mesenchymal cells. How it refers to mesenchymal formation?

A.Dental papilla

B.Dental sac *

44

C.External enamel cells

D.Internal enamel cells

E.Pulp of enamel body

The child of 11 years in an x-ray picture does not have lateral teeth (adentia). It is connected with:

A.Infringement of formation of dental papilla

B.Infringement of formation of dental sac

C.Infringement of formation of enamel organ *

D.Infringement of formation of dentine

E.Infringement of formation of cementum

In embryogenesis of oral cavity there was an infringement of development of enamel of the teeth. What source of teeth’s development has been broken?

A.Mesoderm

B.Mesenchyma

C.Epithelia *

D.Dental sac

E.Dental papilla

During development of the tooth in structure of enamel organ there are cells with prismatic shape which have six-angular section; the nucleus is located in the central part of a cell. What it for cells?

A.Preameloblasts *

B.External ameloblasts

C.Stem cells

D.Cells of the pulp of enamel organ

E.Preodontoblasts

After formation of dentine process of inversion in cells - moving of the nucleus and organelles begins. What cells this process concerns?

A.Odontoblasts

B.Ameloblasts*

C.Preodontoblasts

D.Cementoblasts

E.Cementocytes

At microscopic research of biopsy it was revealed infringement of development of the periodontum. What source of development of the tooth is broken?

A.Dental papilla

B.Dental sac*

C.Dental plate

D.Preameloblasts

E.Ameloblasts

Experimentally at the germ in a dental germ the external layer of dental sac has been destroyed. Specify, what structure of a tooth will not have the subsequent development?

A.Pulp

B.Enamel

C.Dentine

D.Cementum

E.Periodontium*

At the second stage of development of the tooth in enamel organ and dental papilla polyhedral cells are formed. To what attributes it is possible to determine a bookmark of the pulp of the tooth on preparations, taking into account, what it has mesenchyme origin?

A. On presence of blood vessels*

45

 

 

B. Under the shape of nucleus

 

 

C. By quantity amount of shoots

 

 

D. On basophilia of cytoplasma

 

 

E. It is impossible to distinguish

 

 

The beginning of tooth’s eruption there is a tertiary mineralization of enamel. From

 

 

what sources mineral substances mainly act?

 

 

A. Gingiva

 

 

B. Dentine

 

 

C. Periodontum

 

 

D. Saliva*

 

 

E. Pulp

 

 

Process of maturing of enamel (a secondary mineralization) is provided with

 

 

structurally functional transformation of ameloblasts from secretory in maturing.

 

 

What morphological attributes allow determining on a preparation maturing

 

 

ameloblasts?

 

 

A. Absence of Toms’ processes*

 

 

B. Presence of apical border

 

 

C. Absence of apical border

 

 

D. Basophilic cytoplasm

 

 

E. Destruction of a nucleus

 

 

 

26

Periodont.

During examination of a child's oral cavity a pediatrician found 8 incisors. The child's

 

Eruptions and

development corresponds to his age. How old is the child?

 

changing of teeth

A 10-12 months*

 

 

B 6-7 months

 

 

C 7-8 months

 

 

D 12-15 months

 

 

E 16-20 months

 

 

During examination of a child's oral cavity a pediatrician established presence of

 

 

inferior medial incisors. The child's development is normal. How old is the child?

 

 

A 6-7 months*

 

 

B 8-9 months

 

 

C 10-12 months

 

 

D 13-14 months

 

 

E -

 

 

The mistake of the student in his answer to the question on structure of parodontum

 

 

was that it has named among other tissues the cartilage and dental sac. What should be

 

 

a right answer?

 

 

A. Periodontium, alveolar bone and cementum *

 

 

B. Pulp, root, periodontium

 

 

C. Periodontium, cementum, alveolus’s periosseum

 

 

D. Cervixof the tooth, periodontium, gingiva

 

 

E. Gingiva, gingival papilla, alveolus of the tooth

 

 

Before eruption of constant teeth there is the destruction of the supporting tissues of

 

 

the lactic tooth. What biological process provides fast destruction of the connective

 

 

tissue of the periodontum without development of an inflammation?

 

 

A. Mitosis

 

 

B. Necrosis

 

 

C. Meiosis

 

 

D. Apoptosis*

 

 

E. Fibrinolysis

 

 

 

27

Esophagus.

A patient underwent gastroscopy that revealed insufficient amount of mucus

 

Stomach.

covering the mucosa. This phenomenon is caused by the dysfunction of the following

46

cells of stomach wall:

ACells of prysmatic glandular epithelium*

BParietal cells of gastric glands

CChief-cells of gastric glands

DCervical cells of gastric glands

EEndocrinocytes

3 years ago a 52 y.o. man underwent an operation for stomach extraction. Results of blood analysis: erythrocytes - 2,0x1012/l, Hb85 g/l, colour index - 1,27. These changes were caused by disturbed assimilation of the folowing vitamin:

AB12*

BB6

CC

DP

EA

Examination of a patient, suffering from atrophic gastritis, revealed megaloblastic anemia. The anemia is likely to be caused by the deficiency of the following substance:

AGastromucoproteid*

BVitamin B6

CVitamin B1

DIron

EErythropoietins

The man of 35 years with a stomach ulcer the resection of antral department of stomach is made. Which secretion of gastrointestinal hormone as a result of operation will be broken most of all?

A.Gastrin*

B.Secretin

C.Neurotenzin

D.Hystamine

E.Holecystokinin

At the patient at gastroscopy the insufficient quantity amount of mucus on a surface of mucosa is revealed. To what infringement of function of stomach’s cells it is connected?

A. Parietal cells

B. Columnar cells*

C. Endocrinocytes

D.Cervical cells

E.Chief cells

On histologic preparation the cross-section of alimentary tubular organ’s wall which mucous shall is covered by nonkeratinazed epithelia is submitted. What is the organ?

A.Uterus

B.Duodenun

C.Small intestine

D.Esophagus *

E.Appendix

On the fourth week of embryonic developments occurs physiological atresia of esophagus. Up to the end of the eighth week it again becomes passable. What biological process provides recanalisation of esophagus at human embryo?

A.Descvamation

B.Меiosis

C.Necrosis

D.Apoptosis*

47

 

 

E. Mitosis

 

 

During histological examination of the stomach it was found out a significant

 

 

reduction or complete absence of parietal cells in the glands. Mucose membrane of

 

 

what part of the stomach was studied?

 

 

A Pyloric part*

 

 

B Fundus of stomach

 

 

C Cardia

 

 

D Body of stomach

 

 

E -

 

 

When the pH level of the stomach lumen decreases to less than 3, the antrum of the

 

 

stomach releases peptide that acts in paracrine fashion to inhibit gastrin release.

 

 

This peptide is:

 

 

A GIF *

 

 

B Acetylcholine

 

 

C Gastrin-releasing peptide (GRP)

 

 

D Somatostatin

 

 

E Vasoactive intestinal peptide (VIP)

 

 

Examination of a 43 y.o. patient revealed that his stomach has difficulties with

 

 

digestion of protein food. Gastric juice analysis revealed low acidity. Function of

 

 

which gastric cells is disturbed in this case?

 

 

A Parietal exocrinocytes *

 

 

B Main exocrinocytes

 

 

C Mucous cells (mucocytes)

 

 

D Endocrinous cells

 

 

E Cervical mucocytes

 

 

An electron microphotography of a fragment of proper gastric gland shows a big

 

 

irregular round-shaped cell. There are a lot of intracellular tubules and

 

 

mitochondria in the cytoplasm. Specify this cell:

 

 

A Parietal cell *

 

 

B Principal cell

 

 

C Undifferentiated cell

 

 

D Mucous cell

 

 

E Endocrine cell

 

 

A patient ill with chronic gastritis went for endogastric pH-metry that allowed

 

 

revealing decreased acidity of gastric juice. It is indicative of diminished function of

 

 

the following cells:

 

 

A Parietal exocrinocytes *

 

 

B Chief exocrinocytes

 

 

C Endocrinocytes

 

 

D Cervical cells

 

 

E Accessory cells

 

 

 

28

Small and large

What deficiency of enzyme is the reason of incomplete digestion of fats in a

 

intestine.

gastroenteric path and increases in quantity amount of neutral fat in feces more

 

 

often?

 

 

A. Lipase*

 

 

B. Enterokinase

 

 

C. Lactase

 

 

D. Dipepttidase

 

 

E. Secretine

 

 

On histologic section of small intestine’s wall at the crypts’ cells located by groups

 

 

are found, in apical parts contain big acidophilic secretory granules; cytoplasm is

 

 

basophilic. What are these cells?

48

 

 

A. Columnar cells

 

 

B. Paneth cells *

 

 

C. Endocrinocytes

 

 

D. Goblet cells

 

 

E. Enterocytes

 

 

At the patient with chronic enterocolitis (the inflammation of intestines) is revealed

 

 

infringement of digestion and absorption digestive products in thin gut as a result

 

 

of insufficient quantity amount in intestinal juice dipeptidases. In what cells synthesis

 

 

of these enzymes is broken?

 

 

A. Goblet cells

 

 

B. Columar cells without brush border

 

 

C. Paneth cells *

 

 

D. Stem cells

 

 

E. Enterocytes with a brush border

 

 

The patient with thyreotoxicosis complains of diarrhea, heavy feeling in stomach. At

 

 

examination - feces without pathological changes. At radiological research definitely

 

 

acceleration of passage of baric masses along intestines. The hypertonus of what

 

 

shall of alimentary tube is the reason of the given condition?

 

 

A. Serous

 

 

B. Mucous

 

 

C. Adventitial

 

 

D. Submucous

 

 

E. Muscular*

 

 

 

29

Liver.

On histological preparation parenchyma of organ it is submitted by lobes which have

 

 

the 6-angular prisms shape and consist from trabeculas between sinusoidal

 

 

capillaries which radiality converge to the central vein. What anatomic organ has the

 

 

given morphological structure?

 

 

A. Тhymus

 

 

B. Pancreas

 

 

C. Liver *

 

 

D. Spleen

 

 

E. Lymph node

 

 

There is large number of carbohydrates in the human diet. What structures are

 

 

detected while in the cytoplasm of hepatocytes?

 

 

A Glycogen granules*

 

 

B Droplets of fat.

 

 

C One big fat drop.

 

 

D Increase the number of free ribosomes.

 

 

E The inclusion of lipofuscin.

 

 

A viral infection has damaged cells that form walls of bile capillaries. This

 

 

stimulated conditions for inflow of bile into the blood of sinusoidal capillaries. What

 

 

cells are damaged?

 

 

A Hepatocytes *

 

 

B Kupffer's cells

 

 

C Ito cells

 

 

D Pit-cells

 

 

E Endotheliocytes

 

 

 

30

Pancreas.

The patient since 14 years old has diabetes. What endocrine cells of pancreatic islands

 

 

don’t function?

 

 

A. D - cells

 

 

B. A - cells

 

 

C. D1-cells

 

 

D. B - cells *

49

 

E. РР - cells

 

In patients after acute pancreatitis is determined massive damage of acinar cells. By

 

which cells will go their recovery?

 

A Intercalated duct cells*

 

B Cells of islets of Langerhans

 

C Cells of interlobular duct

 

D Cells of gland’s stroma

 

E Endothelium of blood vessels

 

Endocrinologist diagnosed in patient disorders of the endocrine function of the

 

pancreas, resulting descending of the hormone glucagon in the blood. The function of

 

this gland cells broken in this case?

 

A A-cells of the islets of Langerhans*

 

B B-cells in the islets of Langerhans

 

C D-cells of islets of Langerhans

 

D D1-cells of islets of Langerhans

 

E PP-cells of islets Langerhans

 

 

31 Respiratory

A patient with an acute rhinitis has hyperemia and excessive mucus formation in

system.

nasal cavity. What epithelial cells of mucous membrane have the intensified activity?

 

A Goblet cells*

 

B Ciliated cells

 

C Microvillous cells

 

D Basal cells

 

E Endocrine cells

Premature infants have syndrom of respiratory failure. Failure of what aerohematic barriere component underlies this pathology?

ASurfactant*

BCapillary endothelium

CBasal membrane of endothelium

DBasal membrane of alveolocytes

EAlveolocytes

At the patient with a dry pleuritis noise of friction of pleura is listened. At what defeat of type of epithelia this symptom is marked?

A.Compound

B.Simple squamous*

C.Transitional

D.Cuboidal

E.Cilindrical

In a histologic preparation the organ which wall consists of mucosa, submucosa, fibrocartilage and аdventitial shalls is submitted. Epithelia - pseudostratified, lamina muscularis is absent, in submucous – mixed glands, hyaline cartilage forms the openended rings. What organ has this morphological attributes?

A.Trachea*

B.Terminal bronchiole

C.Segmental bronchi

D.Alveola

E.Larynx

In an electronic microphoto the cells of alveoles are founded. They are the part of aerohaematic barrier. What are these cells?

A.Secretory alveolocytes

B.Respiratory alveolocytes *

C.Alveolar macrophages

D.Endocrinocytes

50