Variant 1

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Variant 1
1. 58-year-old patient has been suffering from arterial hypertension. One year ago he had myocardial infarction. Now he is complaining of pain behind the chest, intermission in work of heart. Inspection revealed: heart rate – 90 per minute, blood pressure - 180/90, ECG - supraventricular extrasystole, hypertrophy of the left ventricle and Q wave in V1-V3. Choose the best treatment.
A. Metoprolol
B. Clonidine
C. Enalapril
D. Corinfar
E. Cordaron2. 40 years old patient suffers from arterial hypertension with hyperkinetic type of circulation and increased level of rennin, angina pectoris and sinus tachycardia. Indicate the group of drugs which is more acceptable for treatment of this patient.
A. Beta-adrenoblockersB. Nitrates
C. Alpha-adrenoblockersD. SypatholyticsE. Ganglionic blockers
3. A 55-years-old woman with overweight has arterial hypertension and complains of rare episodes of dyspnea during physical activity. Inspection revealed that pulse was rhythmical and 70 per min, blood pressure was 185/95 mm Hg, glycemia - 5,6 mmole/l, ECG - hypertrophy of the left ventrical and PQ - 0,24 second. Choose the most effective treatment.
A. Hydrochlorothiazide
B. Atenolol
C. Verapamil
D. Clonidine
E. Raunatin4. A woman 52 years old complains of periodic headaches, rare dizziness and palpitation. Blood pressure increases within the limits of 160 - 180/95 - 105 mm Hg. Define the type of arterial hypertension.
A. Mild
B. Moderate
C. Severe
D. Very severe
E. Isolated systolic
5. A 58 year old female patient complains about periodical headache, dizziness and ear noise. She has been suffering from diabetes melitus for 15 years. Objectively: heart sounds are rhythmic, heart rate is 76/min, there is diastolic murmur above aorta, AP is 180/110 mm Hg. In urine: OD- 1,014. Daily loss of protein with urine is 1,5 g. What drug should be chosen for treatment of arterial hypertension?
A. β-blockerB. α-blockerC. Calcium channel antagonist
D. Thiazide diureticE. Ihibitor of angiotensin converting enzyme6. 52-year-old man has arterial hypertension during 10 years. Last two years he takes enalapril 5 mg per a day. Arterial pressure is in a range of 160-170/100-110. The ECG revealed the increased amplitude R wave, depression of ST segment and negative Т wave in I, aVL, V5-V6. What conclusion is most probably?
A. Hypertrophy of the left ventricle
B. Focal changes in lateral wall of the left ventrical
C. Focal changes in anterior wall of the left ventrical
D. Focal changes in inferior wall of the left ventricalE. Myocardial infarction without Q in anterior wall of the left ventrical
7. In the young patient at the reference to policlinic there was diagnosed the 1 stage of hypertension. How many times during the year it is necessary to examine him?
A. 3 times
B. 2 times
C. 5 times
D. 4 times
E. 1 time
8. A patient 64 years old within has had essential hypertension for 14 years. Inspection revealed that heart rate was 84 per min, blood pressure - 170/110 mm Hg, glucose – 7,2 mmol/l, cholesterol - 8,2 mmol/l. What diuretics do you recommend this patient?
A. Clopamide
B. Hydrochlorothiazide
C. Furosemide
D. IndapamideE. Enalapril9. The man 68 years old has essential hypertension II stage. He constantly takes enalapril 10 mg per a day. Inspection revealed that pulse was 68 per minute, muted tones of heart, accent of the second sound above aorta. Echocardiography showed hypertrophy of the left ventrical. During last time efficiency of treatment decreased. Blood pressure is not decreased below 160/110 mm Hg. What do you add to treatment?
A. Diuretics
B. Beta-blockers
C. Alpha-blockers
D. Angiotensin inhibitors
E. Calcium channel blockers
10. What group of medicines is not used for treatment of essential hypertension in the first place?
A. Ganglionic blocker
B. Angiotensin inhibitors
C. Alpha-blockers
D. Diuretics
E. Calcium channel blockers