Dataset Viewer
edition
stringclasses 14
values | year
stringdate 2013-01-01 00:00:00
2024-01-01 00:00:00
| season
stringclasses 2
values | question_id
int64 1
200
| question_w_options
stringlengths 89
1.21k
| answer
stringclasses 5
values |
|---|---|---|---|---|---|
2022_wiosna
|
2022
|
spring
| 77 |
An elderly male patient with obturative lung disease was diagnosed with hernia. It was protruding from the abdominal cavity through the transverse fascia which forms the posterior wall of the inguinal canal, at the site bordering the conjoint tendon at the top, the inguinal ligament at the bottom, and laterally, through inferior epigastric vessels. The hernia in such location is known as:
A. oblique inguinal hernia.
B. scrotal hernia.
C. direct inguinal hernia.
D. femoral hernia.
E. spigelian hernia.
|
C
|
2022_wiosna
|
2022
|
spring
| 98 |
A female genital neoplasm which gives a positive pregnancy test result, and is often manifested by the development of bilateral ovarian cysts during its course, is termed as:
A. dysgeminoma.
B. folliculoma.
C. sertolioma.
D. choriocarcinoma.
E. luteoma.
|
D
|
2022_wiosna
|
2022
|
spring
| 118 |
Endometriosis should be taken into account in the case of:
A. endometrial hyperplasia on ultrasound, the presence of symptoms of hirsutism.
B. abnormal postmenopausal bleeding from the uterine cavity.
C. reduced fertility, pelvic pain syndrome, dysmenorrhea.
D. rare menstruation with the image of polycystic ovaries on ultrasound.
E. presence of endometrial polyps in the uterine cavity.
|
C
|
2022_wiosna
|
2022
|
spring
| 20 |
Which of the following is the most characteristic abnormality in patients with multiple myeloma?
A. generalized lymphadenopathy.
B. hepatomegaly.
C. splenomegaly.
D. osteolytic bone lesions.
E. plasmacytic infiltration in the kidneys.
|
D
|
2022_wiosna
|
2022
|
spring
| 1 |
Indicate true statements regarding complications associated with using chemotherapy in cancer treatment:1) the most frequent haematological complication is neutropenia (found in 60-88% of the patients treated);2) neutropenic fever is found in ca. 10-50% of patients treated for solid tumours and in over 80% of patients treated for haematological malignancies;3) the G-CSF prophylaxis is recommended only in radical and palliative treatment.The correct answer is:
A. 1,2.
B. all of the above.
C. 1,3.
D. 2 only.
E. 3 only.
|
A
|
2022_wiosna
|
2022
|
spring
| 36 |
A simultaneous increase in prothrombin time (PT) and in activated partial thromboplastin time (APTT) is characteristic of:
A. factor VIII deficiency.
B. factor XIII deficiency.
C. defect of the so-called final common pathway - (factors X, V, II, fibrinogen).
D. hemophilia A.
E. factor VII deficiency.
|
C
|
2022_wiosna
|
2022
|
spring
| 61 |
Which of the following vaccines may be given to a woman at the 30th week of gestation?1) against influenza (inactivated vaccine);2) against chickenpox;3) against tuberculosis;4) against diphtheria, tetanus and pertussis (dTpa - an adult type of vaccine);5) against measles, mumps and rubella.The correct answer is:
A. only 1.
B. 1,2,3.
C. 1,4.
D. 1,4,5.
E. 4,5.
|
C
|
2022_wiosna
|
2022
|
spring
| 122 |
A female patient, 65 years of age, came to see her family doctor because of severe abdominal pain which has become more intense for the last few days. Over the last few months she has had alternating constipation and diarrhoea. Presently, she has had no bowel movement for a few days. Medical history revealed iron-deficiency anaemia diagnosed a few months before and arterial hypertension which has been poorly controlled as the patient is not fond of going to the doctor and she did not have any health complaints. On physical examination, the abdomen was distended and painful to touch, and increased intestinal peristalsis could be heard. Deep palpation was not possible due to abdominal tension. Indicate appropriate measures to be taken:
A. urgently refer the patient to hospital because of suspected intestinal obstruction.
B. refer the patient to hospital for elective abdominal diagnostics.
C. refer the patient to an outpatient clinic for abdominal X-ray in a standing position, to exclude intestinal obstruction.
D. refer the patient for laboratory blood tests for diagnostics of anaemia.
E. asking the patient to take simethicone preparation and come for a control visit after the bloating recedes.
|
A
|
2022_wiosna
|
2022
|
spring
| 175 |
A 45-year-old woman was admitted to the Emergency Department deeply unconscious, breathing shallowly at the rate of 10/min, with pinpoint pupils, heart rate 60/min, blood pressure 110/60 mmHg, glucose concentration 115 mg/dL. Her medical history includes back pain treated with meloxicam 15 mg daily and 10 mg oxycodone on demand. Indicate the diagnosis and the treatment that should be initiated:
A. opiate intoxication, 0.5 mg of flumazenil i.v.
B. hypoglycemic coma, 10 mL of 40% glucose i.v.
C. opiate intoxication, 0.4 mg of naloxone i.v.
D. neurogenic shock, 200 mg of hydrocortisone i.v.
E. anaphylactic shock, 1 mg of epinephrine i.m.
|
C
|
2022_wiosna
|
2022
|
spring
| 163 |
The total dose of N-acetylcysteine used intravenously in paracetamol intoxication amounts to:
A. 100 mg/kg b.w.
B. 150 mg/kg b.w.
C. 200 mg/kg b.w.
D. 250 mg/kg b.w.
E. 300 mg/kg b.w.
|
E
|
2022_wiosna
|
2022
|
spring
| 134 |
A skin disease of non-bacterial etiology is:
A. impetigo contagiosa.
B. tinea versicolor.
C. erythrasma.
D. erysipelas.
E. ecthyma.
|
B
|
2022_wiosna
|
2022
|
spring
| 94 |
Which of the following ways of treatment restores the anti-reflux barrier in gastroesophageal reflux disease?
A. prokinetic drugs.
B. proton pump inhibitors.
C. cardiomyotomy.
D. cardioplasty.
E. fundoplication.
|
E
|
2022_wiosna
|
2022
|
spring
| 143 |
Indicate the true time-based criterion for the occurrence of depressive episode, according to ICD-10 classification:
A. two weeks.
B. one month.
C. three months.
D. six months.
E. none of the above.
|
A
|
2022_wiosna
|
2022
|
spring
| 114 |
Which of the following is not a typical complication of gestational diabetes?
A. polyhydramnios.
B. fetal macrosomia.
C. intrauterine growth retardation.
D. obstetric cholestasis.
E. traumatic delivery.
|
D
|
2022_wiosna
|
2022
|
spring
| 102 |
Indicate which of the factors below contribute to decreasing the risk of ovarian cancer and are thought to play a protective role:1) multiparity;2) combined hormonal contraceptive;3) hormonal stimulation of ovulation;4) ovarian puncture in the in vitro fertilization procedure.The correct answer is:
A. 2 only.
B. 1,2.
C. 1,2,3.
D. all of the above.
E. none of the above.
|
B
|
2022_wiosna
|
2022
|
spring
| 82 |
Indicate the false statement concerning diverticulosis of the gastrointestinal tract:
A. Meckel’s diverticulum is the remnant of the fetal umbilical gastrointestinal duct and may contain ectopic foci of gastric or pancreatic tissue.
B. acquired diverticula are created by bulging the mucus membrane through the muscular layer of the intestine.
C. Meckel’s diverticulum is a congenital and true diverticulum of the ileum located on the mesenteric edge of the intestine and its length can measure up to 15 cm.
D. colon diverticula appear usually in the 4th decade of life, they are often localized in the sigmoid colon and do not occur in the rectum.
E. complications of diverticular disease include inflammation, abscess, perforation, bleeding and mechanical obstruction.
|
C
|
2022_wiosna
|
2022
|
spring
| 155 |
MMSE (Mini Mental State Examination) and clock-drawing test are recommended for the screening for:
A. intellectual disability.
B. specific learning disorders.
C. personality disorders.
D. autism.
E. dementia.
|
E
|
2022_wiosna
|
2022
|
spring
| 16 |
An absolute contraindication to fibrynolysis is:
A. ischaemic stroke within the last six months.
B. pregnancy.
C. infectious endocarditis.
D. active peptic ulcer disease.
E. all of the above.
|
A
|
2022_wiosna
|
2022
|
spring
| 41 |
Indicate true statements regarding mycoplasmatic pneumonia:
A. rapid onset of symptoms and high fever are typical characteristics.
B. in the course of disease, upper respiratory symptoms and mild fever develop gradually.
C. characteristic rash and diarrhoea occur.
D. the disease is asymptomatic, with diagnosis based on laboratory test results.
E. all of the above.
|
B
|
2022_wiosna
|
2022
|
spring
| 179 |
The doctor stating death is obliged to immediately notify the police or the prosecutor if:1) they are unable to determine the cause of death;2) the deceased does not have a next of kin within the meaning of Article 3 of the Act on Patients’ Rights and the Ombudsman for Patients' Rights;3) they have a justified suspicion that a crime was the cause of death;4) they have a justified suspicion that suicide was the cause of death;5) they are unable to establish the identity of the deceased.The correct answer is:
A. 1,3,5.
B. 3,4.
C. 3,4,5.
D. 1,2.
E. 2,3,4.
|
C
|
2022_wiosna
|
2022
|
spring
| 196 |
What kind of study is a cohort study?
A. observational.
B. experimental.
C. intervention.
D. screening.
E. clinical.
|
A
|
2022_wiosna
|
2022
|
spring
| 57 |
Subacute sclerosing panencephalitis (SSPE) occurs with higher rate in children suffering in the early childhood (under 2 years of age) from:
A. measles.
B. mumps.
C. rubella.
D. varicella.
E. cytomegalovirus infection.
|
A
|
2022_wiosna
|
2022
|
spring
| 180 |
A homeless with clear symptoms of peritonitis was taken to a private hospital admission room. The hospital is able to help the patient but it does not have the contract signed with the National Health Fund (NFZ) for this type of medical services. How should the doctors proceed?
A. they should refuse help justifying the move in the medical documentation by a lack of funding for this type of medical procedures.
B. they should refuse the medical service but it is their duty to indicate another medical facility where such a service is available.
C. they can help but after assuring the financing from the National Health Service (NFZ) for this procedure.
D. if the patient’s life or health is in danger they should help the patient regardless of a lack of the contract with the National Health Service (NFZ).
E. they can help but after obtaining a written agreement from the community administrator, mayor or city president that the community will cover the cost of the procedure.
|
D
|
2022_wiosna
|
2022
|
spring
| 138 |
Because of suspected hypothyroidism the physician ordered the measurement of TSH and fT4 levels. TSH was slightly elevated and fT4 was within limits. What diagnosis should be formulated considering these laboratory findings?
A. euthyroidism.
B. subclinical hypothyroidism.
C. primary hypothyroidism.
D. secondary hypothyroidism.
E. tertiary hypothyroidism.
|
B
|
2022_wiosna
|
2022
|
spring
| 139 |
Indicate the true statements concerning acute epiglottitis:1) it is usually caused by viruses (RS, influenza, parainfluenza, adenovirus);2) it is caused by bacteria (H. influenzae, S. pneumoniae, S. pyogenes);3) it develops within several days;4) it develops within several hours;5) it leads to respiratory distress;6) it has a mild course and is treated symptomatically.The correct answer is:
A. 1,4,6.
B. 2,3,6.
C. 2,4,5.
D. 1,3,5.
E. 1,3,6.
|
C
|
2022_wiosna
|
2022
|
spring
| 181 |
A patient with her husband come to the gynaecologist’s office. The husband wants to be present at the examination. What should the doctor do?1) they should allow the husband to be present at the examination because husband as a close person has the right to be present at the provision of health services;2) if the patient does not give her clear consent to her husband’s presence, they should ask him to leave;3) they may not allow the husband to be present at the provision of health services to his wife if they decide that the patient’s health safety is at stake;4) they should let the husband assist because her silence should be interpreted as implicit consent;5) regardless of circumstances and the patient’s will they should ask the husband to leave because the examination may violate the patient’s right to intimacy.The correct answer is:
A. only 1.
B. 2,3.
C. 1,4.
D. only 5.
E. only 4.
|
B
|
2022_wiosna
|
2022
|
spring
| 56 |
In the case of erythema migrans diagnosed in a 4-year-old boy the following antibiotics can be used:1) amoxicillin;2) doxycycline;3) cefuroxime axetil;4) azithromycin;5) clarithromycin.The correct answer is:
A. 1,2,3.
B. 1,2,3,4.
C. all the above.
D. 1,2,4,5.
E. 1,3,4,5.
|
E
|
2022_wiosna
|
2022
|
spring
| 178 |
A patient diagnosed with a massive cerebrovascular accident is admitted to the Emergency Dept. The communication with the patient is impossible due to severely impaired speech and perception. The physician decides that the patient needs immediate medical assistance. Can he undertake treatment and start the procedures without the patient’s consent?
A. No, because both the law and the Code of Medical Ethics forbid any kind of medical intervention be undertaken without the patient’s consent.
B. Yes, because the medical profession act for physicians and dentists permits, by way of exception, that medical intervention be undertaken without the patient’s consent if he needs immediate medical assistance and is unable to make the said consent because of his health condition.
C. Yes, but only on condition that a judicial approval by the guardianship court has been granted before any procedures are undertaken.
D. Yes, but he can order only examinations and laboratory tests, and is not allowed to undertake any treatment.
E. No, because when making such a decision, he risks being accused of unlawfulness.
|
B
|
2022_wiosna
|
2022
|
spring
| 197 |
In February 2019 the Supreme Administrative Court dismissed A.D.’s (plaintiff’s initials) cassation appeal from the verdict of the Provincial Administrative Court in Warsaw which in 2016 supported the Health Minister’s decision who in turn upheld the provincial governor’s decision to impose a fine of 420 PLN on A.D. for avoiding subjecting his minor daughter to preventive vaccinations. The SAC’s verdict is an example of the following law function in the field of public health:
A. ban on actions and behaviors harmful to the health of individuals and the community.
B. regulation of the rights of individuals and groups to health care.
C. regulation of health care resources.
D. regulation of healthcare financing.
E. regulation of requirements in the field of healthcare quality.
|
A
|
2022_wiosna
|
2022
|
spring
| 40 |
Haematological abnormalities are a common symptom of acute lymphoblastic leukaemia in children. Blood morphology test shows:1) anaemia;2) thrombocytopenia;3) low white blood cell count;4) normal white blood cell count;5) high white blood cell count.The correct answer is:
A. all of the above.
B. 1,2,3.
C. 1,2,4.
D. 1,2,5.
E. 1,5.
|
D
|
2022_wiosna
|
2022
|
spring
| 17 |
Which of the following is the recommended management of acute bronchitis in adults?
A. levofloxacin.
B. amoxicillin.
C. amoxicillin/clavulanic acid.
D. cefuroxime axetil.
E. refraining from antibiotic therapy in most cases.
|
E
|
2022_wiosna
|
2022
|
spring
| 154 |
A desirous transformation of experiences, actions, and expectations upon the influence of emotional attitude that does not reflect reality is called:
A. synthymia.
B. catathymia.
C. hypothymia.
D. athymia.
E. hyperthymia.
|
B
|
2022_wiosna
|
2022
|
spring
| 83 |
Ulcerative colitis is treated surgically. The gold standard in elective treatment is:
A. Hartmann’s colectomy.
B. colectomy with ileorectal anastomosis.
C. restorative proctocolectomy.
D. restorative proctocolectomy with loop ileostomy.
E. segmental colon resection.
|
D
|
2022_wiosna
|
2022
|
spring
| 103 |
Indicate hormonal drugs used in the complementary therapy of cancer of the body uterus:
A. estrogens.
B. selective oestrogen receptor modulators.
C. progestagens.
D. selective progesterone receptor modulators.
E. androgens.
|
C
|
2022_wiosna
|
2022
|
spring
| 115 |
The pregnancy in a patient with chronic hypertension is a high-risk pregnancy and may be complicated with the following disorders, except for:
A. preterm birth related to the cervical incompetence.
B. intrauterine growth retardation.
C. superimposed preeclampsia.
D. abruption of normally located placenta.
E. oligohydroamnios.
|
A
|
2022_wiosna
|
2022
|
spring
| 142 |
The positive symptoms of schizophrenia include:1) hallucinations2) depressed mood3) anhedonia4) ambivalence5) delusionsThe correct answer is:
A. 1,2.
B. all of the above.
C. 1,5.
D. 2,5.
E. 3,4.
|
C
|
2022_wiosna
|
2022
|
spring
| 95 |
Which of the following is not characteristic of Buerger’s disease?
A. onset of the disease after 50 years of life.
B. habitual cigarette smoking.
C. presence of lesions in 4 limbs.
D. presence of typical lesions on the angiographic examination.
E. migratory thrombophlebitis.
|
A
|
2022_wiosna
|
2022
|
spring
| 135 |
A patient with hypothyroidism should be instructed to take levothyroxine:
A. on empty stomach, 30-60 minutes before breakfast.
B. on empty stomach, directly before breakfast.
C. during breakfast.
D. half an hour after breakfast.
E. two hours after breakfast.
|
A
|
2022_wiosna
|
2022
|
spring
| 162 |
Which of the following should be given to a patient with hyperkalemia at the level of 7 mmol/l, if the ECG shows toxic influence of potassium on the heart muscle?
A. 30 ml of 10% calcium gluconate i.v.
B. 30 ml of 10% calcium chlorate i.v.
C. 6 mg of adenosine i.v.
D. 500 ml of isotonic electrolyte solution i.v.
E. 2 g of magnesium sulfate.
|
A
|
2022_wiosna
|
2022
|
spring
| 174 |
A 44-year-old male complains of severe abdominal pain and hematemesis. On th nd nd examination: respiratory rate - 24/min, normal respiratory sounds over the lungs, SpO - weak signal, heart rate - 130/min, no pulse on the distal arteries, blood pressure - 75/50 mmHg, the skin is pale and sweaty, on the ECG - a regular rhythm with narrow QRS complexes. Which of the following should be performed?
A. cardioversion.
B. vagal maneuvers.
C. adenosine 6 mg i.v. in rapid bolus.
D. fluid therapy.
E. amiodarone 300 mg i.v. within 20-60 minutes.
|
D
|
2022_wiosna
|
2022
|
spring
| 123 |
A male patient, 70 years of age, came to see his family doctor to discuss the results of laboratory tests he made to check whether he may have osteoporosis because he had had a radial bone fracture after a slight fall a few months before. Apart from that, he reports occasional lumbar pain and weakness which he thinks can be attributed to ageing. Laboratory tests showed blood calcium concentration 4 mmol/l (normal range: 2.1-2.6 mmol/l), creatinine 2.1 mg/dl (normal range: 0.6-1.3 mg/dl), and slight normocytic anaemia, with no other abnormalities. What is the most probable diagnosis?
A. primary hyperparathyroidism.
B. multiple myeloma.
C. vitamin D deficiency.
D. iron deficiency.
E. primary osteoporosis.
|
B
|
2022_wiosna
|
2022
|
spring
| 60 |
According to the current Polish National Program of Immunizations, which of the statements below is false in case of a child with the birth weight of 1700 g?
A. BCG vaccination should be postponed until the body weight has reached 2000 g.
B. vaccination against hepatitis B should be postponed until the body weight has reached 2000 g.
C. as a mandatory vaccination against diphtheria, tetanus and pertussis a vaccine with an acellular pertussis component should be used.
D. as a mandatory vaccination the child should receive a conjugated pneumococcal vaccine.
E. vaccination against measles, mumps and rubella should be given according to the chronological age.
|
B
|
2022_wiosna
|
2022
|
spring
| 158 |
In CT scan of the head, the early radiological symptoms of ischaemic stroke do not include:
A. smoothing of cerebral sulci.
B. loss of the insular ribbon sign.
C. reduced contrast of the basal ganglia.
D. hyperdense middle cerebral artery sign.
E. hypodense middle cerebral artery sign.
|
E
|
2022_wiosna
|
2022
|
spring
| 37 |
A 44-year-old woman comes to the doctor because of the stiffness of her hands occurring in mornings for several months. The stiffness usually subsides after more than one hour. What is the most probable cause of these symptoms?
A. osteoarthritis.
B. rheumatoid arthritis.
C. gout.
D. psoriasis.
E. ankylosing spondylitis.
|
B
|
2022_wiosna
|
2022
|
spring
| 21 |
Which of the following medications can cause hypercalcemia?1) calcimimetics;2) thiazides;3) lithium;4) calcium receptor antagonists;5) vitamin D.The correct answer is:
A. 1,2,3.
B. 1,3,5.
C. 2,3,4.
D. 2,3,5.
E. 3,4,5.
|
D
|
2022_wiosna
|
2022
|
spring
| 119 |
When should the next cytological examination be ordered in a 35-year-old multipara with normal results of the last three cytological examinations and without any risk factors?
A. in 3 months.
B. in 6 months.
C. in a year.
D. in 3 years.
E. only if some symptoms occur, such as increased vaginal discharge, or contact bleeding.
|
D
|
2022_wiosna
|
2022
|
spring
| 76 |
In young women of reproductive age, a fibrous tumour of the abdominal wall, which is comorbid with the Gardner’s syndrome, will most probably be:
A. fibrosarcoma.
B. peritoneal mesothelioma.
C. old fibrotic haematoma.
D. irreducible hernia.
E. desmoid.
|
E
|
2022_wiosna
|
2022
|
spring
| 99 |
In gynaecology, an example of primary prevention of cervical cancer is:
A. DNA genotyping of highly oncogenic HPVs.
B. cytology.
C. a so-called ‘co-testing’ i.e. cytology combined with HVP genotyping.
D. vaccination against HPV.
E. colonoscopy.
|
D
|
2022_wiosna
|
2022
|
spring
| 92 |
In the patient with head trauma caused by taking part in a traffic accident the following signs are observed: anisocoria L>R; opening eyes only in the response to strong pain; patient emits incomprehensible sounds; patient withdraws his hand when a venous catheter insertion is attempted. What Glasgow Coma Score should be assigned to the patient and does the patient need intratracheal intubation?
A. GCS 9, the intubation is necessary.
B. GCS 9, the intubation is not necessary.
C. GCS 9, clinical data are not sufficient to determine indications for the intubation.
D. GCS 8, the intubation is not necessary.
E. GCS 8, the intubation is necessary.
|
E
|
2022_wiosna
|
2022
|
spring
| 145 |
Indicate the drug whose administration is associated with the lowest metabolic risk:
A. quetiapine.
B. olanzapine.
C. haloperidol.
D. sulpiride.
E. aripiprazole.
|
E
|
2022_wiosna
|
2022
|
spring
| 112 |
Which of the following blood vessels is used in the non-invasive ultrasound evaluation of foetal anaemia?
A. uterine artery.
B. ductus venosus.
C. umbilical artery.
D. middle cerebral artery.
E. umbilical vein.
|
D
|
2022_wiosna
|
2022
|
spring
| 104 |
The Mayer-Rokitansky-Kustner and Hauser syndrome is characterized by:1) primary amenorrhoea;2) female karyotype 46,XX;3) scarcity of axillary and pubic hair;4) congenital absence of ovary;5) congenital absence of vagina;6) ametria, rudimentary uterus or rudimentary horns of uterus.The correct answer is:
A. all of the above.
B. 1,2,5,6.
C. 2,3,4,5.
D. 2,3,4,6.
E. 1,4,5,6.
|
B
|
2022_wiosna
|
2022
|
spring
| 84 |
Extranodal lymphoma is most commonly localized in:
A. stomach.
B. duodenum.
C. small intestine.
D. colon.
E. rectum.
|
A
|
2022_wiosna
|
2022
|
spring
| 153 |
Indicate the minimal period of symptom appearance that is the criterion for cyclothymia diagnosis in adults:
A. 2 years.
B. 1 year.
C. 6 months.
D. 1 month.
E. 2 weeks.
|
A
|
2022_wiosna
|
2022
|
spring
| 10 |
Indicate true causes of left ventricular dysfunction:1) arterial hypertension;2) dilated cardiomyopathy;3) hypertrophic cardiomyopathy;4) constrictive pericarditis;5) diabetes.The correct answer is:
A. 1,2,3,4.
B. 1,3,4,5.
C. 1,2,4.
D. 1,3.
E. all of the above.
|
B
|
2022_wiosna
|
2022
|
spring
| 128 |
Which of the following activities are characteristic of six-month-old infants?
A. supporting their body on the extended arms with partly or fully opened hands.
B. bringing a toy from one hand to the other.
C. dropping things on purpose.
D. answers A,B are correct.
E. answers A,B,C are correct.
|
D
|
2022_wiosna
|
2022
|
spring
| 47 |
The symptoms that are the basis for diagnosing chickenpox in children do not include:
A. characteristic appearance of the newborn, with generalised vesicular skin lesions at different stages of development and healing.
B. history of maternal exposure to smallpox virus.
C. history of maternal symptoms of smallpox before delivery.
D. detection of smallpox virus in vesicular smears, by polymerase chain reaction (PCR) test.
E. congenital glaucoma/cataract.
|
E
|
2022_wiosna
|
2022
|
spring
| 190 |
In the case of irregularities in issuing statements on temporary incapacity for work, especially when such a statement was issued without direct examination of the insured person or without proper documentations which formed the basis for the stated incapacity for work, the Social Insurance Fund (ZUS) can, as a decision, withdraw the authorization for issuing the statements for the period not exceeding:
A. 3 months from the day when the decision took effect.
B. 5 months from the day when the decision took effect.
C. 6 months from the day when the decision took effect.
D. 9 months from the day when the decision took effect.
E. 12 months from the day when the decision took effect.
|
E
|
2022_wiosna
|
2022
|
spring
| 51 |
Jaundice, low hemoglobin levels, high reticulocyte count, elevated indirect bilirubin levels, negative direct antiglobulin test, decreased erythrocyte osmotic resistance and abnormal EMA test result point to:
A. autoimmune hemolytic anemia.
B. Fanconi anemia.
C. Blackfan Diamond anemia.
D. myelodysplastic syndrome.
E. spherocytosis.
|
E
|
2022_wiosna
|
2022
|
spring
| 169 |
The management of febrile convulsions in children includes:
A. ensuring airway patency.
B. application of anti-pyretic drugs.
C. cold compresses.
D. rectal application of diazepam.
E. all the above.
|
E
|
2022_wiosna
|
2022
|
spring
| 186 |
The decision regarding disability issued by district disability assessment committee can be appealed to:
A. medical committee of the Social Insurance Institution.
B. medical committee of the National Health Fund.
C. medical committee of the district medical chamber.
D. voivodeship committee for disability assessment.
E. national committee for disability assessment.
|
D
|
2022_wiosna
|
2022
|
spring
| 149 |
Systematic, internally coherent and logical system of delusions may occur in:
A. hallucinosis.
B. paranoid syndrome.
C. Ganser syndrome.
D. Ekbom syndrome.
E. none of the above.
|
B
|
2022_wiosna
|
2022
|
spring
| 71 |
A 34-year-old female patient who has been treated for paroxysmal hypertension for three years came to see a doctor at an outpatient clinic. She complains of polydipsia, profuse sweating and heart palpitations. Laboratory tests showed considerably increased blood catecholamines, and double-phase abdominal CT scan showed a 3 cm tumour in the left adrenal gland. Indicate appropriate treatment:
A. resection of adrenal gland with the tumour.
B. fine-needle aspiration biopsy of the tumour.
C. abdominal magnetic resonance (MRI).
D. tumour resection with adrenal gland preservation.
E. bilateral adrenalectomy.
|
A
|
2022_wiosna
|
2022
|
spring
| 26 |
Indicate the true information on Alport’s syndrome of sex-linked inheritance:1) it is caused by inherited defect in alpha 5 collagen IV chain synthesis and leads to end-stage renal disease;2) women (heterozygotes) are healthy gene carriers or they have only mild symptoms;3) haematuria and proteinuria occur in men at around 10 years of age;4) therapy with cyclosporine inhibits the development of the disease;5) angiotensin converting enzyme inhibitors are used to decrease proteinuria.The correct answer is:
A. 1,3,5.
B. 1,3,4.
C. 1,4,5.
D. 1,2,5.
E. 2,4,5.
|
D
|
2022_wiosna
|
2022
|
spring
| 7 |
Indicate which factors should be considered when assessing the need for hospitalization in a patient diagnosed with pneumonia:1) patient’s age;2) breath rate;3) arterial blood pressure;4) body temperature;5) type of cough.The correct answer is:
A. 2,3,5.
B. 1,2,3.
C. 2,3.
D. 1,5.
E. all of the above.
|
B
|
2022_wiosna
|
2022
|
spring
| 108 |
The diagnosis of endometriosis should be considered in all the following conditions, except for:
A. oligomenorrhea.
B. dyspareunia.
C. painful menstruation.
D. ovarian cyst with dense content.
E. pelvic pain.
|
A
|
2022_wiosna
|
2022
|
spring
| 30 |
The first-choice drug used in treatment of acute liver failure related to paracetamol (acetaminophen) overdose is:
A. N-acetylcysteine.
B. BAL.
C. vitamin E (high doses).
D. glutathione.
E. barbiturate.
|
A
|
2022_wiosna
|
2022
|
spring
| 67 |
Which of the following scales is used to assess the maturation of a neonate?
A. Tanner.
B. Glasgow.
C. NYHA.
D. Ballard.
E. Apgar.
|
D
|
2022_wiosna
|
2022
|
spring
| 88 |
Which of the following accesses to the digestive tract can be used in nutritional therapy?
A. naso-gastric tube, gastrostomy, jejunostomy.
B. naso-gastric tube, gastrostomy, ileostomy.
C. esophagostomy, gastrostomy, jejunostomy.
D. gastrostomy, jejunostomy, ileostomy.
E. jejunostomy, ileostomy, colostomy.
|
A
|
2022_wiosna
|
2022
|
spring
| 124 |
A mother with her 5-year-old daughter came to see their family doctor. The daughter has been complaining of headache and she has occasionally vomited for some time. The symptoms usually occur in the morning hours. The doctor suspects a tumour of the central nervous system. However, the physical examination, including full neurological exam, did not reveal any abnormalities. The same refers to laboratory testing. What further measures should be taken?
A. paracetamol administration to control headache, at a dose based on kg body weight.
B. recommendation to avoid eating late, in order to prevent morning vomiting.
C. refer the patient to cancer centre for imagining diagnostics of the head.
D. refer the patient to gastro ward for imaging diagnostics of the abdomen.
E. refer the patient to psychology clinic, as most probably the child simulates the symptoms, which may be associated with impaired family relationships.
|
C
|
2022_wiosna
|
2022
|
spring
| 173 |
A 32-year-old male was transported to the emergency department with the signs of progressive hypovolemic shock. The patient demands quick fluid replacement. Which access and which cannula should be chosen?
A. central access, 22 G cannula of 30 cm in length.
B. central access, 20 G cannula of 21 cm in length.
C. peripheral access, 18 G cannula of 5.0 cm in length.
D. peripheral access, 16 G cannula of 5.0 cm in length.
E. intraosseous access, 20 G cannula of 8.0 cm in length.
|
D
|
2022_wiosna
|
2022
|
spring
| 165 |
A 70-year-old man was admitted to the ER because of an aggravating dyspnoe lasting 2 hours. The patient is chronically treated for diabetes and arterial hypertension. The physical examination showed normal respiratory sounds with bibasal fine crackles. The heart rate was 90/min, blood pressure 190/80 mmHg. The first-choice medication in such a situation is:
A. nitroglycerin.
B. urapidil.
C. furosemide.
D. metoprolol.
E. amiodarone.
|
C
|
2022_wiosna
|
2022
|
spring
| 132 |
All the patients with coronary artery disease (in the absence of contraindications) should be chronically treated with:
A. acetylsalicylic acid.
B. statin.
C. ACEI or ARB.
D. answers A,B are correct.
E. answers A,B,C are correct.
|
D
|
2022_wiosna
|
2022
|
spring
| 133 |
Coughing up of more than 100 mL of blood in a short time suggests massive hemoptysis and is an indication for:
A. treatment at the family doctor clinic.
B. planned specialist consultation.
C. urgent specialist consultation.
D. hospitalization.
E. further observation and hospitalization in the case of worsening.
|
D
|
2022_wiosna
|
2022
|
spring
| 172 |
The Mallampati classification is used to predict the difficulties in endotracheal intubation. What class according to this classification is assigned to the situation where the soft palate is not visible in a patient with their mouth open?
A. first.
B. second.
C. third.
D. fourth.
E. fifth.
|
D
|
2022_wiosna
|
2022
|
spring
| 125 |
During a complex medical check-up for children at 3rd grade of primary school, the mother asks the doctor for a medical waiver to exempt her child from the physical education course. She claims that owing to obesity, the child has difficulty performing physical exercises and does not get such good grades as other children do. Which group of the physical education course should the doctor classify the child into?
A. group C, for a non-defined period of time, and ask the child to show up for regular control check-ups at the clinic.
B. group C, for a month’s time, and then make a re-assessment.
C. group C1, as obesity is a serious disease which requires supplementary rehabilitation out of school.
D. group B, considering the reason for the limitation and, possibly, providing guidelines to the teacher.
E. group A, as the child should perform the same exercises as other pupils do, which will be beneficial to his/her health.
|
D
|
2022_wiosna
|
2022
|
spring
| 66 |
Gastroesophageal reflux in physiological conditions is a short-term phenomenon. But if it lasts long or the episodes of reflux are frequent it could be the cause of gastroesophageal reflux disease (GERD). Alarming signs of GERD do not include:
A. weight loss.
B. coughing attacks at night with dyspnoea.
C. heartburn.
D. swallowing disorders.
E. anaemia.
|
C
|
2022_wiosna
|
2022
|
spring
| 89 |
The abdominal compartment syndrome does not lead to the decrease in:
A. intracranial pressure.
B. blood flow into the liver and its ischemia.
C. venous return to the heart.
D. blood flow through the intestinal wall.
E. tidal volume.
|
A
|
2022_wiosna
|
2022
|
spring
| 31 |
Indicate the false statement on vaccinations against influenza:
A. pregnancy is a contraindication to the vaccination.
B. patients older than 50 should be vaccinated.
C. patients with coronary heart disease should be vaccinated.
D. medical staff should be vaccinated.
E. allergy to chicken egg white is not an absolute contraindication to the vaccination.
|
A
|
2022_wiosna
|
2022
|
spring
| 6 |
The risk factors for urinary tract infection include:1) prostatic hypertrophy;2) diabetic neuropathy;3) permanent urinary catheterisation;4) urolithiasis;5) urethral stenosis.The correct answer is:
A. all of the above.
B. 1,2,4,5.
C. 1,3,4,5.
D. 1,3,4.
E. 3,5.
|
A
|
2022_wiosna
|
2022
|
spring
| 109 |
A 32-year-old childless patient has a history of 4 miscarriages in the first trimester. The evaluation of the possible causes of miscarriages in this patient should include:1) diagnostics of Toxoplasma gondii infection;2) diagnostics of Human Papilloma Virus infection;3) determination of anti-cardiolipin antibodies;4) diagnostics of Cytomegalovirus infection;5) determination of lupus anticoagulant.The correct answer is:
A. 1,2.
B. 2,3.
C. 3,5.
D. 2,4,5.
E. 1,4,5.
|
C
|
2022_wiosna
|
2022
|
spring
| 27 |
Patient with the following set of viral markers: HBsAg plus, HBeAg plus, anti-HBc IgM minus, anti-HCV minus should be regarded as:
A. hepatitis B carrier with features suggesting exposition to HCV.
B. infected with HBV, with probable high replication of HBV, without features suggesting exposition to HCV.
C. carrier of HCV, without immunity after vaccination against hepatitis B.
D. recoverer from hepatitis B, with features of acquired immunity against HBV and HCV.
E. none of the above.
|
B
|
2022_wiosna
|
2022
|
spring
| 70 |
A 70-year-old female patient with a history of rectal cancer surgery three years before, came in to an outpatient clinic. She provided the findings of the last two CEA blood tests. The first one showed 8.45 ng/ml, and the other one, performed three months afterwards, 19.39 ng/ml (normal range <5.0 ng/ml). The dual-phase abdominal and thoracic CT scan and colonoscopy findings did not show any abnormalities. Indicate which examination should be ordered for the patient:
A. transrectal ultrasound.
B. pelvic magnetic resonance imaging (MRI).
C. PET-CT.
D. diagnostic laparoscopy.
E. CEA test in three months’ time.
|
C
|
2022_wiosna
|
2022
|
spring
| 148 |
In schizophrenia treatment, the highest risk for developing the metabolic syndrome is associated with using:
A. olanzapine.
B. aripiprazole.
C. ziprasidone.
D. lurasidone.
E. cariprazine.
|
A
|
2022_wiosna
|
2022
|
spring
| 168 |
Quicktrach is used for:
A. decompression of pneumothorax.
B. diagnostic puncture of the pericardial sac.
C. execution of emergency tracheotomy.
D. performing tracheostomy.
E. none of the above.
|
C
|
2022_wiosna
|
2022
|
spring
| 187 |
Monthly sickness allowance for hospital stay amounts to:
A. 65% of the benefit calculation basis.
B. 70% of the benefit calculation basis.
C. 80% of the benefit calculation basis.
D. 90% of the benefit calculation basis.
E. 100% of the benefit calculation basis.
|
C
|
2022_wiosna
|
2022
|
spring
| 50 |
A previously healthy 14-year-old girl comes to the physician because of a low-grade fever and a non-productive cough lasted for 7 days. Her temperature is 37.7°C. A few scattered inspiratory crackles are audible. An x-ray of the chest shows interstitial infiltrates and enlarged hilar lymph nodes. Which of the following is the most appropriate initial pharmacotherapy?
A. amoxicillin.
B. metronidazole.
C. ciprofloxacin.
D. trimethoprim-sulfamethoxazole.
E. clarithromycin or azithromycin.
|
E
|
2022_wiosna
|
2022
|
spring
| 191 |
The information in the medical ruling on temporary incapacity to work owing to disease, stay in the hospital or another treatment facility working on stationary or round-the-clock basis and stating the circumstances influencing the right to sickness benefit and its amount is given in the form of letter codes. B code means incapacity to work:
A. during pregnancy.
B. which arose after the break of no more than 60 days and its cause is the same as before the break.
C. because of alcohol abuse.
D. because of tuberculosis.
E. because of stroke.
|
A
|
2022_wiosna
|
2022
|
spring
| 46 |
Early treatment of pertussis in infants (within the first seven days since the onset of symptoms) can reduce the symptoms of the disease. To effectively eradicate pertussis from the nasopharynx, you should administer:
A. macrolides.
B. ampicillin.
C. penicillin.
D. second-generation cephalosporins.
E. aminoglycoside.
|
A
|
2022_wiosna
|
2022
|
spring
| 129 |
A doctor, after recognizing or suspecting the occurrence of vaccine adverse event, is obliged to report this fact to the state county sanitary inspector not later than within:
A. 24 hours.
B. 48 hours.
C. 4 days.
D. 1 week.
E. 2 weeks.
|
A
|
2022_wiosna
|
2022
|
spring
| 200 |
In post-exposure prophylaxis against tetanus in the patient who is at a small risk of infection and vaccinated four years ago, the following is recommended:
A. tetanus-diphtheria vaccine or tetanus vaccine.
B. antitoxin (LIT-specific immunoglobulin 250/500 IU).
C. tetanus vaccination schedule on 0 - 1 - 6 month basis.
D. answers A and C are correct.
E. none vaccination is recommended.
|
E
|
2022_wiosna
|
2022
|
spring
| 11 |
Which of the factors listed below does not increase the risk of community-acquired pneumonia?
A. old age.
B. tobacco smoking.
C. treatment with systemic glucocorticoids or other immunosuppressants.
D. working outdoors.
E. periodontal diseases.
|
D
|
2022_wiosna
|
2022
|
spring
| 152 |
A person whose previous behavior suggests psychical disturbances that pose a direct threat to their life or the life or health of other people and there are doubts whether they are mentally ill may be admitted to the psychiatric hospital without their consent in order to clarify these doubts. How long may such an observation last?
A. 10 days maximum.
B. 10 days minimum.
C. 14 days maximum.
D. 14 days minimum.
E. until all the diagnostic doubts are clarified.
|
A
|
2022_wiosna
|
2022
|
spring
| 85 |
A patient was admitted to the surgical ward with thermal burns of second degree covering the anterior surface of the chest and both upper limbs. Calculate the extent of the burns according to the rule of nines and the volume of fluids that should be given within 24 hours according to Parkland formula:
A. burn surface amounts to 27% of the total body surface, the volume can’t be calculated because the body weight is not given.
B. burn surface amounts to 27% of the total body surface, the volume of fluids given within first 24 hours should be 2700 mL.
C. burn surface amounts to 36% of the total body surface, the volume can’t be calculated because the body weight is not given.
D. burn surface amounts to 36% of the total body surface, the volume of fluids given within first 24 hours should be 3600 mL.
E. burn surface amounts to 40% of the total body surface, but the Parkland formula does not refer to the infused fluid volume.
|
A
|
2022_wiosna
|
2022
|
spring
| 105 |
Influenza vaccination in pregnancy:1) is recommended to every woman who has no contraindications to vaccination;2) should be performed only in the second trimester of pregnancy;3) should be performed using inactivated quadrivalent vaccine;4) is safe both for the mother and the child.The correct answer is:
A. 1,4.
B. all of the above.
C. 1,3,4.
D. 1,2,4.
E. 1,2.
|
C
|
2022_wiosna
|
2022
|
spring
| 113 |
A young female patient gave birth to her child about a year ago through the vaginal delivery, after which curettage was necessary because of fragments of the placenta did not separate from the uterus. She stopped breastfeeding 4 months ago, but the periods have not reoccurred yet. Her medical history may suggest:
A. Kallmann syndrome.
B. Sheehan’s syndrome.
C. Asherman’s syndrome.
D. Mayer-Rokitansky-Küster-Hauser syndrome.
E. Couvelaire syndrome.
|
C
|
2022_wiosna
|
2022
|
spring
| 144 |
Among mental health disorders, the highest mortality risk is associated with:
A. depressive episode.
B. schizophrenia.
C. bipolar mood disorder.
D. anorexia.
E. dementia in Alzheimer’s disease.
|
D
|
2022_wiosna
|
2022
|
spring
| 93 |
According to the rule of nines, a burning of both lower limbs and the scrotum in adult patients affects:
A. 19% of the body surface.
B. 36% of the body surface.
C. 37% of the body surface.
D. 45% of the body surface.
E. rule of nines is not related to burned body surfaces.
|
C
|
2022_wiosna
|
2022
|
spring
| 184 |
A doctor speaking critically about another doctor's actions should:
A. be extremely careful in formulating an opinion about this doctor's professional activity, in particular he should not publicly discredit him in any way.
B. make clear and distinct claims against that doctor by presenting his opinion in the media.
C. comment on perceived errors in the conduct of another doctor primarily to the competent authorities of the medical chamber.
D. ensure that the patient is consulted by another doctor.
E. first and foremost inform the patient concerned of his objections to that doctor.
|
A
|
2022_wiosna
|
2022
|
spring
| 53 |
Which of the following are used in the treatment of von Willebrand disease?1) factor VIII concentrate with von Willebrand factor;2) factor IX concentrate;3) intravenous immunoglobulins;4) dexamethasone;5) desmopressin.The correct answer is:
A. all the above.
B. 1,5.
C. 1,2,4.
D. 1,3,4.
E. 2,4.
|
B
|
End of preview. Expand
in Data Studio
Dataset Card for medical-exams-LEK-EN-2013-2024
Dataset Description
This is a dataset used and described in:
@article{grzybowski2024polish,
title={Polish medical exams: A new dataset for cross-lingual medical knowledge transfer assessment},
author={Grzybowski, {\L}ukasz and Pokrywka, Jakub and Ciesi{\'o}{\l}ka, Micha{\l} and Kaczmarek, Jeremi I and Kubis, Marek},
journal={arXiv preprint arXiv:2412.00559},
year={2024}
}
Please cite this paper if you use this dataset.
This dataset is Medical Final Examination (Lekarski Egzamin Końcowy, LEK) from the years 2013, 2014, 2015, 2020, 2021, 2022, 2023, 2024
This dataset is in English. Humans translated it from Polish in the examination center (CEM).
The LEK is an obligatory exam for individuals who have completed medical studies in Poland and wish to obtain a license to practice as a medical doctor. The exam tests the knowledge and competencies expected of a general practitioner, covering a wide range of medical disciplines, including internal medicine, surgery, pediatrics, obstetrics and gynecology, psychiatry, and other specialties.
The dataset was scraped from https://www.cem.edu.pl/. We processed them into a convenient JSON format. It's important to note that not all examples from the links were used. We excluded questions with images and marked as outdated.
We do not own the rights to this dataset; We processed it and published it here.
- Downloads last month
- 83