CARD №1

1. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

2. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

3. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

4. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

5. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

6. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

7. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

8. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

9. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

10. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

CARD №2
1. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

2. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

3. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

4. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

5. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

6. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

7. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

8. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

9. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

10. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

CARD №3
1. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

2. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

3. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

4. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

5. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

6. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy
7. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

8. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

9. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania
10. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

CARD №4
1. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

2. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

3. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

4. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

5. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline
6. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

7. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

8. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

9. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

10. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company

of peers to show his "physical strength". After a few minutes, there was a feeling
of tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

CARD №5
1. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of
peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

2. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

3. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

4. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

5. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

6. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

7. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

8. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

9. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

10. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

CARD №6
1. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

2. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

3. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

4. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

5. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

6. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

7. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

8. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal
9. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

10. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

CARD №7
1. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

2. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

3. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

4. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome
5. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

6. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

7. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy
8. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

9. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

10. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

CARD №8
1. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

2. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

3. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

4. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline
5. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

6. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

7. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

8. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

9. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

10. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy
 CARD №9
1. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

2. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

3. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

4. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

5. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

6. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

7. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

8. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

9. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

10. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

CARD №10
1. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

2. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

3. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal
4. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

5. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

6. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

7. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

8. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

9. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

10. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

CARD №11
1. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

2. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

3. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

4. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

5. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

6. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

7. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

8. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

9. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

10. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

CARD №12
1. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

2. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline
3. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

4. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

5. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania
6. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

7. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

8. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome
9. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of
peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

10. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

CARD №13

1. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy
2. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

3. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

4. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy
5. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

6. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

7. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

8. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

9. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

10. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin

CARD №14

1. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

2. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

3. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

4. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin
5. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

6. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

7. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy
8. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

9. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

10. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

CARD №15
1. A 59-year-old patient who has been abusing alcohol for many years was
admitted to the surgical department for suturing a hernia. In the evening before the
operation, he was irritated, slept badly, complained of unpleasant dreams. The next
day after a successful operation, the orientation was disturbed, he ran around the
ward, complained that spiders were crawling on his skin, and did not recognize the
doctor. He claims that he is in prison and he is being held in the walls. He resisted.
Make a diagnosis.
A. Postoperative psychosis
B. Acute alcoholic paranoid
C. Alcoholic hallucinations
D. Alcoholic delirium
E. Acute Wernicke`s encephalopathy

2. A 13-year-old teenager smoked 5 nicotine cigarettes in a row in the company of

peers to show his "physical strength". After a few minutes, there was a feeling of
tightness in the throat, abdomen, repeated vomiting, hypersalivation, diarrhea,
severe abdominal pain. His face became pale, the pupils were narrowed. He
became annoyed, angry, excited. After that, stupor, tonic and clonic seizures
developed. The pupils dilated, blood pressure dropped sharply. The teenager was
hospitalized in the intensive care unit. What condition is described at the patient?
A. Severe nicotine intoxication
B. Moderate degree of nicotine intoxication
C. Mild degree of nicotine intoxication
D. Poisoning by an indeterminate poison
E. Withdrawal

3. The girl is 25 years old. She has been drinking a lot of strong coffee for 8 years.
Without coffee, in the morning she feels weak, drowsy. During the day at work,
she drinks a cup of coffee every hour. She boils ground coffee beans, sometimes
eats coffee grounds to enhance the stimulating effect. If she can not drink coffee,
she feels severe headache, irritability, anxiety, asthenia, discomfort in the legs and
arms, tremor. This state becomes completely disappear after drinking coffee. How
can this condition be assessed?
А. None of the above options
B. Caffeine intoxication
C. Chronic intoxication
D. Depressive phase of bipolar disorder
Е. Caffeine withdrawal syndrome

4. A 17-year-old boy saw next to his house an inscription on the wall "there is
everything" and the address of the account on Instagram. After contacting the
courier, he chose on his advice one of the affordable substances. After he had
smoked it, he felt that the objects in the house became a different shape, began to
hear the voices of unknown people, one of the voices intimidated him. It seemed to
him that he was being persecuted, video cameras were built into the room, people
gathered under the door of the apartment, and came to kill him. He heard that the
door to his apartment was being opened, he decided that someone had come to kill
him. In an attempt to escape from these people he jumped out of a window on the
5th floor. What substance was the guy most likely to use?
A. Salt
B. Spices
C. LSD
D. Marijuana
E. Ecstasy

5. The patient is 24 years old, in early childhood he suffered a head injury with loss
of consciousness. On the day of the described events in the morning, he felt bad. In
the evening with friends, he drank 150 ml of wine in a cafe. Leaving the cafe, he
undressed almost naked, scattering clothes on the sidewalk. He started running
after passers-by, grabbed a woman by her clothes, shouted "You must be
destroyed." He knocked one of the passers-by off his feet and tore his clothes. at
the police station, he shouted at first, broke out, tried to run away, soon calmed
down, layed down on a chair, and felt asleep. He did not remember what happened.
Determine the diagnosis?
A. Simple alcohol intoxication
B. Traumatic psychosis
C. Pathological intoxication
D. Domestic drunkenness
E. Dipsomania

6. The patient is 34 years old. According to the patient's words, he has been using
alcohol "more than 2 times a week" for the last 10 years. He believes that he drinks
only in important situations. In the last 5 years, the intoxication occurs only after
drinking 500-800 ml of vodka. The patient denies withdrawal syndrome but says
that in the morning after drinking alcohol he feels bad, his hands are trembling,
sweating is increased, there are palpitations. For recovering the patient drinks
vodka, considers it much more useful than taking medication. He does not consider
himself an alcoholic. What is the patient's diagnosis?
A. Alcoholism stage 2
B. Alcoholism stage 1
C. Alcoholism stage 3
D. Systemic drunkenness
E. Periodic alcohol abuse

7. A 48-year-old man abuses alcohol for a long time. Recently, voices have been
heard coming from the next apartment: "these voices are constantly arguing with
each other ..., one of the voices condemns and threatens to kill, the other helps and
supports ...". At first he thought that his neighbors were loudly condemning him.
He complained to them, but the neighbors strongly denied such conversations,
claiming: "it's all because of your vodka ... all your problems because of vodka."
He became irritable, aggressive as voices interfered with sleep. The man is worried
about the possible connection of voices with alcohol. He began to drink less, but
the voices do not disappear. What kind of therapy is most rational in this case?
A. Hypnotherapy
B. Tranquilizers
C. Antipsychotic drugs
D. Conditioned-reflex therapy
E. Detoxification therapy

8. The girl is 15 years old. Her father abuses alcohol and is serving a sentence for
theft. At the age of 14, on the advice of a friend, she used to enter an artisanal drug
made from drugs "effect" and "flu cold". There was a pleasant feeling of lightness,
brightness of paints after that. The dependence appeared after 5 injections. After
six months of regular use, the patient's mental and physical condition changed
dramatically: the speech was slow, dysarthric, movements were slowed,
handwriting changed significantly, she stopped learning, her memory deteriorated,
and she was uncritical of her condition. What substance did the girl use?
A. Ephedron
B. Cocaine
C. Pervitin
D. Amphetamine
E. Mescaline

9. A 21-year-old boy developed the following condition 1 hour after using the
drug: flashes of bright light with blurred contours appeared in front of his eyes.
After that, he saw a group of people who looked at him with a threat. At first, there
was a feeling of ecstasy, which changed to alarm, anxiety. Colors and sounds
became rich; the music became "colored". He felt that the soul was separated from
the body. The described condition lasted 10 hours and ended in depression. What
substance caused the described picture of intoxication?
A. Barbiturates
B. Hashish
C. Heroin
D. LSD
E. Amphetamine

10. A group of 5 teenagers set fire to the substance and inhaled its smoke from a
plastic bottle. After that, they become cheerful, laugh out loud, do not pay attention
to the surprise of passers-by, grimace, jump. It seemed to one of them that the
branches of the trees underfoot had turned into large logs. This caused a new burst
of laughter. What drug do teenagers use?
А. Ecstasy
В. Marijuana
С. LSD
D. Barbiturates
Е. Heroin
 1 V 2 V 3 V 4 V 5 V 6 V 7 V 8 V 9 V 10 V 11 12 V 13 V 14 V 15 V
V
1 A D A C A B B A A A D B B A D
2 B A B B A D C B C E A A D A A
3 E C E D C A A A D A E D C C E
4 D B D C A D E A A C C C C B B
5 A E A A B C A E D B A C A E C
6 A A C A E A C D B B C B A C A
7 C A B B D E D C B D B A A B C
8 D D D E D A A D E A B E E D A
9 B C C D C C D C C D D A D A D
10 C B A A B B B B A C A D B D B