Download 9. Prerequisites course

MINISTRY OF EDUCATION AND SCIENCE KYRGYZ REPUBLIC
Osh State University
International Medical Faculty
Department of "Clinical disciplines IMF"
"Approved"
at the session of the department
"Clinical disciplines”
Protocol №______
of «___» ______________ 2015y.
head of department__________________,
PhD, Associate Professor SM Mamatova
TRAINING PROGRAM STUDENTS SYLLABUS
(7 semesters, 2015 academic year)
Discipline: Internal disease
Specialty: General medicine
Total: 5 credits
Course: 4
Semester: VII
Lectures: 30 hours
Practice: 45 hours
Laboratory:
Number of boundary control (RC): 2 SRSP:
Independent work of students: 75hours
Compilers
Exam: 7th semester
Total classroom hours: 75 hours
Total extracurricular hours: 75 hours
The total complexity: 150 hours
Syllabus prepared on the basis of state standard SES-3, and the work program of Internal
Medicine
2____________________________________________________________________________
_____________________________________________________________________________
Compilers: PhD, Associate Professor S.M Mamatova, assistant Salieva R.SH.
Osh sity - 2015
2.Title and code of discipline: Internal disease
3. This of lecturer: Head of the department of clinical disciplines Mamatova SM. Associate
Professor Ph.D. work experience ped.-9y.o., the total work experience of 33 years.
3.Information assistant: Salieva R.Sh. assistant, Department of clinical disciplines, the overall
work experience of 6 years.
4. Contact iformatsii:
Every day from 8.00 to 16.30. phone 0773714471
5. Quantity credit: 5 credits
6. Date: 2015-2016 academic year 7th semester
7. Course Objectives
The objectives of the development of the discipline "of faculty therapy":
Education of professional and personal qualities of the physician, occupational and social
competence on the basis of teaching students the methods of examination of the patient and
diagnosis of major diseases of internal organs, the development of the ability to apply this
knowledge in practice.
• Ensure that the assimilation of knowledge and practical skills necessary for the diagnosis,
treatment and prevention of the most common diseases of internal organs.
• Create an advanced understanding of the etiology, pathogenesis, clinical manifestations of
major diseases of internal organs.
• Create clinical judgment, to consolidate and develop the ability to independently establish and
substantiate the clinical diagnosis, to use the methods of differential diagnosis, resolve questions
of treatment and prevention in a patient with typical basic forms, the most frequently observed
diseases of internal organs.
• To teach the diagnosis and treatment of emergency conditions.
• To teach the basics of pharmacotherapy of the main entities that learn the principles of rational
pharmacotherapy.
• Formation of skills of the relationship with the patient, using the rules of medical ethics and
medical deontology.
In the course of development of the discipline the student creates and exhibits the
following general cultural and professional competence: GC-8, PC-5 PC-12, PC-17, PC-18 and
PC-19.
Tasks of discipline "Faculty therapy":
1. Acquiring knowledge of the etiology and pathogenesis, clinical course and outcomes of the
main typical forms most frequently observed diseases of internal organs.
2. Mastering the therapeutic method of direct examination of the patient, interpretation of the
results of additional skills (laboratory, instrumental) research methods.
3. The development of clinical thinking skills with the development of formulation and
justification of the clinical diagnosis, the formation of the diagnostic process and monitoring of
patients, prescribing treatment, prognosis.
4. Develop skills of supervision of the patient, the ability to monitor the clinical and paraclinical
signs of illness with writing academic history.
5. Development of the students choosing the optimal scheme of medical treatment the most
common diseases.
6. The development of the total volume of therapeutic, rehabilitative and preventive measures in
patients with the most common diseases of internal organs.
7. Assimilation rules of medical ethics and medical deontology.
8. Course Description
Discipline «Internal Medicine (7th semester)" studies the etiology, pathogenesis, classification,
diagnosis, treatment, complications, prognosis and prevention of the most common diseases of
internal organs Therapeutic circulatory and respiratory systems in adults.
Map competencies discipline
1. Name of discipline competencies (which competencies are to be achieved in the time of the
discipline)
1.1. Universal
1.1.1. General scientific (GC):
- Analyze socially significant problems and processes, to practice the methods of the
humanities, natural sciences, medico-biological and clinical sciences in various kinds of
professional and social activities (GC-1);
- Ability and willingness to study a foreign language at the level of everyday communication,
in written and oral communication in the national language and official languages (GC-6);
- Carry out their activities in view of socially accepted moral and legal norms, comply with the
rules of medical ethics, laws and regulations for handling confidential information, keep patient
confidentiality (UC-8).
1.1.2. Instrumental competences (IC):
- Able to work independently on the computer (IC-1);
- Ready for written and oral communication in the state and official languages, is able to
master a foreign language at the level of everyday communication (IC-2);
- Is ready to work with information from various sources (IC-4).
1.1.3. Socio-personal and general cultural competence (SPC):
- Is able to realize the ethical and deontological aspects of medical practice in communicating
with colleagues (doctors, middle and junior medical staff) and adults (SPC-1);
- It is able to identify the natural essence of the scientific problems arising in the course of
professional activities of doctor (SPC-2);
- Is able to analyze health information, based on the principles of evidence-based medicine
(SPC-3).
1.2. Professional (PC)
1.2.1. Professional competence:
- Able to conduct and interpret the survey, physical examination, clinical examination, the
results of modern laboratory and instrumental studies, the morphological analysis of biopsy,
operational and material sectioned patients, arrange medical records outpatient and inpatient
adult patient (PC-2);
- Is able to carry out the analysis of clinical syndromes, use reasonable methods of diagnosis,
treatment, rehabilitation and prevention of diseases of the internal organs of adults (PC-3);
1.2.2. Diagnostic activity:
- Capable of making a diagnosis based on the results of laboratory diagnostic tests of biological
material taking into account features of the disease visceral adults (PC-11);
- Is able to analyze the results of the main clinical and laboratory studies and assess the
functional status of the internal organs of an adult organism with the purpose of timely diagnosis
of internal diseases (PC-12);
- Is able to identify adult patients major symptoms and syndromes of internal diseases, use an
algorithm of diagnosis (primary, collateral, complications), taking into account the ICD-10, to
perform basic diagnostic measures to detect emergency conditions (PC-13).
1.2.3. Therapeutic activity:
- Able to perform basic medical measures at the most common diseases of the internal
organs in the adult population (PC-14);
- Is able to assign adult patients with pathology of internal organs adequate treatment
according to the diagnosis (PC-15);
- Is capable of the adult population with the pathology of the internal organs first medical
aid (-16 pc);
- Able in case of emergency and life-threatening conditions to direct hospitalization in a
planned and urgently adult patients with pathology of internal organs (PC-18).
1.2.4. Educational activities:
- Capable of training middle and junior medical staff and patients of the rules of hygiene
and sanitary regime, ethical and deontological principles (PC-21);
- Is able to learn the rules of the adult population health behavior, conduct hygiene and the
formation of healthy lifestyle skills (PC-22).
1.2.5. Research activities:
- Is ready to study the scientific and medical information, national and international
experience on the subject of study (PC-27).
Competently composition course "Internal Medicine"
List of
Formation technology
means and technology
competencies
assessment
Volume
(credits)
GC – 6
Independent work
Reports
5
GC -8
Workshops, IWS
abstracts
IC -1
Individual homework
Reports
IC-2
Reports, abstracts
SPC-2
Workshops
Individual homework
Workshops
Individual homework
Workshops
Individual homework
Independent works
SPC -3
Workshops, IWS
Interview
PC-2
workshops, group work
demonstration
student sitters
PC-3
workshops, group work
Case studies,
Medical history
PC-11
Lecture, workshops, IWS
Medical history, Interview
PC-12
Lecture, workshops, IWS
Tests, medical history
PC-13
Lecture, workshops, IWS
Case studies
PC -14
workshops, group work
PC -15
Lecture, workshops, IWS
Case studies , medical
history
Report, abstract
PC- 16
Lecture, workshops,IWS
abstract, report
IC -4
SPC -1
Presentation
presentation
presentation
on
the
PC- 17
Lecture, workshops, IWS
abstract, report
PC – 18
workshops, group work
report, abstract
PC - 21
workshops, group work
abstract, report
PC-22
workshops, group work
Abstract, report
PC-27
Lecture, workshops, IWS
Abstract, report
Future specialist doctor as a result of studying the discipline "Internal Medicine 2":
Must know:
Etiology, pathogenesis, classification, clinical, laboratory and instrumental diagnosis, treatment,
prevention and prognosis of these most common internal diseases of the respiratory system and
cardiovascular system of adults:
- Pneumonia;
- Suppurative lung disease;
- COPD;
- Bronchial asthma;
- Lung hypertension. Pulmonary heart disease.
- Hives;
- Anaphylactic shock;
- Hypertonic disease;
- Hypertensive crisis;
- Hyperlipidemia;
- Coronary heart disease
- Sudden cardiac death;
- Angina pectoris;
- Acute coronary syndrome;
- Myocardial infarction;
- Heart failure
- Infective endocarditic;
- Acute rheumatic fever
- Mitral and aortic valvular heart disease;
Should be able to:
- On the basis of complaints, medical history and physical examination of the patient make a
preliminary diagnosis;
- A plan of laboratory and instrumental examination to confirm the presumptive diagnosis and
interpret the results;
- Formulate a detailed clinical diagnosis, guided the modern classification of diseases;
- To make the details of the diagnosis in individual patients, namely, the etiology, the mechanism
of the disease, complications;
- Make study of the clinical diagnosis in individual patients with the evaluation of the survey
results and to identify criteria for diagnosis;
- Appoint an adequate individual therapy;
- To determine the prognosis of the disease in individual patients;- Identify measures of
prevention and disability expertise;
- Recognize the clinical manifestations of emergency conditions at the above mentioned diseases
of the internal organs of respiration and circulation.
9. Prerequisites course
"At the entrance" in accordance with the curriculum of the study of the subject 'Internal
Medicine 2 (7th semester) "performed in the VII semester. Basic knowledge necessary for
studying the discipline formed in the previous cycle, the following subjects:
- Latin language
- Chemical
- Biochemistry
- Biology
- Normal anatomy
- Pathological anatomy
- Normal physiology
- Pathological Physiology
- Pharmacology
- Internal Medicine 1
- Surgical disease 1
- Pediatrics 1
10. Postrekvizity course
"Output" lays the foundation for the study of these students future clinical disciplines:
- Internal Medicine 3,4
- Surgical disease 2
- Pediatrics 2
- obstetrics and gynecology
- neurology
- Family Medicine
- Clinical Pharmacology
- And other clinical disciplines.
11. Thematic plan of internal medicine
VII semester
Classroom training
3
1.
1. Pneumonia.
2
LV, MP
ARVI.
2.
2. Suppurative lung disease.
Influenza.
3. Bronchial asthma.
3.
2
3
4. Chronic bronchitis.
3
2
5. COPD.
2
6. Pulmonary arterial
hypertension. Chronic
pulmonary heart.
LV, MP
3
LV, MP
3
ASC, T
R
5
2
ASC, T
R
5
Allergic rhinitis.
6.
LV, MP
3
ASC, T
R
5
Tobacco addiction.
5.
LV, MP
5
2
ASC, T
R
5
Pulmonary insufficiency
4.
Used
educational
technology
IWS
lecture
Practical
lessons
Name of the theme.
Shapes control
№
ASC, T
R
LV, MP
ASC, T
Atopic dermatitis.
5
7.
7. Hives. Anaphylactic
shock.
2
3
Insect and food allergy.
8.
8. Hypertonic disease.
Hypertensive crisis.
9. Hyperlipidemia.
2
3
2
10. CHD. Angina.
LV, MP
3
3
ASC, T
R
LV, MP
5
2
ASC, T
R
5
ECG cardiomegaly.
10.
LV, MP
5
ECG is normal.
9.
R
ASC, T
R
LV, MP
Т
11.
ECG in ischemic heart
disease.
11. CHD. Myocardial
infarction.
5
2
3
Atherosclerosis.
12.
R
LV, MP
5
T
R
12. Heart failure.
2
3
Acute coronary syndrome.
LV, MP
ASC, T
R
5
13. Infective endocarditis.
13.
2
3
For the first time emerged
angina.
14.
14. Acute rheumatic fever.
5
2
3
Unstable angina
15.
15. Acquired heart defects.
Mitral and aortic heart
defects.
LV, MP
R
LV, MP
5
2
3
Curation of patients.
ASC, T
ASC, T
R
LV, MP
ASC, T
5
Protecting medical history.
Module № 1
Total:
30
45
75
Note: MP - multimedia presentation, LV - Lecture - visualization, ACS - analysis of clinical
situations, T – testing.
12.1. Calendar-thematic plan for the distribution of hours of occupations, themes.
Lectures:
№
1
Name of sections, modules, themes and educational issues
Lecture № 1. Topic: Pneumonia.
hours
2h
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. What is community-acquired pneumonia?
2. Modern classification of pneumonia WHO.
3. Contributing to promote and causing factors in the etiology.
2. The main syndromes and symptoms of pneumonia.
3. The principles of treatment.
Control questions to consolidate the material:
1. Auscultation picture of lungs in pneumonia.
2. Diagnostic criteria for severe.
3. What is the empirical antibiotic therapy?
The form testing knowledge
Operational survey.
Literature:
Main: [1.3]. Additional [2, 4]
2.
Lecture № 1. Topic: Suppurative lung disease.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. Endo and peribronchial the development of bronchiectasis.
2. The radiological and endoscopic techniques in the diagnosis.
3. Clinic with regard to the stage and localization process.
Control questions to consolidate the material:
1. What is congenital bronchiectasis? The main risk factors for acquired
bronchiectasis.
2. Auscultation picture of bronchiectasis.
3. What type of ventilation disorders characteristic of BE?
4. What is a restrictive type of violation?
5. The characteristic radiographic signs of bronchiectasis.
2h
6. What is the most informative objective clinical sign for the diagnosis
of localized form of bronchiectasis is sick?
The form testing knowledge
Operational survey.
Literature:
Main: [1.3]. Additional [2, 4]
3.
Lecture № 3. Topic: Bronchial asthma.
Plan of the lecture:
1. Definition
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
2h.
General questions:
1. The modern definition of asthma according to guide GINA.
2. The main risk factors for asthma.
3. The pathogenesis of bronchial obstruction.
4. Clinical and Instrumental the specifications of bronchial obstruction
syndrome.
5. Monitoring the severity of asthma.
Control questions to consolidate the material:
1. What is bronchial obstruction?
2. The criteria for the diagnosis of asthma (which is a positive
bronchodilation test).
3. Causes of aggravation asthma.
4. Objective assessment of the severity of an exacerbation.
5. What is sequential therapy?
6. What medications is the first-line treatment of exacerbations of
asthma?
7. List second-line drugs for the treatment of acute asthma.
8. Indication of oxygen therapy.
The form testing knowledge
Operational survey.
Literature:
Main: [1.3]. Additional [2, 4]
2h.
4.
Lecture № 3. Topic: Chronic bronchitis.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1.
2.
3.
4.
5.
Relevance of the topic.
Epidemiology of chronic bronchitis.
The clinical picture of chronic bronchitis.
The criteria for the diagnosis of chronic bronchitis.
X-ray picture of chronic bronchitis.
Control questions to consolidate the material:
1. What is pulmonary fibrosis?
2. Predisposing factors of chronic bronchitis.
3. Non medical treatment of chronic bronchitis.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 3]. Additional [2, 4]
2h.
5.
Lecture № 5. Topic: COPD
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. The general concept of COPD.
2. Role of exogenous factors in the development of COPD.
3. Respiratory and systemic signs of acute phase.
4. Laboratory and functional methods of examination.
5. Treatment of COPD in stable phase.
6. Indications for antibiotics for use of glucocorticoids, their method of use.
Control questions to consolidate the material:
1. What is COPD?
2. Differencial diagnosis of COPD with asthma.
3. Diagnostic criteria for acute phase.
4. What positive symtom Votchala-Tifno.
5. Indications for hospitalization of patients with COPD.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 3]. Additional [2, 4]
Lecture № 6. Topic: Pulmonary hypertension. Chronic pulmonary heart.
2h.
6.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. The concept of the pulmonary hypertension.
2. The role of pulmonary arterial hypertension with prolonged
vasoconstriction and vascular remodeling.
3. Basic options pulmonary arterial hypertension.
4. Promotional and predisposing factors.
5. The diagnostic criteria.
6. Possible complications PH.
7. The concept of the CPH.
8. Classification etiology and severity of the pathological process.
9. Features of treatment of right ventricular failure.
Control questions to consolidate the material:
1. The main causes of pulmonary heart.
2. What is hypercapnia, and acidosis.
3. Clinical and instrumental features compensated pulmonary heart.
4. The clinical picture of decompensated pulmonary heart.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 3]. Additional [2, 4]
7.
Lecture № 7. Topic of the lecture: Urticaria. Anaphylactic shock.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. Risk factors for acute urticaria.
2. Risk factors for chronic urticaria.
3. Clinical and laboratory Environmental Specifications urticaria.
4. Complications of angioedema.
3. What is anaphylactic shock?
6. Emergency assistance in anaphylactic shock.
Control questions to consolidate the material:
1. What is dermographism?
2h.
2. What is the immediate allergic reaction?
3. What is an allergy?
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
8.
Lecture № 8. The theme of the lecture: Hypertensive heart disease.
Hypertensive crisis.
2h.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. What is essential hypertension, the major risk factors?
2. What is symptomatic hypertension?
3. Under what nosologies meets symptomatic hypertension.
4. The classification of blood pressure levels.
5. Modifiable risk factors and non-modifiable HD.
6. The role of the sympathetic-adrenal system in raising blood pressure.
7. Roll endothelial factors, metabolism of sodium increase blood pressure.
8. The hemodynamic effects of hypertension and target organ damage.
8. Selection of antihypertensive drugs.
Control questions to consolidate the material:
1. What is an ACE inhibitor?
2. Contraindications of beta-blockers.
3. Side effects of diuretics.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
9.
Lecture № 9. Topic: Hyperlipidemia.
Coronary heart disease.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
2h.
5. Diagnostics.
6. Treatment.
General questions:
1. What is hyperlipidemia?
2. The social significance of the problem.
4. Risk factors for hyperlipidemia (the smoking violation of lipid metabolism,
of thrombosis, diabetes and a number of factors working and living
conditions).
5. Features of clinical manifestations, laboratory, instrumental and
angiographic methods.
6. Primary and secondary preventation.
Control questions to consolidate the material:
1. Contributing factors IHD.
2. Risk groups.
3. ECG change at IHD.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
10.
Lecture № 10. The theme of the lecture: CHD. Angina
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. Relevance of the topic (social importance).
2. The value of the risk factors.
3. The role of functional and anatomical factors.
4. Pathogenesis of pain.
5. Clinical variants.
6. ECG to identify coronary insufficiency (pharmacological and stress tests).
7. Treatment. Relief of pain and prevention of attacks.
8. Principles speed drug therapy.
Control questions to consolidate the material:
1. Veloergometry, indications and contraindications.
2. What is the questionnaire Rose?
3. The indications for surgical treatment.
2h.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
11.
Lecture № 11. The theme of the lecture: CHD. Myocardial infarction.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
2h.
General questions:
1. Relevance of the topic.
2. Risk Factors.
3. The mechanisms of destabilization of atherosclerotic plaque.
3. The clinical picture of the disease, taking into account periods.
4. Clinical variants of onset of the disease.
5. diagnosis. ECG, blood analysis, biochemical parameters, cardiac markers.
6. Complications: cardiogenic shock, rhythm and conduction disturbances,
heart failure, first and late aneurysm, cardiac tamponade, Dressler's syndrome.
7. The value of the early hospitalization and pain relief.
Control questions to consolidate the material:
1. What is a symptom of flags?
2. What Dressler's syndrome?
2. What is the thrombolytic therapy?
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
12.
Lecture № 14. The theme of the lecture: Heart failure.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. The concept of AHF.
2. The concept of CHF.
3. The concept of "latent heart failure."
4. Characteristics of changes metobalism infarction.
2h.
5. Mechanisms and systolic dysfunction diastolic ventricular failure.
6. The nature of hemodynamic changes (systemic and regional).
7. The role of the kidneys and endocrine factors in violation of waterelectrolyte balance.
8. Clinical and instrumental the specifications of acute and chronic heart
failure.
9. Emergency medical assistance in cardiac asthma and pulmonary edema.
Control questions to consolidate the material:
1. ECG signs of hypertrophy of the left atrium.
2. Which diseases observed AHF?
3. What is heart failure?
5. In what diseases occur CHF?
6. Cardiac compensation mechanisms.
7. Rules for the application of cardiac glycosides and diuretics.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
13.
Lecture 13. Topic: Infective endocarditis.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. Type of infection affecting the endocardium.
2. The conditions (promoting and predisposing factors) in the occurrence of
the disease.
3. Definitions: the primary and secondary IEK.
4. Clinical -patogeneticheskie especially with the defeat of targets.
5. Infectious-toxic, immunnovospalitelnaya and dystrophic stage.
6. Features of fever acute and subacute stages of the disease.
7. Have sipmtomov characteristic lesions in the study of the skin, mucous
membranes, nails and fingers of the hands, the feet.
8. Physical signs of damage to the heart, liver, spleen.
9. Diagnostic difficulties.
10. Treatment. Indications to surgical treatment (relative and absolute)
Control questions to consolidate the material:
1. Laboratory and instrumental signs.
2. Diagnostic criteria for infective endocarditis.
2h.
3. The role of echocardiography in the dynamics.
4. Plan examined patients with IE.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
14.
Lecture № 14. The theme of the lecture: Acute rheumatic fever.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. Relevance of the topic.
2. The role of streptococcal infection of family and genetic predisposition in
the occurrence of diseases, the dependence of age and living conditions.
3. Pathology of inflammation of connective tissue and organ damage.
4. Features of latent symptoms and symptomatic periods in the development
of rheumatic fever with organ damage (heart, joints, skin, serous membranes,
brain).
5. Large and small display with additional criteria to identify disease activity.
6. Terms of the use of antibacterial and anti-inflammatory therapy.
7. Primary and secondary prevention.
Control questions to consolidate the material:
1. What's chorea?
2. What is the big chorea?
3. Identify the process activity.
4. Indications for antibacterial drugs.
5. List the complications.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
2h.
2h
Lecture № 15. The theme of the lecture: Acquired heart defects.
Mitral and aortic heart defects.
Plan of the lecture:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. Diagnostics.
6. Treatment.
General questions:
1. Features defeat anatomical and morphological structures of valvular heart
disease in patients with chronic rheumatic disease.
2. Violation of intracardiac and general hemodynamics in heart diseases with
features dependent on the location of the lesion.
3. Clinic with features specific to each of the flogging of the heart and in the
presence of a combination of them.
4. Stages flow.
5. ECG, echocardiography signs in each of parkas.
6. The basic principles of treatment.
7. Primary and secondary prevention.
Control questions to consolidate the material:
1. Characteristic complaints of patients.
2. The general examination of patients.
3. The specifications auscultation heart murmurs.
4. What is mitral stenosis?
5. Mitral valve prolapse.
6. Failure of the mitral valve.
7. Tricuspid valve.
8. Aortic valve.
9. Combined heart disease.
The form testing knowledge
Operational survey.
Literature:
Main: [1, 2, 3]. Additional [2, 4]
The content of practical training
№
Name sections and modules
1
Lesson № 1. Study subject: Community-acquired pneumonia.
hours
3h
Lesson Plan:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. The clinical picture.
6. Diagnostics.
7. Treatment.
General questions:
1. The general concept of pneumonia.
2. Contributing to promote and causing factors in the etiology.
3. The most frequent infectious agents.
4. clinicoanamnestic especially community-acquired pneumonia.
5. The diagnostic criteria for severe. Additional (paraclinical) diagnostic methods,
their interpretation of the results.
6. Construction of a clinical diagnosis and its rationale.
7. Indications for hospitalization, study the admissibility of treatment on an
outpatient basis.
8. Antibiotic therapy: Empirical rational selection of antibiotics, enteral, parenteral
and step how to use them.
9. Criteria for assessing effectiveness. Detoxication and immune-boosting drugs.
Outcomes. Forecast.
Equipment class:
1. Test questions for pneumonia.
2. Case studies.
3. Case reports of patients with pnemonia.
4. Patient with pneumonia.
Control questions to test students' knowledge:
1. The main complaints of patients with pneumonia.
2. Physical findings of pneumonia.
3. Laboratory data for pneumonia.
4. Tool data syndrome seal lung.
Task for IWS: ARVI
The form of examination
The survey, testing, problem solving.
Literature:
Summary: [1, 2, 3]. General: [4, 5]
2
3h
Lesson № 2. Study subject: Suppurative lung disease
Lesson Plan:
Bronchiectasis.
1. Determination.
2. Endo and peribronchial path of development of bronchiectasis.
3. Types of bronchiectasis.
4. Etiology: the role of childhood diseases (measles, whooping cough), pulmonary
malformations.
5. X-ray and endoscopic techniques in the diagnosis.
6. Clinic, complications.
7. Antibiotic therapy, mucolytics, therapeutic bronchoscopy, postural drainage.
Indications for surgical treatment.
Abscesses and gangrene.
1. Aspiration, hematogenically-embolic and traumatic way of development
3. Clinic with regard to the stage, location, type of infection. Complications.
4. X-ray and tomography in the diagnosis.
5. Bronchoscopic drainage, segmental bronchi catheterization.
6. Antibiotic therapy.
7. Pokazaniya to surgical treatment.
General questions:
1. What is suppurative lung disease?
2. The main symptoms of bronchiectasis.
3. Risk factors for bronchiectasis
4. General inspection of patients with bronchiectasis.
5. Physical findings of bronchiectasis.
6. Laboratory data.
7. The general principles of treatment.
Equipment classes:
1. Tests.
2. Patients with bronchiectasis.
Control questions to test students' knowledge:
1. Characteristic complaints of patients with bronchiectasis.
2. The physical data in bronchiectasis.
3. Laboratory and instrumental data.
Task for IWS: Influenza.
The form of examination
Poll testing.
Literature:
Summary: [1, 2, 3, 6]. General: [4, 5]
3.
Lesson № 3. Study subject: Asthma.
Lesson Plan:
1. Definition of asthma
2. Ehtiopatogenez BA
3. Clinic and examination.
4. Surveys and the differential diagnosis.
3h
5. Treatment.
Questions:
1. Predisposes and contributing factors of asthma.
2. The pathophysiological and clinical criteria in the definition of asthma.
3. Pathogenesis of bronchial obstruction.
4. Atopic and non-atopic options.
5. The severity and diagnostic criteria.
6. Basic anti-inflammatory and bronchodilator therapy.
7. Monitoring of the degree of severity.
8. Education program patients.
Equipment classes.
1. Tests.
2. Case studies.
3. Patients with asthma.
Control questions to test students' knowledge:
1. What is bronchial obstruction?
2. Criteria for the diagnosis of asthma (which is a positive bronchodilation test).
3. Causes of aggravation asthma.
4. An objective assessment of the severity of an exacerbation.
5. What is a sequential therapy?
6. What medications is the first-line treatment of exacerbations of asthma?
7. List the second-line drugs for the treatment of acute asthma.
8. Indication of oxygen therapy.
The form of examination
The survey, testing, problem solving
Task for CPC: Respiratory failure.
Literature:
Summary: [1, 2, 3,6]. General: [4, 5]
4
Lesson № 4. Study subject: Chronic bronchitis.
Lesson Plan:
1. The definition of chronic bronchitis.
2. Ehtiopatogenez.
3. Classification.
4. The clinical picture.
5. The diagnostic criteria.
6. Treatment.
General questions:
1. The general concept of chronic bronchitis.
2. The syndrome of bronchial obstruction and Environmental Specifications.
3. The difference from the obstructive bronchitis obstructive bronchitis.
4. Definition, etiology and pathogenesis, clinical presentation, and chronic
bronchitis
3h
5. The principles of treatment in an outpatient setting.
Control questions to test students' knowledge:
1. The clinical picture of the syndrome of bronchial obstruction.
2. Causes of chronic bronchitis.
3. Clinical characteristics of the cough syndrome
4. Laboratory and instrumental data of chronic bronchitis.
Equipment classes.
1. Tests.
2. Case studies.
3. Patients with chronic bronchitis.
The form of examination
The survey, testing
Task for IWS: Tobacco dependence.
Literature:
Summary: [1, 2, 3,6]. General: [4, 5]
5
Lesson № 5. Study subject: COPD.
Lesson Plan:
1. Definition.
2. Ehtiopatogenez.
3. Clinic and examination.
4. Classification of COPD
5. Survey and holding diff.diagnostiki
6. Treatment
Questions:
1. Relevance of the topic.
2. The role of exogenous factors (smoking, occupational, ecological), a genetic
predisposition.
3. Role inflammatory reaction in the bronchi, the failure of the mucociliar system
and local immunity factors.
4. The diagnostic criteria for COPD I to IV stage in a stable phase, respiratory and
systemic signs of exacerbation.
5. Modern methods of examination and tests for the reversibility of airflow
obstruction.
6. Treatment in a stable phase of COPD exacerbation treatment process.
7. Indications for antibiotics, the use of glucocorticoids.
8. Сlinical examination
Equipment classes:
1. Test questions.
2. Patients with COPD.
Control questions to test students' knowledge:
1. Indication to corticosteroid therapy.
3h
2. The differential diagnosis with other obstructive syndromes.
3. What does the decline in FEV1?
4. What is the Index Tifno?
5. The main types of violation of the ventilation.
The form of examination
The survey, testing, control work
Task for IWS: Allergic rhinitis.
Literature:
Summary: [1, 2, 3, 6]. General: [4, 5]
6
Lesson № 6. Study subject: Pulmonary arterial hypertension. Chronic
pulmonary heart.
Lesson Plan:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. The clinical picture.
6. Diagnostics.
7. Treatment.
General questions:
1. The concept of the PAH
2. The role of pulmonary arterial hypertension with prolonged vasoconstriction and
vascular remodeling.
3. Significant hemodynamic changes.
4. Basic variants of pulmonary arterial hypertension.
5. Promote and predisposing factors of PAH.
6. Diagnostic criteria CPH.
7. Possible complications.
8. The concept of the CPH.
9. The mechanism of CPH.
10. Classification etiology and severity of the pathological process.
11. Clinical and instrumental signs of decompensated CPH.
12. Principles of treatment.
Control questions to test students' knowledge:
1. The main causes of pulmonary heart.
2. What is hypercapnia, and acidosis?
3. Clinical and instrumental features compensated pulmonary heart.
4. The clinical picture of decompensate pulmonary heart.
Equipment classes.
1. Tests.
2. Case studies.
3. Patients with PAH and CPH.
The form of examination
3h
7
The survey, test, test.
Task for IWS: Atopic dermatitis.
Literature:
Summary: [1, 2, 3]. General: [4, 5]
Lesson № 7. Study subject: Urticaria. Angioedema. Anaphylactic shock.
3h
Lesson Plan:
1. Definition of urticaria, angioedema, anaphylactic shock.
2. Ehtiopatogenez.
3. Classification.
3. Clinic and study, diagnosis.
4. Treatment.
Questions:
1. The causes of urticaria.
2. Risk Factors.
3. The clinical picture.
4. Methods of treatment.
5. Emergency assistance in anaphylactic shock.
Control questions to test students' knowledge:
1. The etiology of acute urticaria.
2. The clinical picture of anaphylactic shock.
3. The etiology of chronic urticaria
4. The clinical picture in angioedema.
Equipment classes.
1. Tests.
2. Case studies.
3. Patients with chronic urticaria.
The form of examination
The survey, testing, control work.
Task for IWS:
Insect and food allergy.
Literature: Basic: [1, 2, 3]. General: [4, 5]
8.
Lesson № 8. Study subject: Hypertensive heart disease. Hypertensive crisis.
Lesson Plan:
1. Determination of GB
2. Ehtiopatogenez GB
3. Clinic and examination.
4. Examination, treatment, early detection.
5. Drug-free and medication.
Questions:
1. What is essential hypertension?
2. Contributing factors.
3. Risk groups.
4. The classification levels of blood pressure, according to the stages and degrees.
3h
5. Pathogenesis: the ratio of cardiac output and total peripheral vascular resistance
and increase blood pressure, the role of the central nervous system to increase
blood pressure, the role of sympathoadrenal, endothelial factors.
5. The clinical signs.
6. Complications. Hypertensive crisis.
7. Selection of antihypertensive drugs.
8. Methods of measurement of blood pressure.
Control questions to test students' knowledge:
1. What is essential hypertension?
2. Contributing factors.
3. Risk groups.
4. What is the hypertensive crisis?
Equipment classes.
1. Tests.
2. Case studies.
The form of examination
The survey, testing, control work
The task for the IWS:
The ECG is normal.
Literature:
Summary: [1, 2, 3]. General: [4, 5]
9
Lesson № 9. Study subject: Hyperlipidemia CHD.
Lesson Plan:
1. Definition.
2. Classification.
3. Etiology.
4. Pathogenesis.
5. The clinical picture.
6. Diagnostics.
7. Treatment.
Questions:
1. Relevance of the topic.
2. The causes of hyperlipidemia. The social significance of the problem. Risk
factors: poor diet, lack of exercise, age, gender, heredity, smoking, obesity,
diabetes.
3. The formation of lipid spots and stripes. The formation of the fibrous plaque.
Formation of "complicated" plaque.
4. The effects of ischemic myocardial injury.
5. Classification of the BSC.
6. Features of clinical picture and diagnostics.
7. Primary and secondary prevention.
Control questions to test students' knowledge:
1. The concept of coronary heart disease.
2. Ehtiopatogenez CHD.
3. Risk factors for CHD.
3h
3. Diagnosis of CHD.
4. Primary and secondary prevention of CHD.
The form of examination
The survey, test, test.
Equipment classes.
1. Tests.
2. Case studies.
Task for IWS: ECG cardiomegaly.
Literature:
Summary: [1, 2, 3]. General: [4, 5]
10
Lesson № 10. Study subject: Angina.
Lesson Plan:
1. Definition.
2. Classification.
3. Clinic picture.
4. Diagnosis.
5. Treatment.
Questions:
1. Relevance of the topic.
2. The social significance of the problem.
3. Risk Factors. Meaning smoking violation of lipid metabolism, of thrombosis,
diabetes, conditions of life and work.
4. Classification: stable angina; Spontaneous angina; silent myocardial ischemia;
Micro vascular angina syndrome ("X")
5. Pathogenesis features
6. Features of clinical picture.
7. Laboratory, X-ray, angiography in the diagnosis.
8. Primary and secondary prevention.
9. The role of physical activity, a balanced diet.
10. Treatment and preventive use of drugs.
Control questions to test students' knowledge:
1. Risk factors angina.
2. Characteristics of pain.
3. Principles of therapy of patients with CLO
Equipment classes:
1. Tests.
2. Patients with angina.
The form of examination
Poll testing.
Task for IWS: ECG CHD.
Literature:
Summary: [1, 2, 3, 4]. General: [4, 5]
3h
11
Lesson № 10. The theme of the activity: coronary artery disease. Myocardial
infarction.
Lesson Plan:
1. Definition of MI.
2. Classification MI.
3. Clinic and diagnosis of myocardial infarction.
4. Treatment.
Questions:
1. Relevance of the topic.
2. The concept of acute coronary syndromes: unstable angina, myocardial
infarction, sudden death.
3. The pathogenesis of acute coronary syndromes. The mechanisms of
destabilization of atherosclerotic plaques. Thrombosis.
4. The clinical picture of "uncomplicated" myocardial infarction tooth Q.
5. Features of clinical picture of myocardial infarction without tooth Q.
6. Laboratory diagnosis of myocardial infarction.
7. ECG, echocardiography. Coronary angiography.
8. Treatment "uncomplicated" myocardial infarction tooth Q.
9. Complications of myocardial infarction: DOS. Rhythm and conduction
disturbances. Left ventricular aneurysm.
3h
Control questions to test students' knowledge:
1. Clinical variants of myocardial infarction.
2. Classification of myocardial infarction by the nature of the disease and
localization process.
3. What is the state of preinfarction?
4. Indications for emergency coronary angiography.
5. Method of thrombolysis. Obsalyute and relative contraindications of
thrombolytic therapy.
6. Complications of reperfusion therapy.
7. The most common complications of MI.
Equipment classes.
1. Tests.
2. Case studies.
3. ECG materials with AMI.
Form of examination survey testing.
Task for IWS: Atherosclerosis.
Literature:
Summary: [1, 2, 3,4]. General: [4, 5]
12
Lesson № 12. Topic: Heart Failure
Lesson plan:
1. Definition of heart failure.
2. Ehtiopatogenez HF.
3. Clinic and examination of patients with heart failure.
4. Features of the survey and conduct, differential diagnosis
5. Treatment.
Questions:
1. The etiology of heart failure: the defeat of the heart muscle (myocardial
insufficiency); hemodynamic overload of the ventricles of the heart; violation of
3h
the filling of the ventricles of the heart; increase the metabolic needs of the tissues.
2. Pathogenesis: Mechanisms of systolic and diastolic ventricular failure; cardiac
compensation mechanisms; extra cardiac compensation mechanisms.
3. The main clinical forms of heart failure: acute heart failure, chronic systolic
heart failure.
4. Scale of assessment of the clinical status of patients with chronic heart failure
(SHOKS).
5. Criteria for diagnosis of AHF and CHF.
6. The basic principles of treatment of heart failure.
7. Drug and non-drug therapies
Control questions to test students' knowledge:
1. ECG signs of hypertrophy of the left atrium.
2. Which diseases observed AHF?
3. What is heart failure?
5. In what diseases occur CHF?
6. Cardiac compensation mechanisms.
7. Rules for the application of cardiac glycosides and diuretics.
Equipment classes.
1. Tests.
2. Case studies.
3. Patients with chronic heart failure.
The form of examination
A survey of the problem
Task for CPC: Acute coronary syndrome.
Literature:
Summary: [1, 2, 3]. General: [2, 3, 4]
13
Lesson № 13. Study subject: Infective endocarditis.
Lesson plan:
1. Determination of IE.
2. Epidemiology of IE.
3. Ehtiopatogenez IE.
4. Classification.
5. Clinic and examination of patients with IE.
6. Features of the survey and conduct differential. diagnostics.
7. Treatment.
General questions:
1. Relevance of the topic.
2. Type of infection affecting the endocardium.
3. Contributing and predisposing factors in causing the disease.
4. The concept of "primary" and "secondary" IAC.
5. Clinical and pathogenetic features of a lesion of the target.
6. Infectious-toxic, immuno and dystrophic stage.
7. Features of fever in acute and subacute onset of the disease.
3h
8. The characteristic symptoms of the skin, fingers and nails of the hands, the feet.
9. Physical signs of damage to the heart, liver, spleen.
10. Laboratory tests of blood and urine in the diagnosis. Buck. Blood cultures.
11. The role of echocardiography in the diagnosis.
12. Features IE in elderly and senile patients, drug addicts, have prosthetic valves.
13. Pharmacological and non-pharmacological treatments
4. Indications for surgical treatment.
Control questions to test students' knowledge:
1. Laboratory and instrumental signs.
2. Diagnostic criteria for infective endocarditis.
3. The role of echocardiography in the diagnosis
4. The plan of examination of patients with IE.
Equipment classes.
1. Tests.
2. Case studies.
The form of examination
A survey of the problem.
The task for the SIW: first time emerged angina.
Literature:
Summary: [1, 2, 3]. General: [2, 3, 4]
Lesson №14. Subject: Acute rheumatic fever.
Lesson plan:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. The clinical picture.
6. Diagnostics.
7. Treatment.
Questions:
1. Relevance of the topic.
2. The role of streptococcal infection of family and genetic predisposition in the
occurrence of diseases, the dependence of age and living conditions.
3. Pathology of inflammation of connective tissue and organ damage.
4. Features of latent symptoms and symptomatic periods in the development of
rheumatic fever with organ damage (heart, joints, skin, serous membranes, and
brain).
5. Large and small display with additional criteria to identify disease activity.
6. Terms of the use of antibacterial and anti-inflammatory therapy.
3h
7. Primary and secondary prevention of streptococcal infection.
Control questions to test students' knowledge:
1. What's chorea?
2. What is the big chorea?
3. Identify the process activity.
4. Indications for antibacterial drugs.
5. List the complications.
Equipment classes.
1. Tests.
2. Case studies.
Forms of examination
The survey, problem solving.
Task for SIW: Unstable angina.
Literature:
Summary: [1, 2, 3]. General: [3, 4]
15.
Lesson № 15. The theme of the activity: Acquired heart defects.
Mitral and aortic heart defects.
Lesson plan:
1. Definition.
2. Etiology.
3. Pathogenesis.
4. Classification.
5. The clinical picture.
6. Diagnostics.
7. Treatment.
General questions:
1. Classification: Mitral stenosis; Mitral valve insufficiency; Aortic stenosis; Aortic
valve insufficiency; Tricuspid stenosis; Lack of pulmonary artery valve.
2. Features defeat anatomical and morphological structures of valvular heart
disease in patients with chronic rheumatic disease.
3. Violation of intra cardiac and general hemodynamics in heart diseases with
features dependent on the location of the lesion.
4. The clinic with features specific to each of the flogging of the heart and in the
presence of a combination of them.
5. Stages flow.
6. ECG, echocardiography signs in each of parkas.
7. Basic principles of treatment.
8. Primary and secondary prevention.
3h
Control questions to test students' knowledge:
1. Characteristic complaints of patients.
2. The general examination of patients.
3. The specifications auscultation heart murmurs.
4. What is mitral stenosis?
5. Mitral valve prolapse.
6. Failure of the mitral valve.
7. Tricuspid valve.
8. Aortic valve.
9. Combined parkas heart.
Equipment classes.
1. Tests.
2. Case studies.
3. Patients with CHRD.
Forms of examination
The survey, case studies.
Task for SIW: Curation of patients. Protecting medical history.
Literature:
Summary: [1, 2, 3]. General: [3, 4]
13. Chart students' independent work.
№
Name sections, themes and educational issues
1
№ 1. Subject SIW. Acute respiratory viral infection.
Task:
1. In the infectious disease department of a hospital or
outpatient conducting questioning and examination of the
patient with SARS
2. To be able to fill out a medical history and outpatient card
Study questions:
1. Definition
2. Classification
3. Etiology.
4. Pathogenesis.
5. The clinical picture.
Control of the SIW:
1. Summary.
2. Oral survey.
3. Case History
Literature:
number
of
hours
deadline
5
1 boundary
control
maxim
um
points
0.3
2
Summary: [1, 2, 3]. General: [3, 4]
№ 1. Subject SIW. Acute respiratory viral infection
Task:
1. In the infectious disease department of a hospital or
outpatient conducting questioning and examination of the
patient with the flu.
2. To be able to fill out a medical history and outpatient card
Study questions:
1. Definition
2. Classification
3. Etiology.
4. Pathogenesis.
5. The clinical picture.
Control of the SIW:
1. Summary.
2. Oral survey.
3. The history of the disease
Literature:
Summary: [1, 2, 3]. General: [3, 4]
5
1 boundary
control
0.3
3
№ 1. Subject SIW. Respiratory failure.
5
Task:
1. In pulmonology therapeutic outpatient department of a
hospital or conducting questioning and examination of patients
with diseases of the respiratory system
2. To be able to fill out a medical history and outpatient card.
Study questions:
1. Definition
2. Classification
3. Etiology.
4. Pathogenesis.
5. The clinical picture.
Control of the SIW:
1. Summary.
2. Oral survey.
3. The history of the disease
Literature:
Summary: [1, 2]. General: [3, 4]
1 boundary
control
0.3
4
№ 1. Subject SIW. Tobacco addiction
Task:
1. In pulmonology or therapeutic department of a hospital or
outpatient conduct auscultation of patients with pathology of
respiratory and cardiac systems familiarization with the
methodology of the lab tests of patients with respiratory
diseases
2. To be able to fill out a medical history and outpatient card.
Study questions:
1. Definition
2. Classification
3. Harmful effects of smoking on the body.
Control of the SIW:
1 boundary
control
0.3
5
1. Summary.
2. Oral survey.
3. The history of the disease
Literature:
Summary: [1, 2.3]. General: [3, 4]
5
№ 1. Subject SIW. Allergic rhinitis.
Task:
1. Allergic or therapeutic outpatient department of a hospital
or conducting questioning and examination of patients with
diseases of allergy diseases.
2. Be familiar with basic principles of the symptoms and
treatment of allergic rhinitis.
Study questions:
1. Definition;
2. Classification;
3. Etiology;
4. Pathogenesis;
5. The clinical picture;
6. Treatment.
Control of the SIW:
1. Summary.
2. Oral survey.
3. The history of the disease
Literature:
Summary: [1, 2, 3, 4]. General: [3, 4]
5
1 boundary
control
0.3
6
№ 1. Subject SIW. Insect and food allergy.
Task:
1. Allergic or therapeutic outpatient department of a hospital
or conducting questioning and examination of the patient with
an allergy.
2. Be familiar with basic principles of the symptoms and
treatment of Insect and food allergies.
Study questions:
1. Definition
2. Classification
3. Etiology.
4. Pathogenesis.
5. The clinical picture.
Control of the SIW:
1. Summary.
2. Oral survey.
3. The history of the disease
Literature:
Summary: [1, 2]. General: [3, 4]
5
1 boundary
control
0.3
7
№ 1. Subject SIW. ECG is normal.
In cardiology, or therapeutic department of a hospital or
outpatient holding ECG interpretation.
Study questions:
5
1 boundary
control
0.3
1. The function of the heart.
2. Structure and function of the cardiac conduction system.
3. Vector magnitude.
4. The electric field.
5. Electrophysiological basics of electrocardiography.
6. The course of excitation and repolarization of the
myocardium as a whole.
7. Electrocardiograph leads.
8. Method of recording an electrocardiogram.
Control of the SIW:
1. Summary.
2. Oral survey.
3. The history of the disease
Literature:
Summary: [1, 2]. General: [3, 4]
8
№ 1. Subject SIW. ECG cardiomegaly.
Task:
In cardiology, or therapeutic department of a hospital or
outpatient holding ECG interpretation.
1. Hypertrophy of the right atrium.
2. Overloading the right atrium.
3. Hypertrophy of the left atrium.
4. Overload of the left atrium.
5. Left ventricular hypertrophy.
6. Right ventricular hypertrophy
5
1 boundary
control
0.3
5
1 boundary
control
0.3
1 boundary
control
0,3
Control of the SIW:
1. Summary.
2. Oral survey.
3. The history of the disease
Literature:
Summary: [1, 2]. General: [3, 4]
9
№ 1. Subject SIW. ECG in ischemic heart disease.
Study questions:
1. Signs of myocardial scarring.
2. Signs of passing myocardial ischemia.
3. Signs of subendocardial myocardial ischemia.
Control of the SIW:
1. Summary.
2. Oral survey. Demonstration of the patient
Literature:
Summary: [1, 2, 3]. General: [3, 4]
10.
№ 1. Subject SIW: Atherosclerosis.
Study questions:
1. Definition;
2. Classification;
3. Etiology;
4. Pathogenesis;
5. The clinical picture;
6. Treatment.
Control of the SIW:
1. Summary.
2. Oral survey.
Demonstration of the patient
Literature:
Summary: [1, 2, 3]. General: [3, 4]
11.
№ 1. Subject SIW. Тема: Acute coronary syndrome
Study questions:
1. Determination;
2. Classification;
3. Etiology;
4. Pathogenesis;
5. The clinical picture;
6. Treatment.
Control of the SIW:
1. Summary.
2. Oral survey.
3. The history of the disease
Literature:
Summary: [1, 2, 3]. General: [3, 4]
5ч.
1 boundary
control
0.4
12.
№ 1. Subject SIW. Тема: For the first time emerged
angina.
5ч.
1 boundary
control
0.4
5ч.
1 boundary
control
0.4
Study questions:
1. Definition;
2. Ehtiopatogenez;
3. The clinical picture and principles of treatment.
Control of the SIW:
1. Summary.
2. Oral survey.
Demonstration of the patient
Literature:
Summary: [1, 2, 3]. General: [3, 4]
13.
№ 1. Subject SIW. Тема: Spontaneous and unstable
angina.
Study questions:
1. Definition;
2. Ehtiopatogenez;
3. The clinical picture and principles of treatment.
Control of the SIW:
1. Summary.
2. Oral survey.
Demonstration of the patient
Literature:
14.
Summary: [1, 2, 3]. General: [3, 4]
№ 14. Subject SIW. Curation of patients.
5ч.
1 boundary
control
0,8
Know and own methods of clinical, laboratory and
instrumental studies supervised patient.
Control of the SIW:
1. The history of the disease.
2. Oral survey.
Demonstration of the patient
Literature:
Summary: [1, 2, 3]. General: [3, 4]
15
Protecting medical history. Module №1.
75
5
14. Literature.
14.1. Main references:
1.Harrisons PRICIPLES OF INTERNAL MEDICINE Seventeenth Edition Copyright 2008
Fauci, Braunwald, Kasper, Longo, Jameson, Loscalzo
2. Davidsons Principles & Practice of Medicine 21st Edition
Nicki R. College, Brain R. Walker, Stuart H. Ralston.
3. Current Medical diagnosis & Treatment 2009
Stephen J. McPhee, Maxine A. Papadakis, Eds.
Ralph Gonzales, Roni Zeiger, Jnline Eds.
4. First aids Internal Medicine boards 2nd Edition Copyright 2008 by Tao Le. All rights reserved.
14.2. Additional literature.
1. Common symptom Answer Guide a family medicine reference 2004 by The MC Graw-Hill
Companies Jhon Wasson, MD, Ivan Oransky, MD
2. Lab Notes Guide to Lab & diagnostic tests Copyraight 2005 F.A.Davis
Tracey Hopkins, BSN,RN.
3. Oxford handbook of clinical Medicine, 6th Edition Copyright BC 2004 Oxford university
Press Murray Longmore, Lan B Wilkinson, Supraj R Rajagopaian
4.Common Symptom Answer Guide A family medical reference Copyright 2004 by The
McGraw-HiII Companies, John Wasson,MD,Timothy WaIsh,MD, Mary C.LaBrecque,ARNP|
MSN, Robert PanteII,MD,HaroId C.Sox,Jr.,
D.Ivan Oransky,MD.
5. Oxford handbook of general practice 4th edition Published in 2014 Chantal Simon, Hazel
Everitt, Francoice van Dorp, Matt Burkes.
6. Clinical examination a systematic guide to physical diagnosis This edition 2014. Elsevier
Austalia.
7. USMLE Step2 Internal Medicine Notes CAPLAN MEDICAL Charles J Faselis.M.D. Conrad
Fisher, M.D., Scot Hines, M.D.
14.4. Electronic sources:
1. www.plaintest.com
2. www.booksmed.com
3. www.bankknig.com
4. www.wedmedinfo.ru
5. www.spr.ru
15. Information on the assessment (Bulletin №18, p. 12-15)
The scale of assessments of academic achievement:
Rating
(Points)
87 – 100
81– 86
74 – 80
65 -73
61 – 64
31-60
0 - 30
Based on letter The digital
system
equivalent of
assessment
А
4,0
В
3,33
С
3,0
Д
2,33
Е
2,0
FX
0
F
0
Based on the traditional
system
Excellent
Good
satisfactorily
unsatisfactorily
I - evaluation, display, if the student does not have time for any valid reasons (serious illness
(documented), travel or participate in events held by the University of emergency in the family),
what he has to tell the teacher and Registration Office . I estimate I exhibited a teacher. If a
student has not corrected estimate I within one month from the beginning of the next semester
(excluding summer semester), he is automatically a grade F (not used in calculating GPA).
P - Assessment, allows students to earn credit only. Estimate P is made only in the disciplines of
choice (not used in calculating GPA).
FX - a student who receives rating of FX can fix it within one month from the beginning of the
next semester (or in the summer semester). The right to correction rating of FX provided under
the personal application of the student in accordance with the approved schedule Registration
Office. The procedure and conditions fixes rating of FX set by the relevant provision. If a student
has not corrected rating of FX on time, it is automatically a grade F (not used in calculating
GPA).
F - a student who was rated F, must repeat the same academic discipline again if it is a
compulsory subject. If the student will receive a second F for mandatory education program for
this discipline, he can not continue to participate in this program.
W - Evaluation, confirming the refusal of the student to continue the study of this discipline.
Assessment W teacher can stand only in the terms established in the academic calendar. The
student signs a form established by the Office of Registration and must re-learn this discipline, if
it is mandatory (not used in calculating GPA).
X - Score, which indicates that the student has been removed from the discipline teacher. The
established form signed by the teacher and the head of the program. The student must repeat the
course if it is a required course. If a student receives a second X, it is automatically placed F.
Conditions X rating items specified in the syllabus of discipline (not used in calculating GPA).
According to the results of the intermediate (semester) student performance exhibited:
Number of units of credit, describing the complexity of the development of the discipline;
Differentiated assessment of the quality of the development of student knowledge and skills
within the discipline.
As a result of performance calculated GPA , the maximum expression of which is 4.0 points.
GPA (Grade Point Average) - average assessment of the level of educational achievements of
students. Average calculated on the basis of student learning outcomes in each semester and at
the end of training according to the formula:
Where, n - number of courses per semester (for the last period of study)
The results are recorded in the student's academic achievement sheet, where the current is put
control in the light of the date of the check points and control points.
16. Politics scoring.
One of the elements of the educational process in the conditions of the loan program is the use of
score-rating system of evaluation of educational achievements of students. Grading Policy
should be based on the principles of objectivity, transparency, flexibility and high differentiation.
Conducting examinations as the main form of testing students involves a number of conditions to
ensure the effectiveness of teaching evaluation procedure. The most important among them:
a) The coverage of the sections of the curriculum and the understanding of the linkages between
them;
b) The depth of understanding of the specific issues being discussed, as well as the relevance and
practical significance of the study subjects; the range of knowledge of the literature of the
discipline;
c) Logically correct, consistent, coherent and reasoned response to the construction of the exam;
d) the level of independent thinking with elements of a creative approach to the presentation of
the material.
"Excellent" deserves a response that contains:
- Possession of knowledge in the discipline of a study program;
- A profound and systematic knowledge of the entire program material and the structure of a
particular discipline, as well as the main content and innovation lecture course compared to the
textbooks;
- Clear and fluent conceptual apparatus, scientific language and terminology relevant science;
- Clear and convincing formulation of response fluency skills and the results obtained on the
practical and laboratory lessons;
- Can apply the theoretical results and their own research in practice and in dealing with a
difficult situation;
- Basic knowledge of literature and exploring the further recommended reading;
- Own view of the matter disclosed.
"Good" deserves a response that contains:
- Knowledge of the key problems of the program and the main content of the lecture course;
- The ability to use conceptual and conceptual apparatus in the analysis of the main problems the
program;
- Knowledge of the most important works in the list of recommended reading;
- The ability to perform tasks under the program;
- In general it is logically correct, but not always accurate and reasoned statement of the answer;
- Possession of knowledge on a subject matter of the full program, but has some gaps in the
difficult sections, and partly on their own when leading questions gives a more or less complete
answers to exam questions;
- In their answers less logical than an A student, it is not always the most significant highlights,
but does not allow serious errors in the answers can solve moderately severe situational
theoretical and practical tasks;
- Ownership of research methods, introduction to some of the literature of the discipline;- The
student has sufficient ideological thinking and outlook
"Satisfactory" assessment deserves a response that contains:
- Fragmented, superficial knowledge of the most important sections of the program and the
content of the lecture course;
- Difficulties with the use of scientific and conceptual apparatus and terminology of the
discipline;
- Incomplete familiarity with the recommended literature;
- A partial obstruction to the implementation of tasks under the program;
- The desire is definitely a logical and consistent the answers;
- Difficulties in self-expression responses plumage imprecise wording;
- No release of the most significant, the answers are not quite convincing and logically
consistent; suffers literary style of speech of acceptance of response bias; insufficient knowledge
and practical skills of laboratory research;
- The student is able to solve only the easiest case studies, has only a minimum of mandatory
methods of research and independent work;
- Insufficient guidance on the methodology, the fear to express their own judgments.
The rating "Unsatisfactory" deserves a response that contains:
- Lack of knowledge about the fragmentary representation of educational and program material;
- Inability to perform tasks under the program;
- Completely mastering minimum knowledge required for trainingdiscipline;
- The student is not able to answer the exam questions, even with additional leading questions;
- The lack of laboratory skills
- Practical and independent work;
- Not in the theoretical orientation of the materials is not the possession of practical skills;
- Slight acquaintance with the basic and additional literature;
- If the student does not respond to further questions from the examiner.
17. Politics course
Requirements:
a) Compulsory attendance;
b) Activity during lectures and seminars;
c) Preparation for classes to homework and IWS.
Unacceptable:
a) Delay and care from employment;
b) The use of cell phones during class;
c) Cheating and plagiarism.
d) Late submission of assignments.
Bonus points.
1. Preparation of presentations - 3 points.
2. Manufacture stands - 3 points.
3. Manufacture tables: 1tablitsa - 1 point.
4. Preparation of abstract messages - 1 point.
5. Systematic active work during the semester on a practical training - 2 points.
Penalty points.
1. Being late to class - 1 point.
2. Disrespect to the medical staff, patients, Teachers - 2 points.
3. Smoking in the territory of hospital – 3points.
4. Untidy appearance, no robe, hood, spare shoes - 1 point.
5. Damaging government property, equipment - 3 points.
6. Systematic unprepared practical training - 3 points.
7. Regular lateness to class - 2 points.
18. The list of issues on the forms of control.
Landmark control 1
Section Pneumology, Allergology.
1. The emergence of chronic bronchitis contribute to: a) smoking, exposure to industrial
pollutants, adverse climatic factors; b) the pathology of the musculoskeletal system (scoliosis of
the spine, ankylosing spondylitis); c) chronic diseases of the upper respiratory tract; d) a family
history of lung disease; d) all of the above.
2. Bronchodilator drugs of purine derivatives (methylxanthines) sustained-release include the
following: a) theophylline; b) Teofedrin; c) teopek, retafil; d) eufillin.
3. bronchial obstruction in asthma is caused by: a) bronchospasm; b) inflammatory edema of the
bronchial mucosa; c) the closure of the bronchi viscous secret; d) spadenie small airways on
exhalation; d) all the above.
4. The main clinical syndrome in asthmatic status are: a) progressive respiratory failure; b)
increasing pulmonary hypertension; c) severe neuropsychiatric syndrome; d) all of the above.
5. Auscultation of the lungs in patients with pneumonia can be identified: a) reduced air in the
absence of wheezing; b) dry wheezing; c) large bubbling crackles; g) finely crackles; d) crepitus
wheezing; e) all of the above.
6. If you suspect a mycoplasma pneumonia should be given: a) penicillins; b) erythromycin; c)
chloramphenicol; g) streptomycin; d) tseporin.
7. Factors contributing to the development of pneumonia: a) fatigue, b) emotional
8. Stress; c) trauma; d) cooling; d) the use of alcohol; e) all of the above.
9. life-threatening complications of pneumonia: a) lung abscess; b) pleurisy; c) myocarditis; d)
pericarditis; e) infectious toxic shock.
10. The main cause of acute bronchitis in patients general health system are: a) the inhalation of
gases and aerosols, irritating the mucous membrane of the airways, and b) hypothermia; c) viral
and bacterial infections; d) Smoking;
11. In emphysema breathing: a) vesicular; b) vesicular weakened; c) vesicular strengthened; g)
bronchial; d) saccadic.
12. Bronchial obstruction in asthma is caused by: a) bronchospasm;
13. b) inflammatory edema bronchial mucosa; c) the closure of the bronchi viscous secret; d) to
fall small airways on exhalation; d) all the above.
14. The main treatment of asthma is: a) bronchodilator, b) anti-inflammatory - to) antibacterial;
d) desensitizing; d) all of the above.
15. The most significant clinical sign indicating the status asthmaticus transition from I to stage
II, is: a) the progression of shortness of breath; b) increase in cyanosis; c) the disappearance of
previously listened to in pulmonary - wheezes; d) increase in blood pressure.
16. Mitral stenosis is often a result of: a) rheumatic fever; b) infective endocarditis; c) systemic
lupus erythematosus; g) atherosclerosis.
17. The area of the left atrioventricular opening normally is: a) 1-2 cm²; b) 4-6 kv.sm.v) 8-10
square centimeters, d) all of the answers wrong
18. In mitral stenosis the tone (click) the opening of the mitral valve in the PCG appears after the
II tone through: a) 0,08-0,11 sec; b) 0.2-0.3 sec .; c) 0.4-0.5 sec; r) 0.6-0.8 seconds.
19. In patients with mitral valve insufficiency percussion relative dullness of heart increased: a)
up and to the left; b) left; c) is not increased; d) all of the answers are wrong.
20. Noise Flint is listened to at the apex of the heart: a) mitral stenosis; b) aortic stenosis; c)
aortic valve regurgitation; d) failure of the mitral valve.
21. Listening to the "double" sound Duroziez femoral typical for: a) aortic stenosis; b)
pulmonary valve insufficiency.; c) aortic valve regurgitation; d) failure of the mitral valve.
22. phonocardiograms unusual for patients with aortic stenosis is: a) a decrease in the amplitude
of the aortic component of the 2nd tone; b) systolic murmur diamond shape; c) increase in the
amplitude of the 1st tone.
Landmark control 2
Section of Cardiology.
1. The optimum blood pressure WHO - are: a) 110/80 mm Hg .; b) 125 / 85mm Hg .; c) 130 /
85mm Hg .; g) 140 / 90mm Hg
2. The bodies - "target" is striking at the GB does not include: a) heart; b) the brain; c) liver; d)
kidneys.
3. Signs of organ damage do not include: a) left ventricular hypertrophy; b) proteinuria, transient
increase in creatinine; c) angiopathy of the vessels of fiber; d) angina.
4. Angiotenzii - converting enzyme ACE is involved in the following transition: a) renin
angiotensinogen; b) renin angiotenzinI; c) angiotenzinaI to angiotensin 2 g) in angiotenzinI
angiotensinogen.
5. To produce an inhibitor of ACE does not apply: a) hood; b) kantopril; c) ednit; d) Ernits.
6. The reason for the development of hypertensive crisis can be: a) psycho-emotional stress; b)
excessive intake of salt; c) The sudden cancellation of clonidine; d) Only a true; d) All right.
7. The drug of choice for uncomplicated GB in patients with low-risk group of the following
drugs is. a) Hydrochlorothiazide; b) Hydrolysinum; c) furosemide d) clonidine.
8. Which of the following laboratory signs has the greatest importance in laboratory diagnosis of
myocardial infarction? a) leukocytosis; b) increase in the level of CK-MB; c) increase of ESR; d)
an increase in creatinine.
9. trismuralnom myocardial infarction on ECG recording complex type. a) QRS; b) qRS; a) RS;
d) QS.
10. pathological tooth Q-ECG sign that occurs when: a) the hypertrophy of the left ventricle; b)
hypertrophy of the right stomach; c) acute myocardial infarction; d) mitral valve stenosis.
11. Monophasic curve or a symptom of "flag" on the ECG are: a) ST-segment depression below
contours combined with a negative T wave; b) ST-segment elevation above the contour and its
merger with positive T-wave; c) ST-segment elevation above the contours combined with a
negative T wave; d) ST-segment depression below contours combined with a positive T wave
12. In order to relieve pain in myocardial infarction did not apply the following remedies: a)
morphine; b) diphenhydramine; c) droperidol; g) fentanyl.
13. The sudden loss of consciousness, lack of pulse in the central arteries, respiratory arrest, the
lack of reaction of pupils to light, ie, the development pattern of clinical death, characteristic of
complications following myocardial infarction: a) cardiogenic shock; b) ventricular fibrillation;
c) pulmonary edema; d) Dressler's syndrome.
14. Define the functional class of a patient suffering from angina, which pain occurs when
walking and climbing 200m to the third floor: a) I; b) II; a) III; g) IV.
15. Because of the radiographic techniques for the diagnosis of atherosclerosis of the coronary
arteries is used: a) aortography; b) angiography; c) selective cardiography; d) ventriculography.
16. Primary prevention of atherosclerosis and coronary artery disease are the following events,
except: a) reduction vesv to normal values; b) daily physical activity; c) smoking cessation; d)
more than 30g alcohol a day.
17. Determine the functional class of a patient suffering from angina pectoris, in which pain
occurs when walking up to 15-20 meters: a) I; b) II; a) III; g) IV.
18. With the development of acute left ventricular heart failure is not typical: a) pulmonary
congestion; b) shortness of breath; c) tachycardia; d) an increase in liver.
19. Which of the following methods of diagnosis is necessary to determine the functional class
of angina when: a) radioisotope research; b) ventriculography; c) coronary angiography; d) ECG
in conjunction with exercise stress.
20. Which of the following is not included in the term "resorption necrotic syndrome": a) fever;
b) pericardial rub; c) neutrophilic changes in blood; d) an increase in erythrocyte sedimentation
rate; d) detection of C-reactive protein in the.
The examination tests
Option 1
1. The drug of choice for treatment of lobar pneumonia: a) erythromycin; b) streptomycin; c)
cephalosporins; g) penicillin; d) chloramphenicol.
2. The leading complaint of patients with acute bronchitis are: a) productive cough; b) cuhoy
cough; c) chest pain.
3. Sputum of bronchiectasis: a) mucous b) purulent; c) putrefactive d) is absent.
4. For the treatment of focal pneumonia apply: a) penicillin; b) ampioks c) kefzol; g) a
tetracycline.
5. Which of the drugs indicated for the initial treatment of bronchial asthma attacks: a)
hydrocortisone; b) 2-stimulants c) eufillin d) Intal; d) beclomethasone.
6. manifestation of bronchial obstruction in chronic bronchitis is everything, except: a) hacking
cough; b) dry wheezing on exhalation; c) shortness of breath; d) difficulty in sputum; d) spiral
Kurshmana sputum.
7. Which factor is not involved in the mechanism of breathlessness in asthma: a) alveolar edema;
b) swelling of the bronchial mucosa; c) bronchoconstriction; g) increased mucus secretion; d)
violation of sputum.
8. Elements of sputum is indicative of an allergic process in the bronchial tree, is: a) a spiral
Kurshmana; b) Charcot-Leyden crystals; c) eosinophils; d) the leukocytes.
9. The features that distinguish bacterial from viral pneumonia, is: a) infiltrative changes on
chest radiograph; b) leukocytosis with a shift to the left; c) The physical Just noticeable changes;
vz) pulse corresponds to the temperature; d) cough with purulent sputum.10. For lobar
pneumonia is characterized by all the signs, except: a) dullness, respectively share or segment; b)
finely crackles; c) crepitus; g) bronchial breathing; d) enhanced bronhofoniya.
11. Which of the drugs indicated for the initial treatment of bronchial asthma attacks: a)
-stimulants; c) aminophylline; d) Intal; d) beclomethasone.
12. Percussion in patients with chronic obstructive bronchitis is defined by: a) box sound; b) lung
sounds; c) shortening of percussion sounds; d) tympanitis; d) lung sounds with tympanic shade.
13. Which drug is not indicated for patients with chronic catarrhal bronchitis: a) penicillin; b)
aminophylline; c) inhalation acetylcysteine; g) Atrovent; d) teopek.
14. The most significant clinical sign indicating the status asthmaticus transition from I to stage
II, is: a) the progression of shortness of breath; b) increase in cyanosis; c) the disappearance of
previously listened to wheezes in lungs; d) increase in blood pressure.
15. Early in the functional signs of bronchial obstruction is: a) a decrease in FEV1; b) a decrease
in the index Tiffno; c) a decrease POSvyd; c) reduction of all these indicators.
16. The main symptom of chronic bronchitis, flowing with a primary lesion of the mucous
membrane of bronchial tubes - it is: a) a strong hacking cough; b) cough; c) shortness of breath;
d) equity and segmental pulmonary fibrosis.
17. Auscultation of the lungs in patients with pneumonia can be identified: a) reduced air in the
absence of wheezing; b) dry wheezing; c) large bubbling crackles; g) finely crackles; d) crepitus
18. Diagnostic criteria of chronic bronchitis are: a) "history of cough" at least two years for three
consecutive months; b) the absence of other respiratory pathology, causes "cough history"; c) the
presence of inflammatory changes in the bronchi bronchoscopy; d) breathlessness.
19. As a first-line drugs for the basic treatment of chronic obstructive bronchitis is
recommended: a) astmopent b) berotek c) eufillin d) Atrovent e) salbutamol.
20. Indications for general antibiotic therapy for acute bronchitis include: a) severe clinical
course of the disease; b) the appearance of purulent sputum; c) leukocytosis; d) anemia.
21. By the risk of disease with essential hypertension include all of the above, except: a) a
genetic predisposition; b) excessive intake of salt; c) ulcer disease; d) overweight; d) low
physical activity, chronic stress.
22. Blood pressure is determined by: a) the work of the heart (minute volume); b) peripheral
resistance; c) both factors.
23. Which of the following is the leading features in the diagnosis of hypertensive crisis: a)
urinary syndrome; b) azotemia; c) cerebral symptoms; d) kardialgiya; d) changes in retinal
vessels.
24. What level of hell do you react to the soft phase of essential hypertension: a) 130/80. Hg.
Art. b) 140/96 mm. Hg. st.v) 150/100 mm. Hg. Art. g) 160/104 mm. Hg. Art. d) 1220/80 mm.
Hg. Art.
25. On the concept of unstable angina include: a) new-onset angina; b) progressive angina; c)
variant angina; d) myocardial infarction.
26. Risk factors for coronary artery disease include: a) arterial hypertension; b) psychoemotional stress; c) smoking; d) obesity.
27. Classification of Diseases of WHO coronary heart disease are: a) sudden death (the primary
circulatory arrest); b) cardiac arrhythmia; c) heart failure; d) atrial fibrillation.
28. The immediate cause of the angina attack can be: a) the excitement; b) access to the cold; c)
physical activity; d) increase in blood pressure.
29. Risk factors for coronary artery disease include: a) arterial hypertension; b) psychoemotional stress; c) smoking; d) obesity.
30. In the treatment of heparin-control test is: a) the level of prothrombin; b) the level of
fibrinogen; c) the clotting time; d) bleeding time; d) platelet count.
31. Of the following risk factors for atherosclerosis, the most important is: a). emotional stress;
b) lack of exercise; c) arterial hypertension; d) overweight.
32. When atherosclerosis affects: a) the arteries of muscular type; b) artery musculo-elastic type;
c) elastic arteries; g) any artery.
33. Symptoms of angina are: a) pain in the left half of the chest with a load; b) irradiation of
sensations to the left - on the medial surface of the left hand; c) the effect of the nitroglycerin or
termination load for 1-3 minutes; d) fibrillation.
34. The most typical localization of discomfort associated with physical activity in angina, is: a)
the area of the heart (the left of the sternum); b) in the chest; c) in the apical impulse; d) next to
the xiphoid process of the sternum.
35. The duration of an attack of angina after termination load usually amounts to: a) a few
minutes (less than 10 minutes); b). Less than 30 seconds; c) 15-20 min.
36. In patients with angina pectoris FC II attacks occur: a). when climbing stairs less than one
floor (less than 2 - flights of stairs); b). When climbing stairs more than one floor (2 - x flights of
stairs); at). Only at very high physical activity, and d) if any, even minimal physical exertion.
37. Patients with advanced (unstable) angina noted: a) the occurrence of seizures in a light load;
b) the occurrence of attacks of angina at rest; c) an increase in the duration of attacks of angina
pectoris; d) reduction of the effect of nitroglycerin.
38. During the exercise test ECG signs of myocardial ischemia are: a) the appearance of negative
teeth T; b) horizontal ST segment depression greater than 1 mm; c) the occurrence of ventricular
arrhythmias; d) fibrillation.
39. From all of the following pharmacological tests in the diagnosis of coronary artery disease
should be used only with the sample: a) potassium; b) nitroglycerin; c) dipyridamole
(Curantylum); d) anaprilinom (obzidanom).
40. For the treatment of angina medications used all of the following except: a). Nitrosorbid; b)
propranolol (obzidan); c) finoptin (verapamil); g). corinfar (kordafen, nifedipine); e)
papaverine.The examination tests
Option 2
1. The emergence of chronic bronchitis contributes to: a) smoking, exposure to industrial
pollutants, adverse climatic factors; b) the pathology of the musculoskeletal system (scoliosis of
the spine, ankylosing spondylitis); c) chronic diseases of the upper respiratory tract; g) genetic
predisposition to lung disease.
2. Bronchodilator drugs of purine derivatives (methylxanthines) sustained-release include the
following: a) theophylline; b) Teofedrin; c) teopek, retafil; d) eufillin.
3. Bronchial obstruction in asthma is caused by: a) bronchospasm; b) inflammatory edema of the
bronchial mucosa; c) the closure of the bronchi viscous secret; d) spadenie small airways on
exhalation.
4. The main clinical syndrome in asthmatic status are: a) progressive respiratory failure; b)
increasing pulmonary hypertension; c) severe neuropsychiatric syndrome; d) shortness of breath.
5. When pneumonia affects all of the above, except: a) the large bronchi; b) respiratory
bronchioles; c) the alveoli; d) interstitial lung.
6. Auscultation of the lungs in patients with pneumonia can be identified: a) reduced air in the
absence of wheezing; b) dry wheezing; c) large bubbling crackles; g) finely crackles; d)
krepitiruyuschie wheezing.
7. Agents of hospital (nosocomial) pneumonia are all these microbes, except: a) pneumococcus;
b) Staphylococcus; c) Klebsiella; d) chlamydia.
8. Pneumonia designates all these drugs, in addition: a) etiotropic; b) expectorants; c)
Bronchospasmolytic; d) immunomodulating; d) drugs.
9. If you suspect a mycoplasma pneumonia should be given: a) penicillins; b) erythromycin; c)
chloramphenicol; g) streptomycin; d) tseporin.
10. Rheumatism is often preceded by upper respiratory tract infection caused by: a) viridans
streptococci; b) Epstein Bar virus; c) the Staphylococcus aureus; d) beta - hemolytic
streptococcus group A; d) enterococcus.
11. In rheumatoid arthritis: a) affects mainly large joints, aspirin can completely arrest arthritis;
b) the repeated attacks develop joint deformities, broken traffic in them; c) arthritis occurs in
90% of cases; d) primarily affects the small joints of the hands.
12. The weakening of the first tone is generally observed when the following heart disease,
except for one: a) failure of the mitral valve; b) the failure of the tricuspid valve; c) failure of the
aortic valve; d) stenosis of the left atrioventricular opening; e) aortic stenosis.
13. Rhythm quail "auscultation of the heart is characterized by: a) the appearance of the III-rd
pathological tone; b) weakening I-th tone in combination with an additional tone; c)
strengthening of the I-st tone with abnormal tone III-m; d) increasing the I-st tone with an
additional W m-tone.
14. Emphasis II-nd tones in II-th intercostal space on the left shows: a) stenosis of the pulmonary
valve; b) stenosis of the aortic valve; c) pulmonary hypertension; g) hypertension.
15. Diastolic murmur at the apex of the heart is listened when: a) mitral insufficiency; b)
tricuspid insufficiency; c) tricuspid stenosis; d) aortic insufficiency.
16. Tricuspid valve is listened: a) I weakening tone combined with systolic murmur; a)
enhancing the tones I in combination with systolic murmur; c) I gain tone with a diastolic
murmur; d) I weakening tone with diastolic murmur.
17. If mitral valve stenosis occurrence of heart murmur due to: a) a turbulent flow of blood from
the left ventricle into the aorta; b) the regurgitation of blood from the left ventricle into the left
atrium; c) a turbulent flow of blood from the left atrium into the left ventricle; g) regurgitation of
blood from the aorta to the left ventricle.
18. Aortic insufficiency is characterized by: a) decreasing systolic noise; b) decreasing diastolic
noise; c) systolic diamond noise; g) diamond diastolic noise.
19. Reflex Kitaeva is due to: a) mitral regurgitation; b) stretching the pulmonary veins; c)
reducing the pressure gradient "left atrium - left ventricle"; d) increasing the flow of blood to the
heart; d) increasing the pressure in the cavity of the left ventricle.
20. Typical symptoms of rheumatic fever are not the primary concerns: a) myocardial
inflammation (myocarditis), b), chorea, c) arthritis, d) nephritis, etc.) Subcutaneous nodules.
21. In common rheumatism (except heart) is striking: a) joints, b) the central nervous system, c)
kidney, g) skin.
22. The most common cause of IE is: a) enterococcus; b) zelenyaschy streptococcus; c) viruses;
d) beta-hemolytic streptococcus group A; d) Streptococcus pneumoniae.
23. Risk factors for IE is everything, except: a) cystoscopy; b) venous catheterization; c)
pulmonary hypertension; d) scraping the uterine cavity; d) congenital heart disease.
24. What type of pain is uncharacteristic for angina attack: a) compressive chest pain; b) burning
pain in the heart; c) pressing chest pain radiating to the left arm; d) stabbing heart pains
associated with breathing; d) a sense of discomfort in the heart, resulting in physical and
psychological and emotional stress.
25. What is the criterion corresponds to the concept of "new-onset angina": a) the occurrence of
prescription pain - 6 months; b) the emergence of prescription pain - 4 months; c) the occurrence
of prescription pain up to 1 month; d) the appearance of prescription pain - 2-3 months; d) all of
the above is not true.
26. Does not apply to complications in acute myocardial infarction? a) rupture of the
myocardium; b) cardiogenic shock; c) Dressler's syndrome; d) violation of the heart rate; d)
conduction disturbances.
27. The signs of transmural infarction on ECG infarct are: a) segment ST rise and formation of
pathological wave Q; b) lifting segment ST; a) ST segment depression in combination with Twave inversion; d) negative T waves in the left precordial leads; d) a significant reduction in the
amplitude of the R-wave and T-wave inversion
28. The gold standard in the diagnosis coronary atherosclerosis is considered: a)
echocardiography; b) coronary angiography; c) ECG; d) imaging.
29. The outward signs of atherosclerosis considered as well) xanthomas, xanthelasma, lipoid arc
of the cornea; B) Bouchard nodules; B) Lukina_libmana spots; d) Osler nodes; d) erythema
nodosum.
30. The main target of antihyperlipidemic therapy is considered to be: a) HDL cholesterol; b)
triglycerides; c) phospholipids; d) holesterin LPNP; d) polyunsaturated fatty acids.
31. The most effective lipid-lowering drugs are: a) fibrates; b) a statin, c) preparations containing
omega-3polinenasyschennye fatty acids; d) ACE inhibitors; d) betaadrenoblokator.
32. The immediate cause of the angina attack can be: a) the excitement; b) access to the cold; c)
physical activity; d) increase in blood pressure; d) all of the above.
33. In the early hours of acute myocardial infarction recommended rate of administration of
heparin following: a) one thousand. ED per hour, b) 5 th. ED in an hour) 3 thousand. ED h, g) 10
thousand. ED hour.
34. pathogenetic method of treatment for acute myocardial infarction is the use of: a)
thrombolytic b) antiplatelet agents, c) anticoagulants d) hormones.
35. What organs are affected at GB: a) the heart and liver, and b) the kidneys, lungs, heart, and c)
the eyes, kidneys, spleen, d) heart, kidneys, blood vessels, etc.), heart, eyes, feet.
36. What criteria are not a sign of mild hypertension: a) no signs of kidney damage, and b) no
signs of LVH in) blood pressure 156/98 mm Hg, g) BP 170/112 mm. Hg. Art., d) all of the
answers are correct, except at).
37. GB characterized by all complications except: a) CRF, b) heart failure, and c) a hemorrhagic
stroke, g) neyroretinopatii, d) neuroendocrine failure.
38. The typical form of myocardial infarction: a) abdominal; b) anginal; c) asthma attack; d)
painless; e) peripheral.
39. Severe headache, nausea, vomiting, "flies" before his eyes, intense pulse observed when: a) a
swoon; b) collapse; c) hypertensive crisis; g) angina.
40. During the exercise test ECG signs of myocardial ischemia are: a) the appearance of negative
teeth T; b) horizontal ST segment depression greater than 1 mm; c) the occurrence of ventricular
arrhythmias; d) fibrillation.
Schedule of modules (current and boundary control):
Module №1 (M1). Section of Pulmonology and Allergology.
Type of training
Type of control
Classroom student
work (CSW)
a) blanks testing on materials lectures
b) Oral answers to questions, the decision of situational
problems and work at the bedside of practical training
materials
Total CSW
Independent work a) the application forms for materials testing sessions
of students (IWS)
IWS
b) Oral answers to questions, the decision of situational
problems and work at the bedside of practical training
materials
Total IWS
landmark Control
a) Testing based on lectures and IWS
1 (LC1) in the 8th
b) interview, defense history, analysis of clinical
week
situations.
Total LC1
Total №1 (М1)
Note: Module №1 at the end of 1-8 weeks is held on the 8th week
Type of training
Classroom student
work (CSW)
Independent work
of students (IWS)
landmark Control
1 (LC1) in the 8th
week
Module №2 (M2). Section of Cardiology
Type of control
a) blanks testing on materials lectures
b) Oral answers to questions, the decision of
situational problems and work at the bedside of
practical training materials
Total CSW
a) the application forms for materials testing sessions
IWS
b) Oral answers to questions, the decision of
situational problems and work at the bedside of
practical training materials
Total IWS
a) Testing based on lectures and IWS
b) interview, defense history, analysis of clinical
situations.
Total LC1
Total №2 (М2)
maximum
points
5
5
10
5
5
10
5
5
10
30
maximum points
5
5
10
5
5
10
5
5
10
30
Final control
Scale exam grade.
The final control is carried out in the form of examination. The maximum rate of progress of the
final control is 40%. Total Score performance on discipline is defined as the sum of the
performance of the modules №1 and 2 (maximum 60 points) and the Final control (maximum 40
points). The maximum total control of a maximum of 100 points
35
Points
Total units
Total (maximum
points)
5p
10p
5p
10p
К1=5+10+5+10=30 б.
16
24
40
5p
10p
5p
К2=5+10+5+10=30
10p
10p
20p
SIW
SIW
21
practice
practice
14
Final control (40p).
Lecture
Lecture
75
SIW
SIW
30
practice
Lecture
45
Lecture
classroom training
150
Current control
landmark control
Total hours
Current control
Module №2 (M2)
(maximum 60 points)
landmark control
Module №1 (M1)
(maximum 60 points)
10p
T=10+20+10=40 б.
К=К1+К2+T=30+30+40=100б