EXAMINATION QUESTIONS (V COURSE)
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1 EXAMINATION QUESTIONS (V COURSE) I. 1. Infective endocarditis. Definition. Etiology, pathogenesis, clinical manifestations. Diagnostic criteria, differential diagnosis, complications and outcomes. Treatment. 2. Chronic hepatitis: definition, etiology, pathogenesis, classification, clinical manifestations, diagnosis, differential diagnosis, complications and outcomes. Treatment. 3. Bronchial asthma: etiology, pathogenesis, immunologic mechanisms, classification, clinical manifestations of bronchospasm and status asthmaticus, diagnosis, differential diagnosis, treatment. 4. Mitral stenosis: offending factors, mechanisms of haemodynamic disorders, clinical manifestations, diagnostic criteria. Mechanisms of heart failure. Treatment. 5. Diabetes mellitus type 2: definition, etiology, pathogenesis, clinical symptoms, diagnostic criteria, differential diagnosis, course, complications, outcomes. Treatment. 6. Systemic Lupus erythematosus: definition, etiology, pathogenesis, clinical symptoms, diagnostic criteria, differential diagnosis, course, complications, outcomes. Treatment. 7. Acute rheumatic fever: definition, etiology, pathogenesis, clinical manifestations, diagnosis, treatment. 8. Acute Pyelonephritis: etiology, pathogenesis, clinical manifestations, diagnostic criteria, differential diagnosis, course, complications and outcomes. Treatment. 9. Myocarditis: etiology, pathogenesis, classification, clinical manifestation, diagnostic criteria, differential diagnosis, course and outcomes. Treatment. 10. Rheumatoid arthritis: definition, etiology, pathogenesis, the main immunologic mechanisms. Classification. Clinical manifestations and diagnostic criteria, differential diagnosis, course and outcomes. Treatment. 11. Obesity: definition, etiology, pathogenesis, classification, clinical manifestations, diagnosis, differential diagnosis, course, complications, outcomes. Treatment. 12. Ischemic heart disease: definition, classification. Stable stenocardia: classification, clinical and ECG manifestations, diagnostic criteria, differential diagnosis, course and outcomes, treatment. 13. Chronic glomerulonephritis: etiology, pathogenesis, the value of immunologic mechanisms, clinical manifestations and variants, diagnostic criteria, differential diagnosis, course, complications, outcomes. Treatment.
2 14. Mitral regurgitation: etiology, pathogenesis of hemodynamic disorders, clinical manifestations, diagnostic criteria. Methods of treatment, indications for surgical treatment. 15. Chronic Pyelonephritis: definition, etiology, pathogenesis, clinical variants, diagnostic criteria, differential diagnosis, course, complications and outcomes. Treatment. 16.Aortic regurgitation: etiology, pathogenesis of hemodynamic disorders, symptoms, physical findings, diagnosis. Treatment. 17. Atherosclerosis: definition, etiology, pathogenesis, clinical manifestations, diagnosis. Complications of atherosclerosis, treatment. 18. Acute Glomerulonephritis: etiology, pathogenesis, autoimmune mechanisms, clinical manifestations, diagnosis, differential diagnosis, course, complications and outcomes. Treatment. 19. Acute and chronic bronchitis: definition, etiology, pathogenesis, classification, clinical manifestations, diagnostic criteria, differential diagnosis, course, complications and outcomes. Treatment. 20. Diabetes mellitus type 1: definition, etiology, pathogenesis, symptoms, diagnosis. Approach to treatment, prognosis. 21. Pneumonia. Definition, classification, etiology, pathogenesis. Symptoms, rhoentgenological signs, diagnosis, differential diagnosis, course, complications and outcomes. Treatment. 22. Hypertensive Vascular disease. Essential hypertention. Definition, etiology, pathogenesis, classification. Symptoms, diagnostic criteria, differential diagnosis, course, complications and outcomes. Treatment. 23. Chronic Gastritis and Gastroduodenitis: definition, etiology, pathogenesis, classification, symptoms, diagnostic criteria, differential diagnosis, course and outcomes. Treatment. 24. Hyperthyroidism. Diffuse toxic goiter (Grave s disease). Definition, etiology, pathogenesis, clinical features. Diagnosis, differential diagnosis, course and outcomes. Treatment. 25. Peptic Ulcer disease. Etiology, pathogenesis, diagnosis, differential diagnosis, course and outcomes. Treatment. Indications for surgical treatment. 26. Pulmonary Thromboembolism. Definition, risk factors, pathogenesis of hemodynamic disorders. Diagnosis, differential diagnosis, course and outcomes. Treatment. 27. Adrenal insufficiency (Addison s disease): definition, etiology pathogenesis, clinical features, diagnosis, differential diagnosis, course, complications and outcomes. Treatment. 28. Cushing s syndrome: definition, etiology, pathogenesis, clinical features, diagnosis, differential diagnosis, course and outcomes. Treatment. 29. Aortic stenosis. Etiology, pathophysiology, clinical features. Laboratory diagnosis. Treatment.
3 30. Chronic pancreatitis: definition, etiology, pathogenesis, classification, clinical features, diagnosis, differential diagnosis, course and outcomes. Treatment. 31. Hypothyroidism: definition, etiology, pathogenesis, clinical features, diagnosis, differential diagnosis, complications and outcomes. Treatment. 32. Myocardial diseases. Cardiomyopathy. Definition, classification. Dilated cardiomyopathy. Pathogenesis of hemodynamic disorders. Clinical features, diagnosis, differfntial diagnosis. Prognosis. Treatment. 33. Hypertrophic Cardiomyopahty. Definition, hemodynamic disorders, clinical features, diagnosis, differential diagnosis. Prognosis. Treatment. 34. Diseases of the aorta. Definition, classification. Clinical features, diagnosis, differfntial diagnosis. Treatment. 35. Pericardial diseases. Pericarditis. Definition, classification of pericarditis. Acute and chronic pericarditis. Clinical features, diagnosis, treatment. Cardiac tamponade. Diagnosis, emergency care. 36. Pleural diseases. Pleurisy. Definition, etiology, pathogenesis, clinical features. Diagnosis, differential diagnosis, complications and outcomes. Treatment. 37. Allergy, Anaphylaxis and Urticaria. Etiology, pathogenesis, clinical features. Diagnosis, approach to treatment. Immediate treatment of anaphylaxis and anaphylactoid reactions. Prognosis. 38. Cor Pulmonale. Definition, classification. Pathophysiology. Clinical manifestations, laboratory examination. Treatment. Prognosis. 39. Secondary arterial hypertension. Renovascular hypertension, hypertension in patients with renal parenchymal diseases. Diagnosis, differential diagnosis, approach to treatment. Prognosis. 40. Urgent cardiac arrhythmias. Tachyarrhythmias. Electrophysiological mechanisms, pathogenesis of hemodynamic disorders, clinical features. Diagnosis, differential diagnosis..pharmacologic antiarrhythmic therapy, indications for cardioversion. Prognosis. 41. Bradyarrhythmias. Etiology, hemodynamic disorders, clinical features. Diagnosis, approach to treatment. Indications for temporary and permanent pacing. Complications of pacemaker. Prognosis. 42. Cardiovascular syncope. Etiology, pathogenesis, clinical features. Diagnosis, diffefrntial diagnosis. Treatment. Outcomes. 43. Systemic vasculitis: definition, etiology, pathogenesis, clinical variants, diagnosis, approach to treatment, prognosis. 44. Secondary Endocrinal arterial hypertensions. Primary hyperaldosteronism, Cushing s syndrome. Pathogenesis, diagnosis, differential diagnosis. Treatment, prognosis.
4 45. Bronchiectatic disease. Definition. Etiology and pathogenesis. Clinical features. Diagnosis, differential diagnosis. Treatment. Complications and outcomes. 46. Myocardial infarction: definition, classification, clinical features, ECG and laboratory diagnosis, cause and outcomes. Treatment. 47. Complications of acute period of myocardial infarction: pathogenetic mechanisms, clinical features, ECG signs. Diagnosis. Course and prognosis. Treatment. II. 1. Differential diagnosis of the diseases which are accompanied by diarrhoea. 2. Emergency aid and treatment of patients with epistaxis due to internal disease. 3. Differential diagnosis of the diseases which provoke the development of cor pulmonale. 4. Complications of the anticoagulant treatment of patients with myocardial infarction. Emergency aid. 5. Emergency aid for the patients with food intoxication. 6. Emergency aid for the patients with hypertensive crisis. 7. Differential diagnosis of renal diseases with disorders of urine sediment. 8. Emergency aid and treatment of patients in acute period of myocardial infarction. 9. Acute renal failure. Diagnosis, management. 10. Differential diagnosis of the diseases with pleural effusion. 11. Treatment of patients with congestive heart failure. 12. Differential diagnosis of the diseases with abdominal pain. 13. Differential diagnosis of the diseases with dyspnea. 14. Differential diagnosis of the diseases with joint pain. 15. Emergency aid in gastrointestinal bleeding. 16. Differential diagnosis of the diseases with premature heart beats. 17. Differential diagnosis of the diseases with chest pain. 18. Emergency aid and treatment of patients with cardiogenic shock. 19. Treatment of patients with bronchial asthma.
5 20. Hematuria: mechanisms of formation. Differential diagnosis of the diseases with hematuria. 21. Treatment of patients with chronic renal failure. 22. Emergency aid and treatment of patients with acute cholecystitis. 23. Differential diagnosis of the diseases with heart blocks. 24. Emergency aid and treatment of patients with acute pancreatitis. 25. Emergency aid and treatment of patients with stable stenocardia. 26. Differential diagnosis of the diseases with cardiomegaly. 27. Hepatomegaly: causes and mechanisms of development. Differential diagnosis of the diseases with hepatomegaly. 28. Emergency aid and treatment of the patients with Addison s disease. 29. Differential diagnosis of the diseases with goiter. 30. Differential diagnosis of the diseases with ascitis. 31. Emergency aid for the patient with pulmonary edema. 32. Emergency aid and treatment of patients with Spontaneous pneumothorax. 33. Emergency aid and treatment of patients with congestive heart failure. 34. Emergency aid and treatment of patients with acute allergic diseases: urticaria, angioedema, acute anafylaxy. 35. Emergency aid for patients with acute heart failure. 36. Treatment of patients with unstable stenocardia. 37. Emergency aid in hemoptisis and pulmonary bleeding. 38. Differential diagnosis of the diseases with edema. 39. Emergency aid in thyroid storm. 40. Differential diagnosis of the disease with systolic aortic murmur. 41. Differential diagnosis of the diseases with atrial fibrillation. 42. Emergency aid for patients with acute abdominal pain. 43. Differential diagnosis of complications of peptic ulcer disease. 44. Emergency aid and treatment of patients with diabetic ketoacidosis and hypoglycemia.
6 45. Emergency aid for patients with syncope and collapse. III. Military medicine 1. The main types of chemical agents. Nerve agents. Mechanism of action. Signs and symptoms of nerve agents exposure. 2. Lethal doses of various nerve agents. Lungs and airways effects of nerve agents exposure. Mechanism of action. Emergency care. 3. Nerve agents. Identification of an Attack. Emergency care. The main antidotes. 4. Triage and Decision Making of nerve agent casualties. 5. Vesicants. Mechanism of action. Signs and symptoms of vesicants exposure. 6. Emergency treatment of Vesicant casualties. Triage and Decision Making. Prognosis. 7. Cyanide Chemical agents. Toxicity. Mechanism of action. Signs and symptoms of cyanide exposure. 8. Cyanide Chemical agents. Emergency care. Triage and Decision Making. 9. Pulmonary agents. Toxicity. Signs and symptoms of Pulmonary agents exposure. 10. Pulmonary agents. Emergency care for casualties. Triage and Decision Making. 11. Riot Control agents. Mechanism of action. Signs and symptoms of Riot agent exposures. Emergency care. Triage and Decision making. 12. Protection against Chemical agents. Chemical Agent Prophylaxis. Principles of decontamination. 13. Mechanisms of radiation injury. Physical properties of radioactive particles. Acute external whole body exposure. The main clinical syndromes. 14. Types of radiation injury. Effects of radiation on cells. Damage of chromosomes, Genes, effects on tissues. 15. The main clinical syndromes of radiation exposure. 16. Internal radiation exposure. Portal of entry. Clinical syndromes. 17. Acute Radiation disease. Classification. Major forms and features of the acute radiation syndrome. Diagnosis. 18. Methods of treatment of primary radiation reaction.
7 19. Chronic radiation disease: its classification, main clinical symptoms, diagnosis and treatment. 20. Emergency aid and treatment of radiation accident victims. 21. Principles of nuclear injury care. Search and Rescue. Evacuation and sheltering. Decontamination. 22. Principles of treatment of thermal burns in nuclear agents casualties. 23. Supportive medical care for nuclear casualties. 24. Crush syndrome. Definition, classification, clinical symptoms. 25. Crush syndrome. Clinical manifestations of the first period. Emergency care. 26. The second period of crush syndrome. Clinical symptoms, diagnosis, methods of treatment. Complications. 27. Principles of treatment of acute renal failure in patients with crush syndrome. 28. The third period of crush syndrome. The main symptoms, diagnosis, approach to treatment. 29. Acute renal failure in patients with crush syndrome, diagnosis, treatment, prognosis. 30. Triage. Definition, triage categories, principles of triage. 31. The main criteria of «Immediate» categorization in triage. Prognosis. 32. The main criteria of «Delayed» categorization in triage. Prognosis. 33. The main criteria of «Expectant» categorization in triage. Prognosis. 34. The main criteria of «Minimal» categorization in triage. Prognosis. 35. Triage teams. Principles of work. Triage tags. 36. Burn disease. Definition. Classification. Characteristic and clinical features of burn shock. Treatment. 37. Prophylactic measures in radioactive catastrophes. 38. Pathology of visceral organs in burn disease. Diagnosis. Treatment. 39. Compartment syndrome. Risk factors, symptoms, diagnosis, treatment.
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