Questions for credit.

Section 1.Practical activities of the district therapist of the polyclinic.

Section 2.Features of the work of the district therapist with patients of different population groups.

1. The purpose and objectives of primary prevention of diseases of internal organs.

2. The purpose and objectives of secondary prevention of diseases of internal organs.

3. Evaluation of the effectiveness of clinical examination.

4. Criteria for recovery and rehabilitation.

5. Documentation on medical and social expertise.

6. Diseases in which there is a preferential provision of medicines.

7. Features of the clinical course of NDC, mitral valve prolapse, heart rhythm disorders in adolescents.

8. Features of the clinical course of peptic ulcer of the stomach and 12 duodenal ulcer in adolescents.

9. Diseases, the most typical in people in elderly and senile age.

10. Causes and conditions of atypical course of diseases of internal organs in patients of the older age group.

11. Medical indications for abortion.

12. Features of the clinical course and treatment of hypertensive disease in pregnant women.

13. Features of the clinical course and treatment of IDA and B12-deficiency anemia in pregnant women.

14. Indications and contraindications to the use of antibiotics, NSAIDs, antihypertensive drugs during pregnancy.

15. Features of dispensary observation of pregnant women suffering from somatic diseases.

16. Medical tactics of management of patients with heart defects, CHF, diabetes mellitus during pregnancy.

17. Probable and reliable symptoms that allow one to suspect oncopathology of respiratory organs, gastrointestinal tract, breast, thyroid, etc.

Section 3. Diseases of the cardiovascular system

1. The main risk factors for the development of IHD

2. Main clinical manifestations of IHD

3. Criteria for the diagnosis of various forms of angina pectoris

4. Name the ECG-signs of acute myocardial infarction

5. Criteria for different classes of angina pectoris

6. Biochemical markers of myocardial damage in case of infarction

7. What is the resorption-necrotic syndrome in infarction

8. What atypical forms of MI do you know

9. The main complications of MI

10. Which groups of drugs are used to treat angina pectoris and myocardial infarction

11. Is the hospitalization of patients with ACS

12. Secondary (symptomatic) arterial hypertension (AH)

13. What is a DMAD

14. Classification of essential hypertension (GB)

15. Criteria for the diagnosis of symptomatic hypertension

16. Categories of cardiovascular risks in patients with GB

17. What should be the diet in patients with GB

18. Basic principles of treatment of patients with GB

19. Indications for initiating drug treatment for patients with AH

20. The main groups of antihypertensive drugs

21. The main pathogenetic mechanisms of CHF development

22. Clinical manifestations of CHF

23. Modern classification of CHF

24. General recommendations for managing patients with CHF

25. The main groups of drugs used to treat patients with CHF

26. Indications for the appointment of cardiac glycosides

27. Criteria for the diagnosis of myocarditis

28. Criteria for the diagnosis of dilated cardiomyopathy

29. Criteria for the diagnosis of hypertrophic cardiomyopathy

30. List the main forms of rhythm disturbance and conduction

31. Indications for the appointment of indirect anticoagulants to patients with diseases of the cardiovascular system.

32. Atrial fibrillation. Classification.Principles of therapy.

 Section 4.Kidney disease.

1. Give the definition of urinary syndrome

2. What are the causes of oliguria and polyuria?

3. Criteria for the diagnosis of acute glomerulonephritis (OGN)

4. Criteria for the diagnosis of chronic glomerulonephritis (CGN)

5. Criteria for the diagnosis of chronic pyelonephritis (CRF)

6. Define the term "chronic kidney disease"

7. Clinical, laboratory signs of nephrotic syndrome

8. Criteria for the diagnosis of renal amyloidosis

9. Main signs of pathogenetic treatment of glomerulonephritis

10. The main groups of drugs used to treat glomerulonephritis

11. Basic principles of treatment of chronic pyelonephritis.

12. Examination of temporary and permanent incapacity for work of patients with kidney diseases

 Section 5.Diseases of the joints.

1. Clinical and roentgenologic signs of articular syndrome

2. Criteria for the diagnosis of rheumatoid arthritis (RA)

3. Characteristic radiographic signs of RA

4. The purpose, objectives and main features of RA treatment

5. Differential diagnosis of articular syndrome in RA and osteoarthritis

6. The main groups of drugs used in rheumatology

7. Criteria for the diagnosis of osteoarthritis, risk factors for its development

8. Risk factors for developing gout

9. Criteria for the diagnosis of gout

10. Factors provoking attacks of joint pain for gout

11. Basic principles of treatment of gout patients. Absoluteindicationsforallopurinoladministration

12. Examination of work capacity of patients with articular syndrome

 

Thematic plan of practical lessons.

№	Subject	Date
1	Organization of the work of the local therapist. The order of discharge by the district therapist of hospital sheets and prescriptions.
2	Features of the course and treatment of somatic diseases in old age. Features of somatic pathology in pregnancy.
3-4	Hypertensive disease and symptomatic hypertension.
5	Atrial fibrillation
6-7	Pain in the heart.
8	Diseases of the myocardium
9	Primary and secondary prevention
10	cardiovascular diseases
11	Acute and chronic glomerulonephritis.
12	Chronic pyelonephritis.
13	Nephrotic syndrome.
14	Chronic kidney disease.
15	Urinary Syndrome
16	Articular syndrome
17	Rheumatoid arthritis.
18	Osteoarthritis

 

Thematic plan of lectures.

№	Subject	Нours	Date
1.	Organization of the work of the local therapist. The order of discharge by the district therapist of hospital sheets and prescriptions. Clinical and expert work and principles of medical and social expertise in outpatient practice.	2
2.	Features of the course and treatment of somatic diseases in old age. Features of somatic pathology in pregnancy.	2
3.	Hypertensive disease and symptomatic hypertension.	2
4.	Pain in the heart.	2
5.	Acute and chronic glomerulonephritis.	2
6.	Nephrotic syndrome	2
7.	Chronic pyelonephritis	2
8.	Osteoarthritis	2
9.	Gout	2

Head of the Department of Therapy and

occupational diseases                                                                                               Shutov АМ