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UNIVERZITA KARLOVA V PRAZE
 | DOMŮ | FAKULTA | STUDIUM | ÚŘEDNÍ DESKA | KONTAKT |
LÉKAŘSKÁ FAKULTA V PLZNI
Studijní informace:   Examination for internal propedeutics
Datum publikování: 8.11.2010  Sekce: Medical studies in English

Examination for internal propedeutics at the department of internal medicine 1 in the academic year 2010/2011 has two parts, both held in one day:

 

1) we start with the practical examination:

a) The teacher chooses an appropriate patient and asks the student to perform some part of the physical examination (physicals), e.g. examination of the lungs.

b) The student approaches lege artis to the patient and asks him/her about presenting complaint. 

c) The student shall perform the given part of the physical

 

Should the student not be able to communicate with the patient in Czech, the teacher will help the student and interpret the questions/answers and necessary instructions to the patient during the physical, e.g. "deep breath in - deep breath out and hold" etc.

 

d) The student writes (on an A4 sheet of paper) notes about presenting complaints (e.g. „86-year-old man was admitted due to…(one or two sentences)) and also writes down the findings from the given part of the physical (the same way as if he/she would write regular medical notes on the patient´s chart).

 

The teacher assisting with the communication observes the student´s work and can give additional questions/comments. The teacher writes the theme of the practical exam and the grade achieved in the Examination book. The written notes from the physicals are given to the teacher for the next part of the exam, the oral examination.

 

2) The oral examination: The student draws a card with a pair of questions,  He/She has 15 minutes for preparation and then presents the topic to the examiner.

 

Propedeutics in Internal medicine

List of questions for exmination, 2010/2011

 

  1. History taking (Medical interview)
  2. Physical examination – generally. Approach to the patient
  3. General inspection (aspection) of the patient
  4. Examination of the arterial pulse and venous pressure
  5. Abnormalities of height, weight, nutritional status, stature
  6. Typical positions, movements, disorders of gait, speech
  7. Examination of respiration, breathing patterns
  8. Disturbances of conciousness, orientation and cognitive functions
  9. Disturbations of the skin, hair and nails
  10. Examination of the head
  11. Examination of the neck
  12. Aspection of the chest, thoracic lines, the breast examination
  13. Percussion of the chest
  14. Auscultation of the chest, breath sounds
  15. Added breath sounds, crackles, wheeze, stridor, pleural rub
  16. Physical findings in mitral valvular disease
  17. Vocal fremistus, vocal resonance, physical findings in pneumothorax
  18. Physical findings in lung emphysema, bronchial asthma and bronchitis
  19. Physical findings in pneumonias
  20. Physical findings in diseases of pleura
  21. Physical examination of the heart: inspection, palpation, cardiac auscultation
  22. Heart sounds and their abnormalities
  23. Physical findings in aortic valvular disease
  24. Examination of the abdomen: inspection, percussion, auscultation
  25. Examination of the abdomen: palpation
  26. Examination of the liver and gall bladder
  27. Examination of the spleen, lymph nodes and kidneys
  28. Examination of the perianal/genitalia region, rectal examination
  29. Examination of extremities and spine
  30. Physical examination of the arterial and venous system
  31. Description of normal physical examination
  32. Non-invasive examinations in cardiology
  33. Assessment of red blood cell count
  34. Heart murmurs, extracardiac murmurs
  35. Pulmonary embolism on ECG
  36. Blood pressure measurement
  37. Measuring body temperature, patterns of fever, hypothermia
  38. Diuresis, abnormalities in urine volume and composition, voiding symptoms
  39. Basic biochemical methods in medicine, biochemical screening
  40. White blood cell count, bone marrow examination
  41. Examination methods in gastroenterology 
  42. Ventricular ectopic beats, ventricular tachycardia and fibrillation
  43. P-pulmonale, P-mitrale
  44. Cycle ergometry and treadmill excercise testing – indications, methods and assessment
  45. Functional tests and imaging methods in renal diseases
  46. Functional tests and imaging methods in lung disorders
  47. Performing urinalysis and microscopy of urine specimen
  48. Atrioventricular heart blocks
  49. Supraventricular ectopic beats and tachycardias on ECG
  50. Anterior myocardial infarction on ECG
  51. Inferior myocardial infarction on ECG
  52. Invasive investigations in cardiology
  53. Characteristics of the normal ECG
  54. Investigation of hemostasis
  55. Atrial fibrillation and atrial flutter on ECG
  56. Investigations before transfusion, pre-transfusion testing

 

doc. MUDr. Jaromír Eiselt, Ph.D.

deputy head for education

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