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
- History taking (Medical
interview)
- Physical examination –
generally. Approach to the patient
- General inspection
(aspection) of the patient
- Examination of the arterial
pulse and venous pressure
- Abnormalities of height,
weight, nutritional status, stature
- Typical positions, movements,
disorders of gait, speech
- Examination of respiration,
breathing patterns
- Disturbances of conciousness,
orientation and cognitive functions
- Disturbations of the skin,
hair and nails
- Examination of the head
- Examination of the neck
- Aspection of the chest,
thoracic lines, the breast examination
- Percussion of the chest
- Auscultation of the chest,
breath sounds
- Added breath sounds,
crackles, wheeze, stridor, pleural rub
- Physical findings in mitral
valvular disease
- Vocal fremistus, vocal
resonance, physical findings in pneumothorax
- Physical findings in lung
emphysema, bronchial asthma and bronchitis
- Physical findings in pneumonias
- Physical findings in diseases
of pleura
- Physical examination of the
heart: inspection, palpation, cardiac auscultation
- Heart sounds and their
abnormalities
- Physical findings in aortic
valvular disease
- Examination of the abdomen:
inspection, percussion, auscultation
- Examination of the abdomen:
palpation
- Examination of the liver and
gall bladder
- Examination of the spleen,
lymph nodes and kidneys
- Examination of the
perianal/genitalia region, rectal examination
- Examination of extremities
and spine
- Physical examination of the
arterial and venous system
- Description of normal
physical examination
- Non-invasive examinations in
cardiology
- Assessment of red blood cell
count
- Heart murmurs, extracardiac
murmurs
- Pulmonary embolism on ECG
- Blood pressure measurement
- Measuring body temperature,
patterns of fever, hypothermia
- Diuresis, abnormalities in
urine volume and composition, voiding symptoms
- Basic biochemical methods in
medicine, biochemical screening
- White blood cell count, bone
marrow examination
- Examination methods in
gastroenterology
- Ventricular ectopic beats,
ventricular tachycardia and fibrillation
- P-pulmonale, P-mitrale
- Cycle ergometry and treadmill
excercise testing – indications, methods and assessment
- Functional tests and imaging
methods in renal diseases
- Functional tests and imaging
methods in lung disorders
- Performing urinalysis and
microscopy of urine specimen
- Atrioventricular heart blocks
- Supraventricular ectopic
beats and tachycardias on ECG
- Anterior myocardial
infarction on ECG
- Inferior myocardial
infarction on ECG
- Invasive investigations in
cardiology
- Characteristics of the normal
ECG
- Investigation of hemostasis
- Atrial fibrillation and
atrial flutter on ECG
- Investigations before
transfusion, pre-transfusion testing
doc. MUDr. Jaromír Eiselt, Ph.D.
deputy head for education