Questions of phthisiology for the exam for therapy

The list of educational questions for 6th course studentsto pass final practical examination in “Internal Medicine”, section “Phthisiology”

The degree of Doctor of Medicine is conferred upon students who have satisfactorily achieved the requirements stated as follows:

1. Examination of the patient with pulmonary tuberculosis (TB). The importance of providing information in the standard manner physicians are used to.Primary and Post Primary TB (basic images and sequelae). Atypical presentations of Pulmonary TB on a Chest X-Ray.
2. Milliary Tuberculosis. Pathogenesis, clinico-roentgenologic peculiarities, diagnostics. Management of patients with milliary TB.
3. Contact screening and management.Importance of the role of specialist physicians and their integration in the strategies of a tuberculosis control programme.
4. Primary and secondary chemoprophylaxis. Factors Predicting TB Transmission. Main groups at risk.
5. Active case finding.Contact tracing: cases in hospital inpatients.Preventing infection in specific settings.
6. Immunology, Pathogenesis and Virulence of MBT. Host Genetics and Susceptibility. Types of Mycobacterium tuberculosis. Specimen handling.
7. Recommended approach to diagnosis of TB.
8. The role of family physician in management of respiratory TB.
9. Nodular opacities associated with pulmonary TB. Pathogenesis, clinical&radiological peculiarities, diagnostics, management.
10. Pulmonary infiltrates associated with pulmonary TB. Pathogenesis, clinical&radiological peculiarities, diagnostics, management.
11. Fibro-cavitary TB.Pathogenesis, clinical&radiological peculiarities, diagnostics, management.
12. Administering, reading and interpreting a tuberculin skin test.
13. Treatment of TB in children. DОТ – strategy.
14. Drug-resistant TB: mechanism of resistance development, definitions, case management.
15. TB-HIV co-infection. Novel developments in the co-management of patients under ART and anti-TB treatment.
16. Subacute disseminated TB. How are TB bacilli spread? How is the clinical diagnosis of tuberculosis confirmed? Treatment regimens. 
17. Tuberculous pleurisy (pleural empyema) Pathogenesis, pathomorphism, clinical presentation and diagnostical aspects, differential diagnosis, treatment, outcome determination. Management of tuberculosis patients.
18. Tuberculous meningitis. Examination of patients with tuberculous meningitis. Diagnosis, treatment. Differential diagnosis with meningitis of other etiology.
19. Complication of pulmonary TB: hemoptysis, lung hemorrhage. Diagnostics, management in primary health care settings. 
20. Spontaneous pneumothorax. Pathogenesis, diagnostics. Treatment approaches.

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