Department of Oncotherapy - Szeged

6725 Szeged, Semmelweis Str. 6.

Secretary:

+36 62 545 820

fax:

+36 62 544 568

Information:

+36 62 545 260

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Head of Department:

Prof. Forster Tamás  M.D.

INTERNAL MEDICINE FINAL EXAM TOPIC LIST 2018-2019.

MAIN QUESTIONS:

Gastroenterology, hepatology:

1. Gastroesophageal reflux disease
2. Benign esophageal strictures
3. Esophageal tumors
4. Gastroduodenal ulcer disease, gastroduodenitises.
5. Gastric tumors
6. Celiac disease, malabsorption
7. Nutritvie allergy, food intolerance
8. Ulcerative colitis
9. Crohn’s disease
10. Irritable bowel syndrome (IBS)
11. Precancerous lesions of the colon, colorectal malignancies
12. Diverticular disease (colonic diverticulosis and diverticulitis)
13. Functional Gastrointestinal disorders
14. Disorders of the anorectal function
15. Gallstone disease (cholecystolithiasis, choledocholithiasis)
16. Tumors of the bile ducts
17. Acute pancreatitis
18. Chronic pancreatitis
19. Pancteratic tumors
20. Alcoholic liver disease
21. NASH – nem alcoholic steatohepatitis
22. Chronic viral hepatitis (HBV, HCV)
23. Portal hypertension and its complications
24. Liver cirrhosis
25. Tumors of the liver

Nephrology, hypertonology:

26. Nephrotic syndrome
27. Tumors of the kidney
28. Chronic renal failure
29. Acute renal failure
30. Primary hypertension
31. Secondary hypertension
32. Urinary tract infections
33. Glomerulonephritises
34. Tubulointerstitial nephritises
35. Renal disorders in pregnancy

Endocrinolology:

36. Diseases of the neurohypophysis
37. Hyperfunction of the adenohypophysis
38. Hypofunction of the adenohypophysis
39. Hyperthyreoidism
40. Hypothyreoidism
41. Normofunctional goiter
42. Tumors of the thyroid gland
43. Disorders of the parathyroid gland
44. Adrenal cortex insufficiency
45. Tumors of the adreanal gland
46. Osteoporosis

Metabolism:

47. Type 1 diabetes mellitus
48. Type 2 diabetes mellitus
49. Complications of diabetes mellitus
50. Disorders of lipid metabolism
51. Gout, hyperuricemia
52. Obesity
53. Metabolic syndrome

Immunology (rheumatology):

54. Systemic lupus erythematosus (SLE)
55. Systemic sclerosis (Scleroderma)
56. Polymyositis, dermatomyositis
57. ANCA-associated vasculitises
58. Rheumatoid arthritis
59. Osteoarthrosis, spondylosis
60. Spondylarthritises

Cardiology, angiology:

61. Acute coronaria syndrome
62. Acute myocardial infarction and its complications
63. Chronic ischemic heart disease, postinfarction care
64. Heart failure and its treatment
65. Acute left ventricular failure
66. Acquired valvular disorders (mitral and tricuspid valve)
67. Acquired valvular disorders (aortic and pulmonary valve)
68. Congenital heart disorders
69. Infective endocarditis
70. Atrial fibrillation
71. Impulse generetion disorders of the heart (except atrial fibrillation)
72. Conduction disorders of the heart
73. Myocarditises
74. Disorders of the pericardium
75. Dilatative cardiomyopathies
76. Atherosclerosis and disorders of the arteries
77. Acut aortic syndrome (aneurysm, dissection)
78. Chronic venous insufficiency
79. Deep venous thrombosis
80. Pulmonary embolism

Haematology

81. Megaloblastic anaemia
82. Haemolitic anaemia: clinical features, major types
83. Microcytic anaemia: clinical features, treatment
84. Thrombocytopenia: causes, differencial diagnosis
85. Clinical features and diagnosis of hereditary and acquired coagulopathy
86. Thrombophilia: causes, clinical features, management
87. Acute leukemia: clinical features, diagnosis, treatment
88. Ph chromosome positive chronic myeloproliferative disorder (chronic myeloid leukemia) clinical features, diagnosis, treatment
89. Indolent lymphomas: clinical features, treatment
90. Aggressive lymphomas: clinical features, treatment
91. Plasma cell disorders: clinical features, diagnosis, treatment
92. The relevance of haematopoietic stem cell transplantation in haematopoietic disorders.
93. Ph chromosome negative chronic myeloproliferative syndromes (MF, PV, ET)

Pulmonology:

94. Pneumonias
95. Chronic obstructive pulmonary disorders (COPD)
96. Bronchial Asthma
97. Pulmonary neoplasms
98. Pulmonary fibrosis

Infectology:

99. Bacterial infections of the gastrointestinal tract
100. Helminthiasis and parasitic enteral infections
101. Acquired Immune Deficiency Syndrome (AIDS)
102. Acute viral hepatitises
103. Mononucleosis infectiosa, mononucleosis syndrome

GENERAL QUESTIONS:

Gastroenterology, hepatology:

1. Achalasia cardiae
2. Spastic esophageal motilitty disorders (DES, Nutrcacker, Jackhammer)
3. Esophageal diverticula and hiatal hernia
4. Eosinophylic esophagitis
5. Functional heartburn and globus
6. Functional dyspepsia
7. Postcholecystectomy syndromy, Oddi-sphincter dyskinesia
8. Wilson’s disease
9. Haemochromatosis
10. Primary biliary cholangitis
11. Liver abscess, liver cysts
12. Intrahepatic cholestasis
13. Gilbert’s disese
14. Microscopic colitis
15. Hereditary polyposis syndromes of the colon
16. Autoimmune pancreatitis
17. Functional constipation and diarrhoea
18. Hirschprung’s disease and anorectal dysfunction
19. Enteral nutrition
20. Total parenteral nutrition

Nephrology, hypertonology:

21. Polycystic kidney disease
22. Tubular nephropathies
23. Rapidly progressive glomerulonephritises
24. Kidney stones
25. Disorders of the potassium metabolism
26. Dialysis treatment and kidney transplantation
27. Malignant hypertension
28. Renal manifestations of systemic disorders

Endocrinology, metabolism:

29. Phaeochromocytoma
30. Neuroendocrin tumorok
31. MEN szindrómák
32. Diabetes and pregnancy
33. Male and female hypogonadism
34. Thyreoiditises
35. Insulin resistance
36. Impaired glucose tolerance

Cardiology, angiology:

37. Vasospastic angina
38. Long QT syndrome
39. Mitral valve prolapse
40. Non-pharmacological treatment of arrhythmias
41. Pharmacological treatment of arrhythmias
42. Heart transplantation
43. Hypertrophic obstructive cardiomyopathy
44. Restrictive cardiomyopathy
45. Bürger’s disease
46. Cardiovascular risk stratification
47. Sudden cardic death, asystolia
48. Rheumatic fever
49. Pulmonary hypertension

Hematology:

50. Causes of pancytopenia (aplastic anaemia and myelodysplasia in detail)
51. Clinical features and management of amyloidosis
52. Neutropenia: causes, clinical features, treatment
53. Microangiopathic haemolysis: clinical features, diagnosis
54. Anticoagulant treatment: indications, types
55. Causes of hepatosplenomegaly
56. Causes of lymphadenopathy

Immunology, rheumatology:

57. Sjögren’s syndrome
58. Takayasu arteritis
59. Henoch-Schönlein purpura
60. Boeck sarcoidosis
61. Giant cell arteritis
62. Polymyalgia rheumatica
63. Periarthritis humeroscapularis syndrome 66. Soft tissue rheumatism
64. Raynaud syndrome

Toxicology, infectology:

65. Digitalis intoxication
66. Lead, mercury, arsene, phosphor intoxication
67. Intoxication caused by sedatives and narcotics.
68. Alcohol intoxication
69. Mushroom poisoning
70. Corrosive gastrointestinal injuries
71. Botulism
72. C. difficile infection (pseudomembranous colitis)
73. Intestinal tuberculosis
74. Enteral viral infections
75. Small intestinal bacterial overgrowth syndrome (SIBO)
76. NSAID toxicity
77. Anticoagulant intoxication
78. Toxic effects of irradiation
79. Principles of antibacterial treatment

DIFFERENCIAL DIAGNOSIS:

1. Prolonged unconscious conditions and their differentiation
2. Headache
3. High blood pressure, hypertensive crisis
4. Fever, subfebrility
5. Septicaemia
6. Shock
7. Electrolite disorders
8. Acid-base disorders
9. Cough
10. Dyspnea
11. Pleural effusion
12. Pulmonary infiltration
13. Chest pain
14. Arrhythmias
15. Hematuria, pyuria
16. Proteinuria
17. Loss of appetite, weightloss, malnutrition
18. Dysphagia, odynophagia
19. Nausea, vomiting
20. Gastrointestinal bleeding
21. Abdominal pain, acute abdomen
22. Diagnostic work up if lymphoproliferative disorder is suspected
23. Jaundice
24. Ascites
25. Constipation
26. Diarrhoea, fecal incontinence
27. Abdominal mass
28. Diferential diagnosis of anemias
29. Leukocytosis: causes, differencial diagnosis
30. Leukopenia, agranulocytosis
31. Diagnostic work up if bleeding disorder is suspected
32. Diagnosis of consumption coagulopathy (DIC)
33. Arthralgia
34. Waist pain
35. Itching, change in the skin color and skin’s appendages
36. Hypoglycaemia
37. Diabetic ketoacidosis
38. Gastrointestinal endoscopy (diagnostic, therapeutic, histological sampling), except ERCP.
39. ERCP – endoscopic retrograde cholangio-pancreatography
40. Evaluation of gastrointestinal motility disorders
41. Diagnostic methods of gastroesophageal reflux
42. Evaluation of the liver function
43. Evaluation fo the pancreatic function
44. Abdominal ultrasound, endosonography
45. Radiological evaluation of the gastrointestinal tract
46. Liver biopsy
47. Physical examination of the heart and the circulation
48. Echocardiography (resting, stress)
49. ECG (resting, excercise, HOLTER)
50. Hemodynamical examinations (ventriculography, aortography, coronarography, intracoronary US)
51. CT and MRI evaluation of the heart
52. Electrophysiological examination of the heart, myocardial biopsy
53. Evaluationof the thyroid function
54. Evaluation of the adrenal function
55. Evaluation of adenohypophysis function
56. Radiological examination of the chest and the lungs
57. Evaluation of the respiratory function
58. Right sided heart failure
59. Left sided heart failure
60. Evaluation of the kidney function
61. Kidney biopsy
62. Examination of the bone marrow, full blood count and periferal blood film
63. Immunológical test sin systemic disorders, tumor markers
64. Isotope diagnostic methods in internal medicine