1. lékařská fakulta Univerzita Karlova 1. lékařská fakulta Univerzita Karlova IV. Interní klinika 1.LF UK a VFN
29.10.2021

6. year internal medicine state exam

Questions for the state exam in internal medicine, version 2021-2022

 

1. a) Bronchial asthma

    b) Non-Hodgkin lymphoma, chronic lymphocytic leukemia, and related diseases

    c) Differential diagnosis of edema

 

2. a) Thrombophilic disorders, anticoagulation treatment

    b) Pleural diseases

    c) Differential diagnosis of renal insufficiency

 

3. a) Viral hepatitis

    b) Metabolic osteopathy

    c) Differential diagnosis of chest pain

 

4. a) Endocarditis

    b) Gouty arthritis

    c) Differential diagnosis of dyspnea

 

5. a) Type 2 diabetes mellitus

    b) Principles of supportive treatment in hematology; febrile neutropenia

    c) Differential diagnosis of pleural effusion

 

6. a) Shock states

    b) Reactive and psoriatic arthritis

    c) Differential diagnosis of dysphagia

 

7. a) Diseases of the stomach and duodenum

    b) Principles of effective hemotherapy; transfusion products and blood derivatives. Prerequisites for blood donation, donor examination. Hemapheresis in clinical hematology and transfusion medicine; principles of immunohematology

    c) Differential diagnosis of hematuria

 

8. a) Diseases of the large intestine

    b) Lung diseases in systemic connective tissue diseases and vasculitis

    c) Differential diagnosis of pathological laboratory findings of blood count

 

9. a) Arterial hypertension

    b) Interstitial pneumonia caused by exogenous causes

    c) Differential diagnosis of anorexia and weight loss

 

10. a) Hypofunction and hyperfunction of the thyroid gland

    b) Epidemiology and prevention of cardiovascular disease

    c) Differential diagnosis of abdominal pain

 

11. a) Diseases of the gallbladder, bile ducts, and jaundice

    b) Systemic vasculitis

    c) Differential diagnosis of lymph node enlargement

 

12. a) Diseases of the esophagus

    b) Bradycardia

    c) Differential diagnosis of joint pain and swelling

 

13. a) Acute renal failure

    b) Tachycardia

    c) Differential diagnosis of enterorrhagia and melena

 

14. a) Liver diseases

    b) Defects of the mitral valve

    c) Differential diagnosis of febrile states

 

15. a) Defects of the aortic valve

    b) Myeloproliferative diseases - CML and Ph negative myeloproliferation

    c) Differential diagnosis of ascites

 

16. a) Heart failure

    b) Gonadal diseases, polyglandular syndromes

    c) Differential diagnosis of high erythrocyte sedimentation rate and CRP

 

17. a) Cardiopulmonary resuscitation

    b) Monoclonal gammopathy, plasmacytoma; amyloidosis

    c) Differential diagnosis of jaundice

 

18. a) Lung cancer

    b) Defects of the right heart, congenital heart defects

    c) Differential diagnosis of hyponatremia

 

19. a) Diseases of the pancreas

    b) Osteoarthritis and spondylarthritis

    c) Differential diagnosis of obesity

 

20. a) Pneumonia, lung abscess, bronchiectasis

      b) Gastrointestinal tract bleeding

      c) Differential diagnosis of syncope

 

21. a) Chronic obstructive pulmonary disease

      b) Deep vein thrombosis and pulmonary embolism

      c) Differential diagnosis of eating disorders

 

22. a) Diseases of the peripheral arteries and veins

      b) Complications of liver cirrhosis

      c) Differential diagnosis of muscle pain

 

23. a) Stroke

      b) Idiopathic pulmonary fibrosis

      c) Differential diagnosis of nephrotic syndrome

 

24. a) Chronic forms of coronary heart disease

      b) Congenital kidney diseases

      c) Differential diagnosis of peripheral cytopenia

 

25. a) Acute coronary syndromes

      b) Ankylosing spondylitis

      c) Differential diagnosis of hypokalemia and hyperkalemia

 

26. a) Diseases of the small intestine

      b) Endocrine arterial hypertension

      c) Differential diagnosis of chronic fatigue

 

27. a) Tuberculosis

      b) Diseases of the adrenal glands

      c) Differential diagnosis of hypoglycemia and hyperglycemia

 

28. a) Chronic renal failure

      b) Myocarditis, pericardial diseases

      c) Differential diagnosis of pathological biochemical laboratory findings (minerals, renal parameters, proteins)

 

29. a) Aortic diseases

      b) Diseases of the pituitary gland and hypothalamus

      c) Differential diagnosis of anemia

 

30. a) Type 1 diabetes mellitus

      b) Functional disorders of the GI tract

      c) Differential diagnosis of disorders of consciousness

 

31. a) Colorectal cancer

      b) Glomerulopathies in systemic diseases (diabetes, ANCA vasculitis, antiGBM, myeloma)

      c) Differential diagnosis of nausea and vomiting

 

32. a) Acute leukemia, bone marrow suppression, myelodysplastic syndrome

      b) Smoking

      c) Differential diagnosis of oliguria and anuria

 

33. a) Hodgkin lymphoma; diff. dg. of nodular lymphoid hyperplasia and splenomegaly

      b) Hyponatremia and hypernatremia, changes in water content in the body

      c) Differential diagnosis of osteoporosis

 

34. a) Respiratory insufficiency

      b) Disorders of phospho-calcium metabolism, diseases of the parathyroid glands

      c) Differential diagnosis of bleeding into body cavities

 

35. a) Disorders of plasma lipid metabolism - dyslipidemia

      b) Tubulointerstitial nephritis

      c) Differential diagnosis of hemoptysis

 

36. a) Obesity

      b) Rheumatoid arthritis and juvenile idiopathic arthritis

      c) Differential diagnosis of cough

 

37. a) Pulmonary hypertension

      b) Eating disorders

      c) Differential diagnosis of pathological liver tests

 

38. a) Hemolytic anemia; hypoproliferative anemia (sideropenic, chronic diseases, megaloblasti      c)

      b) Systemic scleroderma, polymyositis, dermatomyositis, Sjögren's syndrome

      c) Differential diagnosis of hematemesis

 

39. a) Glomerulonephritis

      b) Metabolic syndrome and cardiometabolic risk

      c) Differential diagnosis of hepatomegaly and splenomegaly

 

40. a) Bleeding disorders; thrombocytopenia, thrombocytopathy, disseminated intravascular coagulation syndrome

      b) Nodes, tumors, and inflammation of the thyroid gland

      c) Differential diagnosis of nausea and vomiting

 

41. a) Diseases of the mediastinum

      b) Extra-articular rheumatism

      c) Differential diagnosis of abdominal pain

 

42. a) Emergencies in pneumology

      b) Systemic lupus erythematosus

      c) Differential diagnosis of anorexia and weight loss

 

43. a) Sarcoidosis

      b) Risk factors of cardiovascular diseases and determination of CV risk

      c) Differential diagnosis of chest pain

 

44. a) Respiratory disorders in sleep

      b) Cardiomyopathy

      c) Differential diagnosis of oliguria and anuria

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