
- •Vinnytsya National Medical University n.A. M.I. Pyrogov
- •Guidelines for Third-year Students of the Medical Department
- •Vinnytsya- 2013
- •Importance of the topic
- •2. Concrete aims:
- •3. Basic training level
- •4. Task for self-depending preparation to practical training
- •4.1. List of the main terms that should know student preparing practical training
- •4.2. Theoretical questions:
- •4.3. Practical task that should be performed during practical training
- •Features of history.
- •7. Reference source
- •Test for self-control
- •Control questions
- •Practical tasks
- •Situation tasks
Features of history.
Risk factors of the respiratory diseases:
Humidity of apartment, overcooling
Contact with patients who has respiratory inflectional diseases
Professional to harmfulness (poultry houses, miners, chemical and cements productions sewing factories and other)
Smoking history more than 10 pack/year (amount cigarettes in a day*number years of smoking/20)
Family history of the respiratory disease.
Materials for self-control (added)
7. Reference source
Olga Kovalyova, Tetyana Ashcheulova Propedeutics to internal medicine, Part 1. – Vinnytsya: NOVA KNYHA, 2006. – p. 15-18, 70-76.
Professor assistant Demchuk H.V.
Test for self-control
1. What are the respiratory symptoms?
A. Chest pain, cough, dyspnea, wheezes, haemoptysis.
B. Pain in the heart region, palpitation, intermissions, oedema
C. Headache, dizziness, dysphagia, nausea, vomiting.
D. Pain in the right subcostal region, bitter taste, brown urine, skin itching, jaundice.
E. Back pain, dysuria, ishuria, eyes oedema, weakness.
2. What are the respiratory symptoms?
A. Abdominal pain, nausea, vomiting
B. Heartburning, faint (syncope), palpitation
C. Cough with rusty sputum, chest pain, dyspnea
D. Swelling abdomen, constipation, melena
E. Oedema, dysuria, haematuria
3. What feature does pleural pain have?
A. Be caused by physical extension
B. Radiate to the right hand
C. Appears and increases due to cough and deep breathing
D. Radiate to the left hand and scapula
E. Duration under 15 minutes.
4. What are the cough causes?
A. Irritation of the larynx receptors
B. Irritation of the trachea and bronchus receptors
C. Irritation of the pleural receptors
D. All mentioned above
E. Northing from above
5. If patient has laryngitis his cough is characterized with
A. harsh and hoarse sound
B. absent of sputum
C. it is permanent
D. it is loud
E. all mentioned above.
6. If patient has clear, thick sputum it is named
A. Mucoid
B. Purulent
C. Copious
D. Fetid
E. Hemoptysis
7. Chronic expectorating copious sputum is observed at patient with
A. Acute bronchitis
B. Asthma
C. Atelectasis
D. Emphysema
E. Bronchiectasis
8. What is an objective dyspnea?
A. Disorders of the respiratory rate
B. Disorders of the respiratory depth
C. Disorders of the respiratory rhythm
D. Disorders of the respiratory rate, depth, rhythm
E. Northing from above
9. Which type of dyspnea is observed at the patients with obstructive syndrome?
A. Expiratory
B. Inspiratory
C. Mixed
D. Changing
E. All mentioned above.
10. Which types of dyspnea do you know?
A. Mixed
B. Expiratory
C. Inspiratory
D. All mentioned above
E. Northing from above
11. Sputum production that contains pus is described by what term?
A. Purulent
B. Fetid
C. Copious
D. Colored
E. None of the above
12. Which of the following characteristics is not typical of pleuritic chest pain?
A. Increases with deep breathing
B. Increases with coughing
C. Radiates to the jaw
D. Is located laterally
E. Diminishes with splinting of the affected side
13. Which type of pulmonary problem usually causes a breathing pattern with a prolonged expiratory time?
A. Chronic obstructive pulmonary disease
B. Atelectasis
C. Pulmonary edema
D. Pneumonia
E. Pleural effusion.
14. Inspiratory dyspnea is –
A. Difficult breathing during exhalation
B. Difficult breathing during inhalation
C. Difficult breathing during exhalation and inhalation
D. Difficult breathing during hyperventilation
E. Northing from above
15. Expiratory dyspnea is –
A. Difficult breathing during exhalation
B. Difficult breathing during inhalation
C. Difficult breathing during exhalation and inhalation
D. Difficult breathing during hyperventilation
E. Northing from above
16. Mixed dyspnea is –
A. Difficult breathing during exhalation
B. Difficult breathing during inhalation
C. Difficult breathing during exhalation and inhalation
D. Difficult breathing during hyperventilation
E. Northing from above
17. Whistle and noise breathing with feeling breathlessness is named …
A. Dyspnea
B. Respiratory noise
C. Musical breathing
D Wheezing
E. All mentioned above
18. What quantity of the blood is characterized hemoptysis?
A. 20-50 ml
B. 60 – 70 ml
C. 140 - 250 ml
D. All mentioned above
E. Northing from above
19. Lung bleeding is a pathological condition when the blood expectorates from airways. What quantity of the blood is characterized lung bleeding?
A. 15 - 20 ml
B. 30–40 ml
C. 240 - 250 ml
D. All mentioned above
E. Northing from above
20. Amount of cigarettes that patient smokes in a day multiply to number of smoking years and divide to 20 (pack/years) use for calculating …
A. Smoking history
B. Smoking consumption
C. Smoking habit
D. Smoking abuse
E. All mentioned above.