Brief guidelines for the work of students in the practice

Originally performed input control knowledge through tests and oral answers, solving situational problems. Students begin to himself constantly at work with patients under the supervision of the teacher. Collects ana m nezu, physical examination of patients with tumors of the lips, oral mucosa, the study data further examination of patients. Prov reproduced at identifying leading syndromes, differentiation and disease with Mr. Shimi and justification preliminary diagnosis. Outline a treatment plan. During the test, each student conducts physical inspect Mr. ing patient (inspection, palpation of lymph nodes, abdomen, percussion, auskul tray b). During classes, students interpret laboratory data at ultrason graphic, endoscopic, radiological, cytological and histopathological studies and researches. In intensive care and resuscitation students know when Mr. tsypy intensive care and supervision of critically ill patients. Work in Trans' I zuvalniy, operating. Next conducted final test. Summarizes lessons, announced the results at counter human knowledge and skills.

 

Process Map practical lessons

Number	Stages classes	Training time	Textbooks		Prospect Place at driving lessons
			Mr. Means and learning	Equipment
1	Determination of n con t o Primary role of knowledge	30 minutes.	Tests survey uvannya	Slides and would face, renth e nohramy	Classrooms
2	Addressing Mr. and vchalnyh with a t e inthis we	4:00	Case patients at historical Rhee minutes at the paper, the development and l lit diagnostician and ki and medication in the bathroom	Stories about patients like leaves appointments, CT-grams, MRI program, radiographs	Chamber scarf in vibrational, and operations on, classrooms, and endoscope ical room and no
3	Definition in s tern level sform at vanosti knowledge and skills. Summing pi d bag.	30 minutes.	Tests survey uvannya	Slides and would face, renth e nohramy, ci f we	Classrooms

 

Due to the fact that the department conducted watershed and final evaluation, as an example, give a few tests

 

Final test control

Test number 1

In min. W., '70, was diagnosed with cancer of the lower lip swelled needle biopsy and Ukraine. Formation of size 5 x 4 cm, enlarged pidboridni, submandibular by dn at neck l / c. Size L / in more than 6 cm. Which stage of the disease?

A. II

B. III

C. IV A

D. IV B

E. IV C

 

Test number 2

In min. M., '72, diagnosed tongue cancer III., T2N1M0. Tumor unions and climbed into etsya on the side of the tongue. What treatment is indicated for this patient?

A. dynamic monitoring

B. about focal radiotherapy

C. remote gamma therapy

D. remote gamma therapy and lymphadenectomy pidboridna

E. radiation + surgery

 

Test number 3

Patient, aged 45, entered the clinic complaining of hoarseness g at losu, fell ill two months ago. Which methods of examination should Appl and you?

A. Clinical analysis of blood

B. Radiography of the chest cavity

C. Palpation of the cervical lymph nodes

D. Lyarinhoskopiya

E. Irihoskopiya

 

Test number 4

Patient K., 46 years, 4 months ago was diagnosed with papilla Gort and no. Proposed proposed at surgery from which the patient refused. A week before the treatment, the patient was pain in the neck, streaks of blood in sputum. What possible complications tion wines and Clos patient?

A. Perforation

B. Penetration

C. Tion Malihniza

D. Stenosis

E. Phlegmon of the neck

 

Test number 5

Patient S., 41, appealed to the clinic complaining of the presence of tumor formation and nopodibnoho on front of the neck. Palpation found an enlarged thyroid gland, in the right of her fate is determined by a tight knot 2x1 cm What diseases possible in this patient?

A. Nodular goiter

B. Hashimoto Goiter

C. Riedel struma

D. Abscess of the thyroid gland

E. Cancer of the thyroid gland

 

Test number 6

Patient 32 years old, complained of a feeling of pressure in the area of the neck, difficulty breathing and d. He considers himself a patient within 1 year of disease onset linked to pregnancy. During the inspection determined the increase of the left lobe shield Dr. Noah gland. Palpation in the left lobe of flexible formation to 2 cm in diameter t cut, sensitive during palpation. What are the methods required to differenti e ntsiynoho diagnosis?

A. Ultrasound and biopsy.

B. Selective arteriography.

C. Radionuclide studies.

D. Pnevmotyreoyidohrafiya.

E. Computed tomography.

 

Test number 7

Patient 40 years old, complained of foreign body sensation in the area of the neck during swallowing with a dyshku. He considers himself a patient within 1 year. OBJECTIVE: general condition is satisfactory. In case submaxillary area defined by three schil ü No-resilient nodes from 0.4 to 0.6 cm in diameter, moving, thyroid with a rod slightly compacted. While thyroid cancer in the right lobe and chayetsya User defined hyperechoic node to 0.7 cm in diameter and 0.5 cm in diameter in n f reshyyku. Radiography of the chest: mediastinum extended, polycyclic contours, unequal. Your preliminary diagnosis?

A. Adenoma of the thyroid gland.

B. Thyroid cancer.

C. Diffuse goiter.

D. Hashimoto's thyroiditis.

E. Lipoma of the mediastinum

 

Test number 8

Patient 55 years, appealed to the district physician complaining of collection and lshennya thyroid, hoarseness of voice. He considers himself a patient on however I to 1.5 years. During the inspection determined thyroid enlargement Lane is preferably through the left lobe: thyroid bumpy, soldered to surround u chymy tissues. In the left supraclavicular area defined as yutsya single rounded nodes up to 2 cm in diameter. What studies should be performed in the first place?

A. Pnevmotyreoyidohrafiya.

B. Percutaneous biopsy.

C. Computed tomography of the chest cavity.

D. Total blood.

E. Biochemical analysis of blood.

 

Test number 9

Patient 51, complained of the presence of lumpy tumors around his neck, with a dyshku, dry cough, sharp overall weakness. Sick for 3 years. During palpation of the thyroid gland is greatly increased in size, bumpy. As for Dr. clavicular area packs nodes 2,5 and 4 cm in diameter. What tactics doctor?

A. Assign anti-inflammatory therapy.

B. Assign physiotherapy.

C. Refer to an endocrinologist.

D. Refer to an oncologist.

E. Observations of the dynamics.

 

Test number 10

Patient 25 years, no complains. As a result of prophylactic examinations with ultrasound revealed hyperechoic with a clear outline of the left lobe formation and shield dnoyi cancer. From other organs and systems pathology were found. What is pop out prior diagnosis?

A. Thyroid cancer.

B. Adenoma of the thyroid gland.

C. Cyst thyroid.

D. Diffuse goiter.

E. Tuberculosis of the thyroid gland.

Standards of answers: 1 - C, 2 - E, 3 - D, 4 - C, 5 - E, 6 - A, 7 - B, 8 - B,

9 - D, 10 - B.