Content: propaedeutic in internal medicine 

Students should be familiar with theoretical and practical basics of internal propaedeutic, practical examination methods in internal medicine. Applying them during examination of the patient. The learn write a medical record. The moral-ethical principles in communication with patients. Interpretation of symptoms and syndromes in internal medicine. Basics diagnostic methods and laboratory tests in internal medicine.

Practicals:

1. Presentation and training in conversing with patient and obtaining medical history. Basic principles and terms explanation, analysis of the clinical status from symptoms to the diagnosis. Documentation of the patient care and medical reports. 
2. Principles of the physical examination. Status praesens generalis (general present status). Examination of the head, neck. Repeating the conversation with the patient and taking medical history. 
3. Examination of the chest and heart I – inspection, percussion, palpation. Practical presenting of the examination, individual training. Presenting special cases. Examination of the patient together with the teacher. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
4. Examination of the chest and heart II – auscultation. Practical presenting of the most common findings, individual training of auscultation. Presenting special cases. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
5. Basic principles of electrocardiography. Evaluation of the normal and pathologic electrocardiograms. Presenting pathological ECGs with the brief explanation of the clinical status. Other examination methods in cardiology – basic principles of echocardiography, invasive methods in cardiology and angiology. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
6. Examination of the abdomen. Practical presenting of the examination, individual training. Presenting special cases. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
7. Examination of the limbs, musculoskeletal apparatus and vessels. Practical presenting of the examination, individual training. Presenting special cases. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
8. Basic principles of radiology methods in internal medicine – X-ray of the chest and abdomen. Individual reading of the radiographs. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
9. Diagnostic procedures in internal medicine – endoscopy, functional test, ultrasonography, spirometry, bronchoscopy. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
10. Blood tests (biochemistry and hematology), urine-analysis. Individual examination of the patient and writing clinical notes.

One of the internship will be at the Institute of simulation and virtual medical education CUFM. Schedule will be designed specifically.

Credit test is written before the exam in internal medicine, at the department, where the exam will take place.

After fulfilling the criteria of 100% participation in internships the student can apply for term exams.

Mandatory part of the exam is a written test. A test is considered passed if a student reaches at least 60 % of correct answers. If a student receives less than 60 % correct answers, the test will be marked out " Fx " and the test must be repeated - student can not continue to the oral part of the exam. Every student can repeat the test twice.

Successful passing the written test is followed by oral examination. Condition for successful completion of the exam is:
(1) successful completion of a written test
(2) successfully answering of three questions
(3) correct describing an ECG and X-ray image

Questions for oral part
Test questions

For assesement of study results is used a grading scale consisting of 6 levels: 

If the student fails the oral examination during at the next term he does not need to retake the test - he/she does not write the test anymore.

 A student signs up for an examination and signs out electronically via Academic Information System AIS. 

Main topic: Cardiology

1. Ischemic Heart Disease – signs and symptoms, clinical examination, basic principles of treatment. 
2. Heart Valve Diseases, Heart Auscultations, Peri-, Myo- and Endocarditis – signs and symptoms, clinical examination, basic principles of treatment.
3. Disorders of Rhythm – signs and symptoms, clinical examination, basic principles of treatment.
4. Heart Failure – signs and symptoms, clinical examination, basic principles of treatment and management.
5. Electrocardiogram – ischemic findings on ECG, rhythm-disorders on ECG. 
6. Other Examination Methods in Cardiology – X-ray, Echocardiography, Ergometry, HUT. 
7. Differential diagnosis of oedemas (lymphatic ethiology, cardiac ethiologhy, veno-occlusive). Peripheral Vessel Diseases.
8. Arterial hypertension – signs and symptoms, clinical examination, basic principles of treatment. Basic Differential Diagnosis of Secondary Hypertension. Summary examination and elaboration of a patient with arterial hypertension and peripheral vessel disease, with recommendation of relevant examination methods and basic treatment.
9. Summary examination and elaboration of a patient with cardovascular disease, with recommendation of relevant examination methods and basic treatment. 

At the end is a credit test. More information will be given during the semester from the responsible professor.