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PRACTICAL SKILLS OBLIGATE ON PHTISIOLOGY DEPARTMENT

for ІV year students

1. Calculating and analyzing of main epidemiological indices concern with

tuberculosis.
2. Risk groups of population determining, risk factors in adults and children.
3. Tuberculosis risk level at HIV positive patients determining.
4. Diagnostic plan for patient with suspicion of tuberculosis or at risk of tuberculosis
working-up.
5. Clinical diagnosis formulating.
6. Clinical symptoms of different localization tuberculosis detecting.
7. Physical examinating of tuberculosis patient.
8. Anamnesis analyzing.
9. Complaints of the tuberculosis patient interpreting.
10.Obligate diagnostical minimum usage.
11. Direct microscopy technique.
12. Technique and significance of different mycobacteria detecting methods (ZN-staining,
cultural tests, PCR) appreciating.
13. Mycobacteria resistance tests interpreting.
14. The appropriate algorithm of TB case detecting at different clinical situation
choosing.
15. Mantoux skin test procedure and interpreting.
16.Mantoux skin test indication and contraindication determining.
17. Mantoux skin test results interpreting. Differentiation between post-vaccine and
infectious reaction.
18. Algorithm of a child with Mantoux test conversion examination.
19. Detecting the factors which can increase or decrease tuberculin sensitivity.
20. Mantoux skin test procedure and interpreting in AIDS and other
immunocompromised patient.
21.Koch’s test indication and contraindication determining.
22. Koch’s test interpreting: local, focal and general reaction.
23. Blood, urine, CSF, pleural fluid test interpreting at patients with suspicion of
tuberculosis and known tuberculosis patients of different localization.
24. Broncoscopy results interpreting at patients with suspicion of tuberculosis and
known tuberculosis patients.
25.Treatment regimen design at different case categories.
26.Treatment monitoring.
27. HIV-associated tuberculosis management.
28. Methods and extent of patients with suspicion of tuberculosis and known
tuberculosis patients radiological examination choosing.
29. Chest X-ray of anterior-posterior and lateral view describing and interpreting.
30. Main radiological syndromes of pulmonary diseases defining.
31.Tomograms and CT-scanning finding interpreting.
32. Differential diagnosis of the tuberculosis different localization.
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33. HIV-associated tuberculosis most probable clinical types and peculiarities defining.
34. Tuberculosis complications (hemophtysis, spontaneous pneumathorax, heart
insufficiency) identifying and critical care.
35. Antituberculosis treatment side effects detecting and management.
36. Pathogenetical tuberculosis treatment.
37. Indications for tuberculosis surgical treatment determining.
38. Indications and contraindications for collapsotherapy determining.
39. Indications and contraindications for sanatorium treatment determining.
40. Recovery criteria determination.
41. Tuberculosis residuals detecting.
42. Indications and contraindications for BCG-vaccination determining.
43.Procedure of BCG-vaccination.
44. Groups need for chemoprophylaxis among adults and children selecting.
45. Chemoprophylaxis administering and management.
46. The criteria of tuberculosis hotbeds potential danger determining.
47. Preventive measures at tuberculosis hotbeds.

Approved on chair meeting «_31___»___ August __________2010 р.

Protocol№ ________
Head of the Phtisiology chair,
Professor _______________Yu.G.Poostovyy
Methodic board head,
Professor _______________Yu.N.Kolchin