Topic list for Pathophysiology exam – Faculty of Medicine 2015/2016 UNIVERSITY OF SZEGED FACULTY OF MEDICINE DEPARTMENT OF PATHOPHYSIOLOGY Chairman: Prof.Dr.Szabó Gyula H-Szeged, Semmelweis u. 1., Pf. 427., 6701, Hungary Tel:+36-62-545-994, fax +36-62-545-710 web: http://web.med.u-szeged.hu/patph/ PATHOPHYSIOLOGY TOPIC LIST 1ST (FALL) SEMESTER 1. 2. 3. 4. 5. 6. 7. 8. The concept of inflammation, phases of acute inflammation Characterization of plasma derived inflammatory mediators Characterization of cell derived inflammatory mediators Characterization of cellular elements in inflammation Regulation and outcome of the acute inflammatory response Disturbances of phagocyte and complement system Pathomechanism of chronic inflammation Systemic effects of inflammation; inflammatory pain 9. 10. 11. 12. 13. 14. Defense mechanisms against infections Pathogenesis and consequences of type I in vivo allergic reaction Pathogenesis and consequences of type II in vivo allergic reaction Pathogenesis and consequences of type III in vivo allergic reaction Pathogenesis and consequences of type IV in vivo allergic reaction Pathogenesis of autoimmune diseases: Basedow-Graves disease, systemic lupus erythematosus and rheumatoid arthritis Pathogenesis of primary immunodeficiency syndromes Pathogenesis of secondary immunodeficiency Alteration of the immune system: tumor immunotherapy 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. Pathogenesis of pituitary hyperfunction: hyperprolactinemia Pathogenesis of hypopituitarism Alterations of growth in child- and adulthood; adult GH deficiency Pathogenesis of thyrotoxicosis Pathogenesis of hypothyroidism; development of goiter Pathogenesis and consequences of acute and chronic hypoadrenalisms Pathogenesis and consequences of hyperadrenalisms: Cushing’s syndrome, aldosteronism and adrenogenital syndrome Pathogenesis and consequences of pheochromocytoma Disorders of menstrual cycle Female reproductive tract disorders; chronic anovulations Male reproductive tract disorders (androgen metabolism and testicular dysfunction) Male reproductive tract disorders (estrogen metabolism disturbances) Disorders of the posterior pituitary Pathogenesis and consequences of hypercalcemia Pathogenesis and consequences of hypocalcemia Pathomechanism of hyper- and hypoparathyroidism - 1- Topic list for Pathophysiology exam – Faculty of Medicine 2015/2016 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. Regulation of body weight regulation and energy homeostasis; definition of obesity Pathogenesis, types and consequences of obesity Pathogenesis of malnutrition, protein-energy malnutrition and starvation Definition and diagnostic criteria of diabetes mellitus; impaired fasting glucose and impaired glucose tolerance Etiologic classification of diabetes mellitus Pathomechanism, forms and consequences of type 1 diabetes mellitus Pathomechanism and consequences of type 2 diabetes mellitus Pathomechanism of insulin resistance; metabolic syndrome Pathomechanism, forms and pathobiochemistry of microvascular complications in diabetes mellitus Pathomechanism of macrovascular complications in diabetes mellitus Pathomechanism of diabetic ketoacidosis and non-ketotic hyperosmolar coma Pathogenesis and classifications of hypoglycemia Disorders of lipoprotein metabolism Pathogenesis of hypercholesterolemia Pathogenesis of hypertriglyceridemia Pathogenesis of mixed hyperlipidemia Pathogenesis and consequences of secondary hyperlipoproteinemia Forms of arteriosclerosis; pathogenesis of atherosclerosis Risk factors and complications of atherosclerosis Specific features and regulation of coronary circulation and pathophysiological consequences Pathogenesis and types of angina pectoris Pathogenesis and types acute coronary syndrome Pathogenesis, classifications, consequences, and laboratory diagnosis of myocardial infarction Changes in blood pressure during lifetime; definition of arterial hypertension in adult and childhood Pathogenesis and consequences of essential (primary or idiopathic) hypertension Pathogenesis and consequences of secondary hypertensions: renal and other types of hypertension Pathogenesis and consequences of secondary hypertensions: endocrine hypertension Complications of hypertension; hypertensive crises and malignant hypertension Concept and characterization of cyanosis Adaptation to and compensation of reduced cardiac contractility; cardiac hypertrophy Pathogenesis and consequences of congenital heart diseases: acyanotic diseases Pathogenesis and consequences of congenital heart diseases: cyanotic diseases Definition and consequences of rheumatic fever Pathomechanism of aortic stenosis and regurgitation (acute, chronic) Pathomechanism of mitral stenosis and regurgitation (acute, chronic) Definition, types and development of heart failure Adaptive and maladaptive changes in heart failure Pathophysiology of symptoms in heart failure Pathophysiology of signs in heart failure Acute heart failure: definition, forms and pathogenesis Sodium balance disorders: forms and development of hypervolemia - 2- Topic list for Pathophysiology exam – Faculty of Medicine 2015/2016 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. Development, forms and pathogenesis of edema Characterization of the major forms of edemas: heart failure, edema in liver- and kidney disease and pregnancy Sodium balance disorders: forms and development of hypovolemia Pathogenetic classification and main features of circulatory shock Stages and compensatory mechanisms of circulatory shock Progressive and irreversible shock: metabolic changes in shock Complications of shock: definition and pathogenesis of multiple organ dysfunction syndrome Causes and characterization of hypovolemic shock Causes and characterization of cardiogenic shock Causes and characterization of obstructive shock Causes and characterization of distributive shock; septic shock and vasodilatory shock Definition, forms of hypotension and syncope: reflex-mediated syncope Definition, forms of hypotension and syncope: cardiovascular and orthostatic syncope HIGHLIGHTS OF ECG (FOR DETAILS SEE YOUR LECTURE NOTES) 88. ECG registration techniques 89. Changes of waves under normal and pathological conditions 90. Determination of electrical axis 91. How to analyze an ECG? 92. Practical use of ECG in everyday practice; ECG reference ranges 93. Classification of arrhythmias: development and mechanism 94. Classification of arrhythmias: the site of origin of arrhythmia 95. A-V blocks 96. Bundle branch blocks 97. Premature beats 98. Supraventricular tachyarrhythmias 99. Ventricular tachyarrhythmias 100. ECG signs of myocardial ischemia and injury 101. ST segment elevation acute coronary syndromes 102. ECG signs of myocardial infarction 103. ECG signs of atrial strain and ventricular hypertrophy 104. ECG signs of major electrolyte disorders 2ND (SPRING) SEMESTER 105. 106. 107. 108. Temperature regulation and its pathophysiological consequences Pathogenesis of fever, types and effects of fever Pathogenesis of hyperthermia Pathogenesis of hypothermia 109. 110. 111. 112. 113. 114. Characterization and detection of proteinuria Characterization and detection of hematuria, hemoglobinuria Characterization and detection of glucosuria and ketonuria Characterization and detection of leukocyturia and bacteriuria Characterization and pathological changes of urine sediment Pathogenesis and consequences of kidney stone formation - 3- Topic list for Pathophysiology exam – Faculty of Medicine 2015/2016 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. Characterization of oliguria, anuria, polyuria, azotemia and uremia Pathogenesis and consequences of acute renal failure Pathomechanism of chronic tubulointerstitial nephritis Characterization of glomerular diseases based on immune mechanisms Pathogenesis and consequences of nephrotic syndrome Characterization of disorders with nephrotic syndrome Pathogenesis and consequences of acute nephritic syndrome Pathogenesis and consequences of rapidly progressive glomerulonephritis, and asymptomatic hematuria and/or proteinuria Pathogenesis and consequences of chronic renal failure Adaptive changes in chronic renal failure Maladaptive changes in chronic renal failure Pathogenesis and consequences of renal tubular transport defects 127. 128. 129. 130. 131. 132. 133. 134. 135. 136. Pathophysiological aspects of sodium and water balance Hyponatremia: forms, pathogenesis and consequences (especially in the CNS) Hypernatremia: forms, pathogenesis and consequences (especially in the CNS) Pathophysiology of potassium balance Hyperkalemia: causes, pathogenesis and consequences Hypokalemia: causes, pathogenesis and consequences Hyperphosphatemia: causes, pathogenesis and consequences Hypophosphatemia: causes, pathogenesis and consequences Changes of magnesium and chloride ion in different pathophysiological processes Pathophysiological significance of trace elements (iron, iodine, fluoride, zinc, copper, selenium and chromium) 137. 138. 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. Pathogenesis and characteristics of abnormal breathing patterns Pathogenesis, forms and characteristics of dyspneas Testing of pulmonary function General characterization of obstructive and restrictive pulmonary diseases Etiology, pathophysiology and major forms of COPD Pathomechanism of bronchial asthma Pathomechanism of cystic fibrosis, bronchiectasis and bronchiolitis (bronchiolitis acuta) Pathomechanism of extrinsic restrictive lung diseases (pneumothorax and pleural effusions) Forms and pathogenesis of acute pulmonary edemas Pathomechanism and consequences of acute pulmonary embolism Pathomechanism and consequences of interstitial lung diseases Forms and consequences of atelectasis and pneumonia Classification, pathogenesis and consequences of pulmonary hypertension Pathophysiology of cor pulmonale Pathomechanism and consequences of type I. (hypoxemic) respiratory failure Pathomechanism and consequences of type II. (hypercapnic) respiratory failure Pathogenesis and consequences of hypoxias 154. 155. 156. 157. 158. Regulation of pH, laboratory assessment of acid-base balance Causes, compensations and consequences of respiratory acidosis Normal anion gap metabolic acidosis: causes, compensations and consequences Elevated anion gap metabolic acidosis: causes, compensations and consequences Causes, compensations and consequences of respiratory alkalosis - 4- Topic list for Pathophysiology exam – Faculty of Medicine 2015/2016 159. Chloride-responsive metabolic alkalosis: causes, compensations and consequences 160. Chloride-unresponsive metabolic alkalosis and other forms of metabolic alkalosis: causes, compensations and consequences 161. Other forms of metabolic alkalosis 162. 163. 164. 165. 166. 167. 168. 169. 170. 171. 172. 173. 174. 175. Pathogenesis and consequences of nausea and vomiting Pathomechanism of dysphagia; diverticula Pathophysiology of gastroesophageal reflux disease Defensive forces of the gastric mucosa: regulation and disturbances of gastric secretion Pathogenesis and consequences of peptic ulcer Disorders of absorption Disturbances of entero-hepatic circulation of bile acids Celiac sprue: pathomechanism and consequences Pathogenesis and consequences of diarrhea Pathogenesis and consequences of constipation Pathomechanism of gastrointestinal motility disorders Pathomechanism and consequences of ileus Pathogenesis and consequences of acute pancreatitis Pathogenesis and consequences of chronic pancreatitis 176. Disturbances of liver functions 177. Pathogenesis, laboratory features and differential diagnosis of jaundice 178. Pathogenesis, laboratory features and differential diagnosis of unconjugated hyperbilirubinemias 179. Pathogenesis, laboratory features and differential diagnosis of conjugated hyperbilirubinemias 180. Pathomechanism and consequences of cholestasis 181. Pathogenesis of liver cirrhosis 182. Pathomechanism and consequences of portal hypertension 183. Pathogenesis and consequences of hepatic failure 184. Pathomechanism of viral hepatitis 185. Pathomechanism of alcoholic and genetic liver diseases 186. Pathomechanism of immune liver diseases 187. Pathomechanism and consequences of biliary diseases 188. 189. 190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. Pathogenesis and consequences of normocytic normochromic anemias Pathogenesis and consequences of macrocytic hyperchromic anemias Pathogenesis and consequences of microcytic hypochromic anemias Pathogenesis and consequences of anemia following blood loss Pathomechanism of extracorpuscular hemolytic anemias Pathomechanism of intracorpuscular hemolytic anemias General characterization of hemorrhagic diathesis Pathogenesis and consequences of quantitative platelet disorders Pathogenesis and consequences of qualitative platelet disorders Pathogenesis and consequences of vascular purpuras Pathogenesis and consequences of coagulopathies Pathogenesis and consequences of thrombosis Pathogenesis and consequences of thrombophilias Pathogenesis and laboratory features of leucopenia and agranulocytosis - 5- Topic list for Pathophysiology exam – Faculty of Medicine 2015/2016 202. Pathogenesis and laboratory features of leukocytosis and clinical conditions related to leukocytosis 203. Forms and consequences of hematopoietic and lymphoid tissue tumors 204. Etiological and pathogenetic factors in lymphoid neoplasms, common features and major forms 205. Pathogenesis of plasma cell disorders 206. Pathogenesis of acute myeloid leukemias 207. Pathogenesis of chronic myeloproliferative diseases: CML 208. Pathogenesis of chronic myeloproliferative diseases: polcythemia rubra vera, essential thrombocytosis, primary myelofibrosis 209. Pathogenesis of multiple sclerosis 210. Pathogenesis of major neurodegenerative diseases (Alzheimer’s, Parkinson’s and Huntington’s diseases) 211. Pathogenesis and consequences of cerebral circulatory diseases 212. Characterization of major stroke syndromes 213. Pathogenesis and consequences of cerebral edema 214. Pathomechanism and types of pain 215. Pathomechanism of acute pain 216. Pathomechanism of chronic pain; headaches 217. Pathophysiology of seizures and epilepsia 218. Addiction and chemical addiction 219. The stages and characterization of addiction 220. The role of the brain reward system in addiction 1. September 2015 - 6-