SOCIAL MEDICINE

1. SOCIAL MEDICINE AS A SCIENCE. SUBJECT MATTER. DESCRIPTIVE AND

PRESCRIPTIVE PARTS OF SOCIAL MEDICINE. METHODS OF SOCIAL MEDICINE.
2. CONCEPTS OF HEALTH AND DISEASE. DIMENSIONS OF HEALTH. POSITIVE
HEALTH. DETERMINANTS OF HEALTH.
3. SOCIOLOGICAL APPROACHES TO INVESTIGATION IN SOCIAL MEDICINE -
SOURCES AND METHODS OF COLLECTING PERSONAL DATA. QUESTIONNAIRE
DESIGN - QUESTIONS AND QUESTIONNAIRE FORMATS. SELF-ADMINISTERED
QUESTIONNAIRE.
4. SOCIOLOGICAL APPROACHES TO INVESTIGATION IN SOCIAL MEDICINE -
INTERVIEW: TYPES, METHODS OF CONDUCTING, INTERVIEW PROCESS.
OBSERVATION: TYPES, ADVANTAGES AND DISADVANTAGES, OBSERVER ROLES.
5. EPIDEMIOLOGY- DEFINITION AND SCOPE OF EPIDEMIOLOGY. BASIC
CONCEPTS - RISK, RISK FACTORS, POPULATION AT RISK, RATE, RATIO, PROPORTION.
MEASURING DISEASE FREQUENCY -PREVALENCE, INCIDENCE RATE, CUMULATIVE
INCIDENCE.
6. COMPARING DISEASE OCCURRENCE. ABSOLUTE COMPARISON - RISK
DIFFERENCE, ATTRIBUTABLE FRACTION, POPULATION ATTRIBUTABLE RISK.
RELATIVE COMPARISON - RELATIVE RISK, ODDS RATIO.
7. TYPES OF EPIDEMIOLOGICAL STUDIES - CLASSIFICATION. DESCRIPTIVE
STUDIES. ECOLOGICAL STUDIES. CROSS-SECTIONAL STUDIES.
8. ANALYTICAL EPIDEMIOLOGY. COHORT STUDIES AND CASE CONTROL
STUDIES-TYPES, DESIGN, CONDUCTING, ADVANTAGES AND DISADVANTAGES,
POTENTIAL ERRORS.
9. EXPERIMENTAL EPIDEMIOLOGY - RANDOMIZED CONTROL TRIALS, FIELD
TRIALS, COMMUNITY TRIALS: DESIGN, CONDUCTING, APPLICATIONS.
10. PREVENTION - SCOPE AND LEVELS OF PREVENTION. PRIMORDIAL
PREVENTION. PRIMARY PREVENTION- POPULATION AND HIGH-RISK STRATEGY OF
PRIMARY PREVENTION.
11. SECONDARY PREVENTION - SCREENING. CRITERIA FOR SCREENING.
EVALUATION OF SCREENING TESTS.
12. DEMOGRAPHIC APPROACHES TO HEALTH ASSESSMENT. POPULATION SIZE
AND COMPOSITION BY SEX AND RESIDENCE. POPULATION AGE STRUCTURE - TYPES,
DEPENDENCY RATIOS, MEDICAL AND SOCIAL CONSEQUENCES OF POPULATION
AGING.
13. BIRTH AND FERTILITY RELATED INDICATORS — DEFINITIONS, EVALUATION
SCALES, WORLDWIDE TRENDS.
14. MORTALITY RELATED INDICATORS - DEFINITIONS, EVALUATION SCALES,
WORLDWIDE TRENDS. LEADING CAUSES OF DEATH IN DEVELOPED AND
DEVELOPING COUNTRIES.
15. INFANT MORTALITY RATES AND UNDER MORTALITY RATE - DEFINITIONS,
EVALUATION SCALE
16. WORLDWIDE TRENDS AND LEADING CAUSES OF INFANT MORTALITY IN
DEVELOPED AND DEVELOPING COUNTRIES.
17. LIFE EXPECTANCY - DEFINITIONS, EVALUATION SCALES, WORLDWIDE
TRENDS.
18. MORBIDITY RELATED INDICATORS AS MEASURES OF PUBLIC HEALTH —
DEFINITIONS, SOURCES AND METHODS OF STUDYING MORBIDITY. INTERNATIONAL
CLASSIFICATION OF DISEASES - TH REVISION.
19. MEASURING THE BURDEN OF DISEASES - DALYS. COMMUNICABLE AND
NONCOMMUNICABLE DISEASES - WORLDWIDE TRENDS. MAJOR DETERMINANTS OF
NONCOMMUNICABLE DISEASES - LIFE STYLE RISK FACTORS, ENVIRONMENTAL
RISKS, BIOLOGICAL AND GENETIC FACTORS, HEALTH CARE SERVICES FACTORS.
20. HEALTH SYSTEM AS A SOCIAL SYSTEM. TYPOLOGY OF HEALTH SYSTEMS IN
DEVELOPED COUNTRIES.Y. PRIORITIES OF HEALTH POLICY IN DEVELOPED
COUNTRIES.
21. INTERNATIONAL HEALTH COLLABORATION. WORLD HEALTH ORGANIZATION.
OTHER UN AGENCIES.
22. WHO STRATEGIES "HEALTH FOR ALL IN THE 21ST CENTURY?
23. WHO CONCEPT OF PRIMARY HEALTH CARE - ELEMENTS AND PRINCIPLES.
24. HOSPITAL CARE - DEFINITION, BASIC CHARACTERISTICS, FUNCTIONS.
INDICATORS OF HOSPITAL ACTIVITY.
25. HEALTH PROBLEMS OF MOTHERS. MATERNAL MORTALITY - DEFINITION,
INCIDENCE, CAUSES, PREVENTIVE AND SOCIAL MEASURES. FAMILY PLANNING.
26. HEALTH CARE OF MOTHERS - ANTENATAL, INTRANATAL, POSTNATAL CARE.
RISK APPROACH.
27. HEALTH PROBLEMS AND HEALTH CARE OF CHILDREN.
28. HEALTH PROBLEMS AND HEALTH SERVICES FOR THE ELDERLY.
29. HEALTH PROMOTION - DEFINITION, DEVELOPMENT OF THE CONCEPT AND
PRACTICE OF HEALTH PROMOTION, BASIC PRINCIPLES. OTTAWA CHARTER FOR
HEALTH PROMOTION.
30. HEALTH EDUCATION - DEFINITION, OBJECTIVES, CONTENT, PRINCIPLES.
COMMUNICATION IN HEALTH EDUCATION. PRACTICE OF HEALTH EDUCATION.
EPIDEMIOLOGY
1. INFECTIOUS DISEASE EPIDEMIOLOGY. DEFINITION. SUBJECT. METHODS.
2. CHAIN OF INFECTION. DEFINITION. LINKS. MANIFESTATIONS: SPORADIC,
EPIDEMIC, PANDEMIC.
3. SOURCES AND RESERVOIRS OF INFECTION. HUMAN SOURCE. CARRIERS AS A
SOURCE OF INFECTION.
4. SOURCES AND RESERVOIRS OF INFECTION. HUMAN SOURCE. CASE AS A
SOURCE OF INFECTION.
5. SOURCES AND RESERVOIRS OF INFECTION. ANIMAL RESERVOIR.ZOONOSES.
6. MODES OF TRANSMISSION. DIRECT TRANSMISSION.
7. MODES OF TRANSMISSION. INDIRECT TRANSMISSION.
8. SOURCE OF INFECTION. WATER, AIR, FOOD, SOIL.
9. SOURCE OF INFECTION: BODY FLUIDS, BYPRODUCTS, TRANSPLANTS, MEDICAL
EQUIPMENT, INSTRUMENTS, ETC.
10. VECTORS. PUBLIC HEALTH IMPORTANCE OF LICE, FLEAS, MOSQUITOES.
11. VECTORS. PUBLIC HEALTH IMPORTANCE OF TICKS AND MITES.
12. SUSCEPTIBLE HOST. IMMUNITY: DEFINITION, TYPES OF IMMUNITY. HERD
IMMUNITY.
13. CHAIN OF INFECTION. INFLUENCE OF ENVIRONMENTAL FACTORS. SEASONAL
AND SECULAR TRENDS.
14. TYPES OF EPIDEMICS: WATER-BORNE, FOOD-BORNE, VECTOR-BORNE.
15. IMMUNIZATION. ACTIVE AND PASSIVE IMMUNIZATION. IMMUNIZING AGENTS
(VACCINES, IMMUNOGLOBULIN, ANTISERA/.
16. DISINFECTION - DEFINITION, TYPES, METHODS. DISINFECTANTS.
17. STERILIZATION. DEFINITION. HEAT STERILIZATION. LOW TEMPERATURE
STERILIZATION. CHEMICAL STERILANTS.
18. RODENT CONTROL. METHODS. RODENTICIDES.
19. PREVENTION AND CONTROL OF INFECTIOUS DISEASES. BASIC PREVENTIVE
AND CONTROL MEASURES.
20. NOSOCOMIAL INFECTIONS. EPIDEMIOLOGY, PREVENTION AND CONTROL.
21. GLOBAL AND NATIONAL EPIDEMIOLOGICAL CONTROL. PROGRAMMES FOR
DISEASE ELIMINATION AND ERADICATION.
22. EMERGING AND RE-EMERGING INFECTIOUS DISEASES.

INFECTIOUS DISEASES FOR STATE EXAMINATION

1. INFECTION, INFECTIOUS PROCESS (DEFINITION, ROLE OF THE
MICROORGANISM AND THE MACROORGANISM, AND THE ENVIROMENT; PHASES OF
A FLOWAGE).
2. INFECTIOUS DISEASE - PERIODS, FEATURES IN THE FLOWAGE OF THE
INFECTIOUS DISEASES.
3. BASIC SYNDROMS IN THE INFECTIOUS DISEASES.
4. CLINICAL METODS, LABORATORY TESTS AND INSTRUMENTAL
INVESTIGATIONS FOR DIAGNOSTIC OF THE INFECTIOUS DISEASES.
5. AETIOLOGIC DIAGNOSIS BY THE VIRAL DISEASES.
6. AETIOLOGIC DIAGNOSIS BY THE BACTERIAL DISEASES.
7. AETIOLOGIC TREATMENT OF THE INFECTIOUS DISEASES -ANTIBIOTICS,
ANTITOXINS AND IMMUNOSTIMULATING DRUGS.
8. SPECIFIC IMMUNOTHERAPY IN THE INFECTIOUS DISEASES.
9. SIDE-EFFECTS BY ANTIBIOTIC TREATMENT AND AFTER ADMINISTRATION OF
ANTITOXINS AND IMMUNOSTIMULATING DRUGS - SERUM SICKNESS, ALLERGIC
SHOCK E.C.
10. PATHOGENIC TREATMENT OF THE INFECTIOUS DISEASES - FLUID-SALINE
REPLACEMENT.
11. PATOGENIC TREATMENT OF BRAIN OEDEMA, ACUTE RENAL FAILURE, ACUTE
CARDIOVASCULAR FAILURE.
12. TYPHOID FEVER.
13. FOOD TOXIC INFECTIONS - SALMONELLOSIS.
14. BOTULISM.
15. SHIGELLOSIS.
16. COLIENTERITIS
17. CHOLERA.
18. BRUCELLOSIS
19. LEPTOSPIROSIS.
20. VIRAL HEPATITIS "A".
21. VIRAL HEPATITIS "B".
22. VIRAL HEPATITIS "C".
23. VIRAL HEPATITIS "E".
24. CHICKENPOX.
25. DIPHTHERIA.
26. SCARLET FEVER.
27. MEASLES.
28. RUBELLA.
29. INFLUENZA.
30. PERTUSSIS.
31. MUMPS.
32. MENINGOCOCCAL MENINGITIS.
33. POLIOMYELITIS.
34. PLAGUE.
35. TULAREMIA.
36. EPIDEMIC TYPHUS FEVER.
37. Q FEVER.
38. BOUTONNEUSE FEVER.
39. CONGO-CRIMMEAN HEMORRHAGIC FEVER.
40. HAEMORRHAGIC FEVER WITH RENAL SYNDROME.
41. YELLOW FEVER.
42. ACQUIRED IMMUNODEFICIENCY SYNDROME.
43. PSITACOSIS.
44. ANTHRAX.
45. TETANUS.
46. LYSSA, HYDROPHOBIA.
47. LYME DISEASE.
HYGEINE PART
1. HYGIENE AS A BASIS OF PREVENTION IN MEDICINE AND PUBLIC HEALTH.
DEFINITION SUBJECT, OBJECT, AIM, TASKS, METHODOLOGY, AND METHODS. MAIN
DIRECTIONS OF HYGIENE AS A SCIENCE.
2. GLOBAL ENVIRONMENTAL CHALLENGES IN ATMOSPHERE POLLUTION
SOURCES, KINDS OF POLLUTANTS, ONFLUENCE ON HUMAN HEALTH AND
PREVENTION. HYGEINIC CHARACTERISTICS OF THE SOLAR RADIATION AND
METEROLOGICAL FACTORS.
3. CLIMATE AND WEATHER IMPACT ON POPULATION HEALTH. PROPHYLACTICS
OF METEOTROPIC REACTIONS AND DISEASES. ACCLIMATISATION
4. DISPOSAL OF WASTE AS A NECESSITY FOR ENVIRONMENTAL AND HUMAN
HEALTH PREVENTION.
5. WATER SOURCES AND WATER SUPPLY. WATER QUALITY AND METHODS OF
SPECIAL TREATMENT AND DISINFECTING OF WATER.
6. SANITARY REQUIREMENTS FOR DRINKING WATER — ORGANOLEPTIC,
PHYSICAL AND CHEMICAL PROPERTIES AND MICROBIOLOGICAL CHARACTERISTICS
7. LIFE STYLE AND URBAN AREA. THE HOUSING CONSIDERED AS A SOCIAL,
HYGIENIC, AND ENVIRONMENTAL PROBLEM. FACTORS DETERMINING THE
HYGIENIC VALUE OF THE HOUSE.
8. HYGIENIC REQUIREMENTS FOR PLANNING, STRUCTURE AND EQUIPMENT OF
HOSPITALS AND OTHER HEALTH CARE FACILITIES.
9. HYGIENIC REQUIREMENTS FOR SPECIALIZED HOSPITAL DEPARTMENTS.
HAZARDOUS WASTES. PREVENTION OF NOSOCOMIAL INFECTIONS. REGIMEN IN
HOSPITALS.
10. PERSONAL HYGIENE AND QUALITY OF LIFE. DAILY REGIMEN OF DIFFERENT
GROUPS OF PEOPLE
11. IONIZING RADIATION — SOURCES, ENVIRONMENTAL AND HEALTH
PROBLEMS. PRINCIPLES OF X-RAY DEFENSE IN IONIZING RADIATION EXPOSURE
CASES. CONTROL AND STANDARDS.
12. NUTRITIONAL HYGIENE - AIM AND TASKS. MAIN PRINCIPLES OF PROPER
FEEDING. IMPORTANCE, METHODS OF CONTROL AND EVALUATION OF REAL
NUTRITION.
13. DIFFERENTIATED PHYSIOLOGICAL NORMS BY AGE, SEX AND PROFESSION.
ASSESSMENT OF DIETARY INTAKE. MAIN PRINCIPLES OF PROTECTIVE
PROFESSIONAL FEEDING
14. DIETARY FEEDING. ENERGY VALUE AND PHYSIOLOGICAL ACTIVITY.
15. FOODS OF ANIMAL ORIGIN — MILK AND MILK PRODUCTS, EGGS, MEAT, FISH.
EVALUATION OF NUTRITIVE, BIOLOGICAL AND ENERGY VALUE.
16. FOODS OF VEGETABLE ORIGIN — FRUITS, VEGETABLES, SEEDS, NUTS...
EVALUATION OF NUTRITIVE, BIOLOGICAL AND ENERGY VALUE
17. DISEASES DUE TO MISBALANCED NUTRITION. CONTROL OF REASONS AND
PREVENTION
18. MICROBIAL FOOD DISEASES — TOXIC INFECTIONS AND INTOXICATIONS.
PROPHYLACTICS.
19. NON-MICROBIAL FOOD POISONING. PROPHYLACTICS. PRINCIPLES OF
PROPHYLACTICS OF FOOD POISONING. TASKS OF THE PHYSICIAN IN CASE OF
ARISING OF FOOD POISONING.
20. HYGIENIC REQUIREMENTS TO PUBLIC CATERING. HYGIENIC REQUIREMENTS
TO CATERING ESTABLISHMENTS. CONTROL ON FOOD PREPARATION AND FINISHED
MEALS.
21. OCCUPATIONAL HYGIENE-DEFINITION, AIMS AND PROBLEMS. PHYSIOLOGY
OF LABOUR. FUNCTIONAL CHANGES IN ORGANISM RELATED TO NEW
TECHNOLOGIES.
22. PHYSICAL HAZARDS IN WORKING ENVIRONMENT AND ITS PREVENTION.
23. CHEMICAL HAZARDS IN WORKING ENVIRONMENT AND ITS PREVENTION.
24. BIOLOGICAL HAZARDS IN WORKING ENVIRONMENT. SAFETY AND
PREVENTION IN WORKING ENVIRONMENT OF HEALTH PROFESSIONALS.
25. DUST AS A FACTOR OF WORKING ENVIRONMENT. CLASSIFICATION, MAIN
SOURCES, PATHOGENIC PROPERTIES. PREVENTION OF DUST DISEASES.
26. HYGIENIC REQUIREMENTS TO THE WORKING ENVIRONMENT. CONTROL OF
EXPOSURE TO DIFFERENT HAZARDS. PERSONAL PROTECTIVE EQUIPMENT.
27. OCCUPATIONAL HAZARDS IN HI-TEC WORKING PLACES. STRESS IN WORKING
ENVIRONMENT.PREVENTION.
28. OCCUPATIONAL DISEASES - DEFINITION, ETIOLOGY, DIAGNOSIS, ABILITY TO
WORK EXPERTISE. PREVENTIVE MEASURES.
29. HYGIENIC REQUIREMENTS FOR PLANNING, STRUCTURE AND FURNISHING OF
CRECHES AND KINDERGARTENS. DAILY REGIMEN OF CHILDREN.
30. HYGIENIC REQUIREMENTS TO SCHOOL FURNISHING AND APPLIANCES.
ACTIVITIES AND OBLIGATIONS OF HEALTH PROFESSIONALS IN CRÈCHES AND
KINDERGARTENS, PRIMARY AND SECONDARY SCHOOL