New: 5th year Course Book/Medicine


Published on

However it says new but nothing had changed!

Published in: Education, Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

New: 5th year Course Book/Medicine

  1. 1. University of Sulaimani College of Medicine Department of Medicine Course Book Of 5th Year students
  2. 2. Course book Course coordinator and list of teachers on this course 1-Name of the Course: Medicine for fifth year students 2-Lecturer tutor in charge: Dr. Saber Mohamed Amin 3-Department Branch and the college: Medicine 4-Contacts: -Address: College of Medicine / Univ. of Sulaimani -E-mail: -Website Link: 2.Google Search.
  3. 3. Other participant Lecture 1- Dr. Rasool Mohamed Hasan 2- Dr. Taha Mahwy 3- Dr. Mohamed Shaikhani 4- Dr. Abdulla Sharief 5. Dr. Mohamed Tahir 6. Dr. Kawa Husain 7. Dr. Raoof Merza 8. Dr. Hasan Jumaili 9. Dr. Nazar M. Amin 10. Dr. Saman Anwar Faraj 11. Dr. Rebwar Ghareeb Hama
  4. 4. Course Overview Fifth year curriculum of Medicine include lectures in hematology, endocrinology, neurology, nephrology, toxicology and psychiatry. Lectures are given in the studying halls of the College of Medicine five hours per week in the form of power-point format displayed on a white board by aid of data show device, and copied by students at end of each session. Information given includes basic knowledge of diseases in each subject in addition to recent advances which are usually taken from internet and latest versions of medical books. The overall course is designed to supply future junior doctor with basic medical knowledge to be able to deal with common every day practice diseases and important emergencies and to take life- saving measures at appropriate and critical moments.
  5. 5. Course objectives First: to understand diseases epidemiology and causes. Second: to be able to diagnose diseases and make differential diagnosis Third: to know how to investigate and treat diseases Fourth: to know how and when to refer to tertiary care Fifth: to know how to pass the exams. Course Reading List 1. Davidson’s principles and practice of medicine 2. Cecil’s essentials of medicine 3. Kumar and Clark’s clinical medicine
  6. 6. 4. Hutchison’s methods of clinical examination 5. Macleod’s clinical examination 6. Psychiatry references mentioned in psychiatry paper Exams Types of the exam usually include both composition and multiple choices or single choice. Exam’s duration: usually 3 hours. Number of questions about 10 compositions and between 30 to 40 MCQs or single choice questions. Marks: each composition is given 10 marks and each MCQ 2 marks. Advice: to think carefully before answering and lecturer in charge usually attend to explain the best way to answer the question .
  7. 7. Samples of the expected questions and their answers Two samples of compositional questions, five samples of multiple choices and some useful hints will be provided to the students which help them in planning their answers. Sample questions A) Composition (Essay); 1. How would you investigate a patient who has pallor, faint jaundice and splenomegaly? Answer: The patient most likely has a hemolytic anemia, therefore first we have to prove this we should send blood samples for Hb level, reticulocyte count, serum bilirubin: with both direct and indirect( in which the latter will be high), serum LDH(high), and haptoglobin (low). By now we prove hemolytic process, we do Coomb’s test if positive( autoimmune hemolytic anemia) and if negative
  8. 8. (non-immune). If non-immune: we see bloob film morphology: Sickle cells indicate sickle cell anemia, shistocytes may indicate microangiopathic hemolytic anemia. Special tests may be done like: osmotic fragility test (for hereditary spherocytosis), sickling test ( sickle cell disease), Ham’s test ( PNH), etc. 2. Write short notes on the symptoms and signs and medical treatment of subarachnoid hemorrhage. Answer: Symptoms: sudden, devastating typically occipital headache. Vomiting, collapse (± seizures), and coma often follow. Coma/ drowsiness may last for days. Signs: neck stiffness; Kernig’s sign takes 6 hr to develop; retinal and subhyaloid hemorrhage. Focal neurological deficits ( e.g: pupil changes indicating a IIIrd nerve palsy with a posterior communicating artery aneurysm). Medical treatment: cautious control of severe hypertension; analgesia for headache; bed rest± sedation for~4wk. Keep hydrated. Nimodipine 60 mg/4hr PO for 3 wk is calcium antagonist that improves outcome. B)MCQs
  9. 9. 1. Recognized features of multiple sclerosis include: a. Double vision ( T ) b. Telangiectasia of face ( F ) c. Difficulty in micturition ( T ) d. Difficulty in swallowing ( T ) e. Sore throat ( F ) 2. Factors predisposing to acute renal failure include: a. Severe hypoperfusion of kidneys during surgery ( T) b. Endotxic shock ( T ) c. Obstructive jaundice ( F ) d. Hemolytic transfusion reaction ( T ) e. Long-standing renal disease ( T ) 3. Hallucinations are characteristic of the following conditions: a. Obsessive compulsive disorder ( F ) b. Alcohol withdrawal ( T ) c. Schizophrenia ( T ) d. Sleep deprivation ( F ) e. Depression ( F )
  10. 10. 4. The following complications can occur in rheumatoid arthritis: a. Acanthosis nigricans ( F ) b. Episcleritis ( T ) c. Malabsorption ( F ) d. Carpal tunnel syndrome ( T ) e. Amyloidosis ( T ) 5. Normocytic normochromic anemia is known to occur in: a. Uremia ( T ) b. Folate deficiency ( F ) c. Secondaries in bone marrow ( T ) d. Hereditary elliptocytosis ( F ) e. Splenectomy ( F )