University of Sulaimani
College of Medicine
Department of Medicine
Course coordinator and list of teachers on
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
-Address: College of Medicine / Univ. of Sulaimani
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
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.
First: to understand diseases epidemiology and causes.
Second: to be able to diagnose diseases and make differential
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
4. Hutchison’s methods of clinical examination
5. Macleod’s clinical examination
6. Psychiatry references mentioned in psychiatry paper
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
Advice: to think carefully before answering and lecturer in charge
usually attend to explain the best way to answer the question
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.
A) Composition (Essay);
1. How would you investigate a patient who has pallor, faint
jaundice and splenomegaly?
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
(non-immune). If non-immune: we see bloob film
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.
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.
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
a. Obsessive compulsive disorder ( F )
b. Alcohol withdrawal ( T )
c. Schizophrenia ( T )
d. Sleep deprivation ( F )
e. Depression ( F )
4. The following complications can occur in rheumatoid
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
a. Uremia ( T )
b. Folate deficiency ( F )
c. Secondaries in bone marrow ( T )
d. Hereditary elliptocytosis ( F )
e. Splenectomy ( F )