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تحميل الدليل التدريبي

أسئلة شائعة





   Meeting with the students for three to four times a   week for one hour discussion of cases and 20 minutes Lecture Presentation.   


      Taking students in round for three hours.

      Seeing patients for three hours

      Discussing the cases.

      Doing examination of the cases.

      Reviewing the result  of medication for some patient.      

          Course Specification 

For Guidance on the completion of this template, please refer to          of Handbook 2  Internal Quality Assurance Arrangements

    Institution             King Saud University  

    College/Department  Medicine / Internal Medicine

  Course title and code: 441 med

  Credit hours: 11

  Level/year at which this course is offered  Fifth year (Final year student)


a.       Bed site teaching sessions with group discussion of various topics

b.      Each student will assigned to two blocks each for 6 weeks in the medical floors.

The student is considered to be an integral part of the ward team.

         Teaching strategies to be used to develop these skills

Biweekly Bedside teaching on medical floor

Students will contribute to the daily rounds by:


Assessment task (eg. Essay, test, group project, examination etc.)

Week due

Proportion of Final Assessment


Written examination

Week 12



Midterm Clinical examination

Week 7



Ward clinical assessment

Week 1-12



Final OSCE

Week 13


RR  Required Text(s)

1.       Dennis K. Kasper, et al., eds. Harrison’s Manual of Medicine

2.       Lee Goldman, J. Claude Bennett, eds. Pocket Companion to Cecil Textbook of Medicine.

2.     Essential References

1.       Dennis K. Kasper, et al., eds. Harrison’s Principles of Internal Medicine

2.       Lee Goldman, J. Claude Bennett, eds. Cecil Textbook of Medicine

3.       Recommended Books and References Material (Journals,  Reports, etc) (Attach List)

1.       Annals of Internal Medicine

2.       New England Journal of Medicine

3.       Journal of the American Medical Association (JAMA)

4.       The American Journal of Medicine 

Multiple Choice Questions (sample)

1. 1.     A 45 year old man is referred by his primary care physician because of new onset of dysphagia of 4 wks duration. The pt has a history of heartburn self medicated. An UGIT study showed a distal esophageal mass lesion. Which of the following statements are incorrect?

a.     The lesion is most likely due to metastatic cancer

b.     Pt probably has had Barrets

c.     Bx would show adenoca

d.     Sq cell cancer is unlikely in this location

2.   2.    Endoscopy was performed on the previous pt and the findings confirm your suspicion. You now want to begin to stage the mass. Which of the following would be the first procedure of choice?

a.     Positron emission tomography (PET)

b.     CT of chest and upper abd

c.     EUS with FNA if lymph nodes are present

d.     Video assisted thoracoscopy with bx

3.   3.   A 75 year old lady presented to ER with SOB, melena and a hg of 6.9. her PMH is remarkable for AF, OA and a question of PUD. Medications include: warfarin, digoxin, and indomethacin. Gastroscopy confirms the presence of gastric ulcer with stigmata of recent bleeding. Which of the following placed this pt at increased risk for GI bleeding from use of NSAIDs?

a.     Age

b.     Past h/o DU

c.     Anticoagulant therapy

d.     History of Cardiovascular dz

e.     All of the above

4.  4.     From speaking with the physician of the previous pt, it is apparent that she suffers from severe pain if she does not take NSAIDs. He asks you if she can continue taking NSAIDs. Your recommendations would be:

a.     Switch from indomethacin to a cox-2 inhibitor

b.     Evaluate for HP and eradicate if found

c.     Add a daily PPI as prophylaxis

d.     Reasses the risk-benefit ratio of warfarin therapy for a pt who has had GI bleeding

e.     All of the above

5. 5.     A 45 yr old male presents with melena and has a coffee ground NG aspirate, hg of 11.9 with evidence of orthostais and tachycarida. Which of the following would warrant endoscopic Rx?

a.     a nonbleeding vissible vessel in a 1cm gastric ulcer

b.     A flat red spot in a 2cm DU

c.     An oozing DU

d.     Oozing from a mosiac mucosa in the stomach

e.     1 & 3

f.        2 & 4

6.  6.    Which of the following is not a predictor of increased mortality in UGI bleeding?

a.     Pt who is an 82 year old

b.     Bleeding in a pt who has pneumonia and sepsis

c.     Pt with red hematemesis at ER

d.     Pt with a nonbleeding visible vessel in a large gastric ulcer

7.  7.    A 24 year old women presented e 3m h/o diarrhea and wt loss e no fhx, travel hx, alcohol abuse and no associated symptoms, labs showed mild IDA. A fecal study shows 28 g of fat/24hrs. Abn D-xylose test but normal SBFT. Endomysial ab is increased. The next step is

a.     Pancreatic function tests

b.     Quantitative SB culture

c.     SB biopsy

d.     Treat with a gluten free diet

e.     Serum test for tissue transglutaminase


Med Course441

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