MED 341
Med Course 341 is the first clinical course for medical students. It is a 10 credit-hours course consisting of theoretical (lectures) and clinical components (bedside teaching). The main objective of the course is to master history taking, learn physical exam techniques and how to recognize physical signs, the course is taught over a 28-week period. 

1. A fifty year old man presents in emergency ward with central chest pain. On examination 
his blood pressure is 90/60 mmHg and pulse is 106 per minute. He is pale and sweating 
profusely. The most likely diagnosis is: 
a) Esophagitis. 
b) Myocardial infarction. 
c) Pericarditis. 
d) Pleular effusion. 
e) Pneumothorax. 
Key: b 
Ref: Myocardial Infarction (591) Davidson’s Principles and Practice of 
Medicine. 
2. A thirty five year old man presents in a clinical with hisrory of chronic productive 
cough that is worse in the morning and brought on by changes in posture. Sputum is 
copious and yellow. The most likely diagnosis in this patient is: 
a) Bronchial Asthma.
b) Bronchiectasis.
c) Bronchogenic carcinoma.
d) Chronic bronchitis.
e) Pulmonary tuberculosis.
Key:b 
Ref: Bronchiectasis (Page 684) Davidson’s Principles and Practice of Medicine. 
3. A fifteen year old boy who is diabetic present with abdominal pain, vomiting and 
shortness of breath. There is history of fever and sore throat two days back. The 
most likely cause of his symptoms: 
a) Diabetic ketoacidosis.
b) Gastritis.
c) Hypoglycemia
d) Non Ketotic hyperosmolar coma.
e) Renal failure.
Key: a