Final Examination

The Medicine 665 final is a three and half-hour multiple choice test.  The multiple choice questions are single-best answer (type A format) and others extended matching.  The entire test runs from 8:00 - 11:30 a.m. on the last Friday of the quarter.  Please make note of this and plan to spend the morning testing.  WWAMI students will take the exam at the WWAMI site on the final Friday of the quarter.  Please see your Clerkship Coordinator for information as to when and where the exam will be held. 

Seattle students will receive an email to confirm the examination start time and room on the last week of the quarter.

Multiple choice exam

Below are examples of the kind of test questions that one will see on this part of the exam. The textbook for the course also includes a practice multiple choice test, which we also recommend reviewing.

MEDICINE 665

SAMPLE TEST QUESTIONS

  1. A 29 y.o. female with a history of injection drug use presents with severe lower abdominal pain.  Patient has a fever 39.4º and a physical exam marked lower quadrant pain bilaterally and cervical motion tenderness.  Her white blood cell count is 26,000 and she has a sedimentation rate of 80.  The most likely clinical diagnosis in her is:
    1. Infective endocarditis
    2. Pelvic inflammatory disease
    3. Uterine cancer
    4. Acute hepatitis B
    5. Pneumocystis carinii pneumonia

(Correct answer is b).

For the following three clinical cases you are to select the single diagnosis that best fits the case:

  1. 80 year old woman presents with left lower quadrant pain and local tenderness and fever.  She reports that three weeks previously she had an episode of bleeding from her rectum that lasted approximately one day.  She has had no bleeding since this episode.
  2. 40 year old man presents with acute right upper quadrant colicky pain.  He has experienced this pain in the past but it has not been this severe.  Sometimes radiates through his back, he has felt nauseous and vomited three times.  He involuntarily guards his right side but without rebound.
  3. 30 year old woman presents with sudden onset of acute upper gastric pain.  Pain radiates to the back and is steady, persistent, severe, and boring in quality.  Coughing movement and deep breathing accentuate it.  Patient has been nauseous and vomited multiple times with dry heaves.  She is coming off a recent alcohol binge.  On exam she is posturally hypotensive and tachycardic.  Her upper abdomen is distended with tenderness in all quadrants but more so in the left upper quadrant and mid epigastric region.
    1. Appendicitis
    2. Peritonitis
    3. Pancreatitis
    4. Diverticular disease
    5. Pelvic inflammatory disease
    6. Abdominal aortic aneurysm
    7. Urinary tract infection
    8. Peptic ulcer disease
    9. Gastroenteritis
    10. Ovarian cysts
    11. Bowel obstruction
    12. Urinary tract infection
    13. Cholecystitis
    14. Ectopic pregnancy

(correct answers are: 1 - d, 2 - m, 3 - c).

Patient Management Problems

Computer patient management problems are available for practice. These are taken online, and require a Java® compliant web browser. A link to the practice problems is below.

Click here to go to the patient management problems web site.