Sunday, July 26, 2009

1 BIG LEAP FOR MANKIND!!!

salam/hi!

updating...

yoyo dh ada fb,add la ek.lg satu da perlukan byk kwn utk pirates.add la ek.hehe~
enjoy hols evrybody.peace.no war.XD

t8 cr!

Sunday, July 19, 2009

ANSWERS for CVS : 154 - 169

salam/hi!


154. E. angiography.
Ref: braunwald, title- peripheral arterial disease.

155. A. ischemia
Ref: lilly-357

156. A. corticosteroid therapy
Explntn: decrease inflammation reaction,so ESR will decreased

157. B. PDA
Explntn: the chest radiograph shows an enlarged cardiac silhouette (left atrial and left ventricular enlargement) with prominent pulmonary vascular markings. (lilly page 385)

158. D. TAPVR
Increased vascular markings Decrease vascular markings
Cyanotic TGA, TAPVR, TOF, Pulmonary atresia
Non cyanotic ASD, VSD, PDA, PAPVR Pulmonary Stenosis
Ref: lecture notes of CVS
In the question, symptom is cyanotic with lucency of both lungs (increase vascular markings).

159. C. cephalization
Explntn: cephalization of vessels is the term for redistribution of blood flow from the bases to the apices of the lungs. Usually accompanied with sign of pulmonary congestion/edema.(lilly pge 49)

160 B. hilar alveolar infiltrates and widening of hilum

161. A. decrease pulmonary vascular markings

162. C. cephalization.
Ref: lilly pg 49

163. B. CT scan.

164. C. nuclear imaging

165. E. conventional radiography of chest.

166. D. echocardiography.
Ref: lilly page 51-53

167. A. MRI

168. B. Postero-anterior projection of chest x-ray (AP)
Ref: lilly pg 47

169. can’t find

p/s: for question 158, d explanation is actually in table form.do check d reference attached.ill try to update k.

t8 cr!

Thursday, July 16, 2009

UPDATE MAISEN 2009

salam/hi!
important!!!
  • ada syarat2 baru.klik gmbr d bwh utk ke blog maisen 2009 for d updates oke.


t8 cr!

Monday, July 13, 2009

ANSWER for DMS : 155 - 159

155. C. Amitriptyline
Indication:
A (benzodiazepine) = anxiety, mixed-anxiety depressive disorder panic disorder, social phobia, OCD,PTSD, depression, bipolar I disorder, akathisia, Parkinson’s disease
B (SSRI) = separation anxiety disorder
C (tricyclics/tetracyclics) = major depression disorder, MOOD DISORDER DUE TO GENERAL MEDICAL CONDITION WITH DEPRESSIVE FEATURES, panic disorder with agoraphobia, generalized anxiety disorder, OCD, eating disorder, PAIN DISORDER
D = depression, bipolar disorder, ADHD, cocaine detoxification, smoking cessation
E = depressive, insomnia
Reference: Kaplan saddock

156. C. T2
-Hoarseness may be a sign of laryngeal cancer. Thus, refer TNM classification for head and neck cancer for oropharynx:
T grade oropharynx
T1 0-2 cm
T2 2.1-4 cm
T3 > 4 cm
T4a Larynx, muscle of tongue, medial pterygoid, hard palate, mandible invasion
T4b Lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases carotid artery invasion
Reference: Harrison’s pg549

157. A. I
Refer TNM classification for head and neck trauma for regional lymph node:
NX Regional lymph node cannot be assessed
N0 No regional lymph node metastasis
N1 Unilateral metastasis in lymph node(s), ≤6cm in greatest dimension, above the supraclavicular fossa
N2 Bilateral metastasis in lymph node(s), ≤6cm in greatest dimension, above the supraclavicular fossa
N3 Metastasis in a lymph node(s) >6cm and/or to supraclavicular fossa
N3a > 6cm
N3b Extension to supraclavicular
MX Distant metastasis cannot be assessed
M0 No distant metastasis
M1 Distant metastasis
Reference: Harrison’s pg 549

158. E.Thyroid mass
It moves upward on swallowingthyroid

159. B. Jugulodigastric
-Nasopharynx is located posterior to the nose and superior to soft palate
-The abundant lymphoid tissue in pharynx forms an incomplete tonsillar ring around the superior part of the pharynx. The lymphoid tissue is aggregated in certain regions to form masses called tonsils
-Jugulodigastric node or also known as tonsillar node because of its frequent enlargement when the tonsil is inflamed
Reference: Moore anatomy pg 1102,1109
P/s:cant find the exact answer,but my guess wud be jugulodigastric.sorry.
159

Sunday, July 12, 2009

ANSWER for DMS : 92-107

92. ANS : A) Tetanus- lock jaw, produce by gram + bacilli, affects skeletal muscle, obligate anaeorobic bacterium clostridium tetani, give antibiotics

REF: WIKIPEDIA

96. Most staphylococci –posses enzyme catalase, resisitant to penicillin, gram +, appear as clusters

Streptococci-gram +, line up one after another, do not contain enzyme catalase, can be treated with penicillin.

ANS: A) Streptococcus mutants – viridians group streptococci, alpha-hemolytic

B) Staphylococcus epidermis

C) Staphylococcus aureus - B-Hemolytic, golden yellow pigment

D) Streptococcus pyogens – B-Hemolytic on blood agar-produce pus

E) Streptococcus faecelis

REF: Clinical Microbiology made ridiculously simple (chap 4& 5) (pg 22-29 & 31-37)

98. ANS: A) N.G – Gram negative kidney bean shaped diplococcic bacteria,grow on chocolate agar (appear in pairs)

B) S.P – Gram +, alpha hemolytic, upper respiratory tract infection

C) H.I – gram negative rod, causes influenza

D) Staphylococcus aureus- golden yellow

E) S.S – present in soil, grow rapid at 25 degres celcius, moist, lethary to velvety

REF: WIKIPEDIA

99. ANS: A) Trichodectes sanis

B) Phthirus pubis – a parasitic insect infesting human genitals, live on hair, feed on blood

C) Pediculosis humanus- caused by colonization of hair & skin, usually on head & scalp, feeds on human blood, symptoms itching, frequent in children 3-10yrs ols

D) Cutaneous larva migrans- penetrate outer layer of skin & create a typical wormlike burrows visible underneath the skin, cause a red,intense, itching eruption

E) Sarcoptes scabiei- a parasitic arthropod which burrows into skin& causes scabies, causes agonizing itching particularly at night, transmitted thru skin to skin contact

REF:WIKIPEDIA

100.ANS: D) Clostridium tetani- endospore, develops a terminal spore

REF:WIKIPEDIA

101.ANS : B) Staphylococcus aureus- can cause minor skin interactions such as pimples & boils

REF: WIKIPEDIA

102. ANS: C) Pseudomonas aeruginosa- pseudomonas is primarily an opportunistic pathogens that cause interactions in burn patients .

Ref: WIKIPEDIA

103. ANS: C) Gastric Ulceration- Ibuprofen---NSAIDs, relief symptoms of arthritis,dysmenorrhae,fever,analgesic & have side effects such as nausea, GI ulceration, bleeding, diarrhea, epistaxis, headache, dizziness, unexplained rash, hypertension, MI

REF: WIKIPEDIA

105.ANS: A) Bupivacaine- local anesthetic drug, administered epidural injection b4 hip arthoplasty & injected to site of wounds to reduce pain.

B) Lidocaine- local anesthetic, antiarythimic drug, used topically to relieve itching,burning & pain from skin inflammation

C) Etidocaine- local anesthetic give during labor & delivery

D) Procaine- reduce pain in IM injection of penicillin & used in dentistry

E) Cocaine- stimulant of CNS

REF: WIKIPEDIA

107.ANS: A) Dopamine – neurotransmitter –f(x) : hormone to inhibit release of prolactin from ant.lobe

B) Phenylephrine- agent to dilate pupil, vasopressor to increase BP in unstable patients with hypertension

C) Levonordephrine- nasal decongestant & local vasoconstrictor for use in dentistry

D) Cocaine- stimulant of CNS

E) Epinephrine- hormone & neurotransmitter

REF: WIKIPEDIA

Saturday, July 11, 2009

MENTERI MINTA MAHASISWA KEDOKTERAN ASING DISETOP

salam/hi!
article taken from Rambu Kota

Selasa, 12 Mei 2009 [ 07.11 Wib ]
Menteri Kesehatan Siti Fadilah Supari mengaku kurang senang melihat banyaknya mahasiswa dari luar negeri belajar ilmu kedokteran di negeri ini. Kepada petinggi Universitas Padjadjaran, Bandung, dia meminta agar penerimaan mahasiswa asing untuk bidang kedokteran dihentikan secara bertahap. ”Mulai sekarang, tolong, jatah dokter asing dikurangi,” katanya kemarin. Permintaan Menteri Kesehatan ini disampaikan secara khusus kepada Rektor dan Dekan Fakultas Kedokteran Universitas Padjadjaran di hadapan para wartawan, saat berkunjung ke Rumah Sakit Mata Cicendo, Bandung. Alasannya, kata Menteri, masih banyak orang Indonesia yang ingin jadi dokter. Selain itu, kata Fadilah, fasilitas rumah sakit yang dipakai untuk praktek mahasiswa kedokteran asing dibiayai oleh uang rakyat. ”Sangat menyakitkan. Kita keluarkan dana dari APBD tapi dipakai calon dokter dari Malaysia,” katanya. Fadilah menegaskan, dana pendidikan di Indonesia kini sangat besar. Ia menilai, perguruan tinggi tidak bisa beralasan kurangnya anggaran sebagai dasar untuk menggenjot penerimaan mahasiswa dari luar negeri. ”Nanti Malaysia nggak usah bikin fakultas, mendidik dosen, tidak usah membangun sekolah. Lebih baik sekolahin di sini,” ujarnya, menyindir. Menteri Kesehatan menandaskan, ia akan berbicara dengan Menteri Pendidikan Nasional soal ini. Tujuannya, aturan yang membolehkan mahasiswa asing kuliah di Indonesia diubah. ”Jadi, jangan dituruti saja kalau ada aturan dari atas (yang) kira-kira merugikan rakyat. Jangan diikutin,” kata Fadilah kepada Dekan Fakultas Kedokteran Universitas Padjadjaran Eri Surahman. Menurut Eri , jumlah mahasiswa asing di Universitas Padjadjaran saat ini tak sebanyak sangkaan Menteri Kesehatan, yang menyebut 20 persen. "Jumlah mahasiswa asing di Universitas Padjadjaran sekarang hanya 400 orang dari total 38 ribu mahasiswa," kata Eri. Mereka tersebar di Fakultas Kedokteran, Fakultas Kedokteran Gigi, dan Farmasi. Eri mengaku akan menyanggupi permintaan Menteri Kesehatan. Jumlah mahasiswa asing bakal dikurangi hingga separuhnya pada penerimaan mahasiswa baru 2009. Tiap tahun, kata Eri, Fakultas Kedokteran rata-rata menerima 100 mahasiswa asing, terutama dari Malaysia. Berdasarkan informasi yang dihimpun Tempo, sepanjang 2004-2007, fakultas-fakultas yang biaya kuliahnya hingga Rp 100 juta lebih itu menerima 82 hingga 116 mahasiswa asing untuk tingkat sarjana. Adapun mahasiswa asing di program pascasarjana sekitar 75 sampai 150 orang.(KT/OI)

t8 cr!

p/s:thankz to syed for d link.
p/s2:aq mrh FK.pst sejuk kejap.pst hr ni ada yg terungkit mengunkit kisah silam yg gelap dgn FK.mrh blk ngan FK.but then i realized,pnh ke aq sejuk bl mention FK?tak dan ternyata aq mmg sentiasa mrh kt FK for those stupid tradition n rules.anda pula bagaimana?
p/s3:byk aq nk komen sbnrny but since ni bkn blog aq,tpaksa la restrict.kang kn pecat lak.xnk huhu~sbb aq sk update blog batch.in fact aq lg sk update blog batch dr update blog aq.hehe~XD

Saturday, July 04, 2009

MAISEN : MALAM INSPIRASI SENI 2009

salam/hi!

this is extracted secara padat dan tepat from d original forms.so,plz refer syarat2 berikut.kpd yg berminat sila submit nama kepada YOYO by FRIDAY 10/7/09.


A.PERTANDINGAN FILEM PENDEK
  1. 20 minit.
  2. tema: Emosi, Ekspresi, Seni.
  3. dihantar dlm bentuk CD selewat2nya pd 2 oKTOBER 2009.
  4. sinopsis dan senarai pelakon beserta krew dihantar selewat2nya pd 2 Oktober 2009.
  5. penggunaan pelakon bebas (ayat sbnr:xterhad kpd pelakon malaysia).
  6. tidak menyentuh sensitiviti mn2 pihak.akn dibatalkan penyertaan jika tersentuh.
  7. suntingan/editing bebas.
  8. trailer dan softcopy poster dihantar selewat2nya 2 minggu sblm tayangan perdana.
  9. dinilai melalui:kreativiti dan jalan cerita
  10. hadiah utama: Rp 500,000.
  11. 9 anugerah dipertandingkan:
  • filem pendek terbaik
  • filem pilihan penonton
  • pengarah terbaik
  • suntingan/editing terbaik
  • pelakon lelaki terbaik
  • pelakon wanita terbaik
  • pelakon pembantu lelaki terbaik
  • pelakon pembantu wanita terbaik

B. PERTANDINGAN PUISI

  1. tidak menyentuh sensitiviti mn2 pihak.akn dibatalkan penyertaan jika tersentuh.
  2. tema:Emosi, Ekspresi,Seni.
  3. dihantar selewat2nya pd 2 Oktober 2009.
  4. hadiah utama: Rp 100,000
  5. Puisi terbaik akn dideklamasikan pd MAISEN.
notes:
  • since xdk tulih bahasa apa,so,bahasa bebas.
  • leh hantar byk2.
  • korg buat je puisi tu xyah deklamasi.deklamasi nnt org len.

C. PERTANDINGAN ARCA

  1. tema: Emosi, Ekspresi, Seni.
  2. apa sahaja bahan.
  3. dihantar selewat2nya pd ???
  4. hadiah utama: Rp 100,000.
notes:
  • ye,bahan suka hati.
  • tarikh submit tu xdk la plak.nnt aq tny.but supposedly before MAISEN which aq rs by oktober la kot korg kena hntr.nnt aq cnfirm blk k.aq rs 2Oktober 2009.

D.PERTANDINGAN FOTOGRAFI

  1. hantar hardcopy dan softcopy selewat2nya pd 2 Oktober 2009.
  2. tema: emosi,ekspresi, seni.
  3. hadiah utama: Rp 100,000 dan trofi.
  4. akn dipamerkan pd MAISEN.

E.PERTANDINGAN LIRIK LAGU

  1. tema:emosi,ekspresi,seni.
  2. tidak menyentuh sensitiviti mn2 pihak.akn dibatalkan penyertaan jika tersentuh.
  3. dihantar selewat2nya pd 2 Oktober 2009.
  4. lirik lagu terbaik akn diperdengarkan pd MAISEN.
  5. hadiah utama: Rp 100,000.
notes:
  • korg bt lirik je.xyah nyanyi oke.

NOTES:
  • ats pbincangan ktorg td,kl dh x dinyatakan dlm syarat2 di atas,maka korg blh buat sesuka hati.makanya be as creative as u can k.
  • jom join beramai2.hehe~

t8 cr!

alkisah REMEDIAL dan JUDICIUM 2!!!

salam/hi!

informasi dari yoyo,plz take note:

A.PULANG KE MALAYSIA SEBELUM JUDICIUM 2

kan hari tu dr. nadjwa ckp xkn release bebas fiskal before judicium 2 n kt xblh blk.so this is d follow up.final decision is, kita BOLEH BALIK dengan syarat:
  1. dh amik semua paper remedial.FINISH ALL XMs
  2. buat SURAT AKU JANJI berserta tanda tangan anda dan Dr Nadjwa/SBK and address to fk unpad with this statement included:
"kalo saya balik sebelum xm (meaning x amik paper remedial) dan x datang judicium 2,
saya bersedia untuk digagalkan"

reminder: jadual remedial blum tetap.perubahan ikut suka hati fk.harap telah sedia maklum.


B. JUDICIUM 2

setakat ini tarikh untuk judicium 2 masih 6 Ogos 2009.tetapi jika ada sebarang PERUBAHAN TARIKH, dan anda TIDAK DAPAT HADIR,anda AKAN DIMAAFKAN dengan syarat:
  1. anda telah berada di Malaysia.yg dk ada kt sini jgn nk mngada x p plak.
  2. submit salinan itinerary/ticket penerbangan anda kpd fk
reminder:hanya jika ada perubahan tarikh.kl xdk kehadiran adalah WAJIB untuk judicium 2.


C. 4th YEAR

hari buka sekolah tlh ditetapkan pada 31 Ogos 2009.Selamat Hari Merdeka Malaysia!



D.REMEDIAL PAPERS FOR DMS,HIS and CVS

insyaAllah pd hari selasa ini, 7/7/09 soalan akan diedarkan mengikut kosan kepada wakil kosan oleh sedara yoyo kita.include all this info dlm anwer sheet anda utk ksenangan bersama:
  • DMS/HIS/CVS dan nombor soalan
  • jawapan:sm ada A/B/C/D/E
  • optional tp digalakkan: explanation
  • optional: reference
  • contoh:
DMS 77. A
sbbnya dragon ball ada 7 bj kesemuanya.guyton pg78

submit kepada representative berikut thru email sbb sng ktorg nk copy paste ke atas paper.hehe~plz submit kpd org yg btul k:
  • DMS to nADIahz! : a_newt21@yahoo.com
  • HIS to sugen : thiran_sugen@yahoo.com
  • CVS to noddy : lil_nadcaze@yahoo.com
plz submit BEFORE FRIDAY 10/7/2009.insyaAllah by Saturday or Sunday dh siap.n u guys can get it at KOPA.btw utk kertas soalan without jawapan leh amik kt KOPA by tuesday 7/7/2009 ini.

t8 cr!

p/s:goodluck utk remed!n tahniah for our good achievements!
p/s2:kita disarankan utk sgt berhati2 dgn FK skrg cuz skrg mcm strict gillla thdp malaysian.so,jgn cr pasal.sekian.