UPDATE MAISEN 2009

salam/hi!
important!!!

• ada syarat2 baru.klik gmbr d bwh utk ke blog maisen 2009 for d updates oke.

t8 cr!

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

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

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

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.

happy holidays!

salam/hi!

so,exams finally over.ramai g jalan2.x kurang yg pulang ke malaysia (mcm ramai pdhl 2 org je kot).hehe~dan kpd yg x pg jln2 enjoy hols as much as u enjoy es mangga kat tripleA.hehe~happy hols!!!

t8 cr!

p/s:kpd yg g jln2 jg diri.
p/s2:jgn lupa judicium on july 2nd.
p/s3:rest&relax b4 remedial.2nd yr's judicium is on 29 kn?kl xslp.or 28.so rsny by then dh tau jadual remedial.so lh plan n bl ticket to fly home.someone tlg update k.
p/s4:cheerioss~

SPOTTED: Y is getting to know FB

ko mimpi apa o9 nih?
hoho
pinjam laptop awang
men pirate kt fb
muahahah
heh~
ko level bp?
KO ADA FB KA?
br jek bkk men td
aq men awang nye fb
muahahah
:emoticon kagum:
add aq
-----------------------------------
hohoh
aq tgk dulu
nnt pas exam men

so,bila lg Y?ktorg dh lm tunggu ni.
XD

u know u love me. XOXO.

osce la pulak

salam/hi!

this stuff comes from many source.thankz! to minah,awang seniors dll.n they r from previous years ny experience.so krg pandai2 la bt ptimbangan sniri.oke.


ni yg dh nek for 2 consecutive years:

• ECG normal
• ECG abnormal (ada yg kt either MI or enlargement shj,no arrhythmia)
  
• traction
• suturing
• IM injection (gluteus maximus n mannequin yg buzz bl slh cucuk)

yg lg 2 ni additional but nmpk gaya mcm wjb jgklah:

• HT CVS
• HT HIS anemia/bleeding/malignancy

kn ada a few cases,so da akn naik 1.eg. cyanosis eg. chest pain.n d probability is dia akn tukar d case for each day.

ni adalah sisa2 yg TINGGI kbarangkalian akn naik:

• Sahli method
  
• CPR peds
• WBC differential count OR
• WBC count
• PE ENT: akn dpt real patient.kl last yr they hv to check whether perforated ear ke x.ramai fail sbb diagnosis slh.be careful
• HT dermatology OR
• PE dermatology
• wound toilet & debridement
• HT allergic OR
• PE allergic
• PE of heart:last yr JVP

dats kind of all.tp REMINDER di sini bahawasanya ni smua bdsrkn previous years.n i dont warrant case nek 1st day leh exclude utk next.tp 1st 5 tu insyaAllah mmg utk everyday.akhir kata,slmt study-goodluck- dan jmpk lg jumaat nnt!hehe~

t8 cr!

p/s:anyone with any info plz add,correct or whatever u ve to do.
p/s2:kpd yg dh ada planning nk g jenjalan ke blk ke aftr remedial osce,igt PASS ur OSCEs dulu.br leh enjoy.XP
p/s3:n kl aq or sesapa rajin silalah update esok n d next day.hehe~
p/s4:just fight for all As for OSCE!thats all FK asked from us.XD

so0cA:1st day was okay

salam,
yeah,as we all knew,td just 2 case je for so0ca:

1. iron deficiency anemia (HIS)
2. bilateral cleft lip and palate and polydactyl of right hand (DMS)

from what i heard,this is what happened today.so,korg yg 2nd day,just prepare je la for d worst case scenario k?

• bdk2 yg shift 1 td ada yg xckup masa.cuz pg2 lg kot.so,br nk setup mcm2.so,korg prepare je la sp2 yg shift 1.tp 2nd day shud be better la kn.
• nnt korg msk je blk with all those papers still in hand doctor akn ckp you have 2ominutes from now.xdkla da ckp cmtu.tp bl korg msk blk, dia kira time dh start.so,korg kn cpt2 la hang smua kertas tu.n start ur presentation.jgn buang masa.n time pn ikut lecturer gk.i only had 15minutes je td.doc bg 15 minutes ja.so,korg pndai2 la.n rsnya smua blk ada magnet kt whiteboard tu lekatkan ur flip chart.tp ats table ada ja masking tape kl d magnet doesnt work.btw,xdk whiteboard kcik yg ada kaki tu.
• utk case synopsis yg mrkh da 5 kot (xigt.hehe~).korg ckp cmni,hafal script ni.myb ramai yg dh tau tp bt yg blum, hafal n say this as ur first sentence after introducing urslef.hehe~ "the diagnosis of our patient is _______ because from PE he has ______.from lab exam he has _________ n from xray/ecg/etc he has _____________."lps tu start dgn basic science.ok?
  
• oh,td ktorg delay 30minutes.kiranya,supposedly i was in shift 8 yg spttny start at 11.tp td msk at 1130.xtau la esk mcm mn.shud be no problem kot.
• korg akn dipanggil kat a5.preparation at kt ny skills lab area.preparation 3ominutes.exam kt a53.tutrial room.
• pstu td smua org kn kuarantin.even org yg 1st shift yg start at 730am pn kna tunggu smpai around 130 td.kuarantin kt lab com a52.u were asked earlier to leave ur HP in ur bags ms preparation kt skills lab.so,korg akn sgt bosan kt dlm tu.u might as well bw bntl n tilam.bosan amat.fyi,no internet.having told this,korg pkr la apa nk bt ek.=P
  
• as usual,yes ur marks depend on d doctors dat evaluate u.cant help u with dat.just do ur best k.be really prepared.
• oh, n td yg case cleft lip n palate tu with polydactyly of right finger.d point is da cmpr case with another minor case (xtaula minor ke x.tp ada org ckp mmg doctor dh ckp pn akn ada case tu with cleft lip n palate.tp i didnt hear any of dat.my bad.so,lps ni kl sp2 tau pa2 spread je la ek.help ur friends).tp for tomorrow xtaula whether da akan bt cmtu gk ke x.just,kl ada jgn tkejut sesangat la ek.hehe~
• other than that,result hr ni utk kpbi ok kot.xtau pn result smua org sbnrnya.tp from what ive heard,we are doing fine.ada la yg bias here n there.tp its sooca.its designed dat way.huhu~so congrates bg yg dh lepas n scored well.bg yg rs2 frust dgn mrkh hr ni,congrates gk,u didnt fail,its just dat u r not perfect.haha~apa2 lah.anyway,xm br start.we have a long way to go.so,dont stop striving.go!go!
• lg satu,almost terlupa,ada BHP points tau.5mrkh kot.diorg kt explain bout informed consent.hmmn~xtaula kl ada lg yg kn explain.

n this is a special thankz going to our special friend who made today a not-so-hell-ish day.thank you very much k***n & associates (kalo ada la.lum g interview btul2 g.hehe~).lh ke letak nm btul?kl blh ckp ek, nnt aq tulis.huhu~hehe~anyway thankz!

n for yg sooca esok.best of lucks!may tonight x black out stengah jam mcm smalam lg n korg leh study comfortably.hehe~

t8 cr!

p/s:hope this post helps.XD
p/s:today was okay maksud dia.its not so great.hehe~huhu~