Friday, May 7, 2010

Soalan oleh Dr Tamer ( tuition )

1. Prevention of :
- anthrax
- typhoid fever

2. difference between :
-brucella species
-strept pneumoniae
-v.cholere & v. El-Tor

3. causative agent, method of infection & diagnosis:
- plaque
-whooping cough
-wool&soarter disease

4. fungal spore

5. disease and diagnosis of candida albicans

-ilmu didahulukan,pencapaian diutamakan-

Soalan penting semua subjek


- Regarding Arthropodes doctor Ateff said this is important: Clinical importance of any arthropod , Metamorphosis , Myasis , Mites .

- Habitat , Intermediate host , Definitive host ..tak masuk dalam written , tapi akan ada waktu oral

- Regarding Drawings in exam : El rasm el mtlob bas hwa el diagnostic stage , y3ne law el Diagnostic stage egg trsm el egg , and so on .. So fe kol goz2 btzakro shof el Diagnostic stage eh w ersmha bas :)

- Regarding Treatment : cuma bgtahu nama drugs, tidak perlu tulis dose utk drug tersebut

15/6/2010 jam 11tgahri akan diadakan kelas bersama Dr Ateff utk soalan yg masuk exam nanti. doktor akan bagi 46 soalan beserta jawapan dan 25 soalan dari 46 tu akan keluar exam. jadi mintak tolong jangan lepas kan kelas ni ye.


X = cancelled
✔ = Important

● General Pathology :

* Inflammation :

-Chemical Mediators of Acute Inf. '' page 13 in book '' > X
-Chronic Inflammation > X ,
but just know names of cells of Chronic Inf. and Differnce between it and Acute Inf.

✔ Granluloma : Very important , y3ne msh tb3 el Chronic Inflammation


* Repair :

- Control Mechanisms of Repair '' Page 37 in book '' > X


*Cell Injury :

- Cloudy Sweeling , Hydropic Degenration > X
- Mucinous & Myxmatous Degeneration > X
- Gout > X

✔ Amyloidosis , Calcification : Important


* Circulatory :

- Shock & Haemorrage > X


* Infection :

- Leprosy , Sarcoidosis , Viral Infection , Hydatid Disease & Filariasis > X

✔ Tab3an : TB , Bilhariza , Syphillis : msh m7tagen klam ya3ne :D


* Tumors :

- Carcinogenesis '' From page 206 : 212 in book '' > X ... El m2sod hena el mechanism aw el molecular basis of Carcinogenesis lakn '' Carcinogens & Complications of tumor '' ✔ : m3ana tab3an.


● Special Pathology :

* Breast , Female , Male , Renal , CVS , Respiartory : No changes ✔ ✔ ✔ ✔ ✔ ✔


* GIT :

baca GIT start dari topic stomach hingga habis
- Kol elle 2abl el Stomach ma3ada '' Salivary Glands '' > X

✔ Y3ne mn awl '' Stomach '' l7d el a5er + Salivary gland : m3ana


* Lymphoid :

✔ Kolo m3ana ma3ada Awl saf7a fel ktab '' Msh mwgoda fe mo3zm el mozkrat asln , So check the book and ur revision sources ''


* Endocrine :

✔ Thyroid & Diabetes only :

- Pituitry + Supra Renal > X


* Nervous System :

- Viral Infection > X
- Tumors of Nervous System : Just enumerate the names.

✔ Ba2y el 7agat zay : Suppurative Meningitis & Brain abcess ... ✔


* Bone :

deleted osteodystrophy except Rickett

★★ El Bone l7d dlw2ty feh e5tlaf 3shan el Dr msh 3arfa eh etshr7 fel mo7adrat bzbt f heya hatt2kd w tktb fel e3lan bas 3amtn elle etl3'a fel bone howa mn Page 221 : 228 Ma3ada el Rickettes 2alt momkn tgen el NE bta3to 3la asas eno Jar + villonodular synovitis > X

Bas 3amtn nstna el e3lan elle dr hatnzlo 3shan nshof eh haytl3'a tany :)

NB :
exam pathology 24/6 for 1st paper & 29/6 for 2nd paper


El 7agat elle etl3't :

- Genetics : Advanced kolo ma3ada PCR w Probes .. Zay el term el awl ya3ne

- Pox Virus & Virus Vaccination

exam microb: 20 questions , Each 5 marks .. 20 x 5 = 100 Marks

Scheme for written

General Bacteriology : 1 Q
Genetics : 1 Q
Immunology : 3 Q
Systemic : 6 Q
Mycology : 3 Q
Virology : 2 Q
Apllied '' Tagme3at '' : 2 Q
Nosocomial : 2 Q

Total = 20 Q


-ilmu didahulukan,pencapaian diutamakan-

motivasi pagi

Dearest adik-adik in Egypt,

First of all, I would like to wish you all the best for the final exams. Hopefully you could answer really well, for those who couldn't, just focus on the next paper and forget about the past papers.

Anyway, Kak Niah dah start my housemanship. Currently, I'm in Hospital Serdang with the pediatrics department. So far, things had been great, although there are times when I feel down, but I keep telling myself that things will get better and I will not allow my job to interfere with my emotions. Working with children is fun, they are innocent small people who are very honest, and seeing them getting better everyday is a great joy!

The reason why I am writing to all of you is because I just want to give a quick briefing of what HOs are expected to do, so that you all tak terkejut when you start work nanti. Honestly Kak niah ckp, first time present depan specialist was a great mess, it's because they present differently here. I mean, the last time when I present depan my specialist in Egypt, they didn't say anything. It was so different back then, I guess it's because we were used to seeing chronic patients, so you tend to tell everything about the history of the patient when you present. But here, it's different because they are "real" patients who come to seek for medical help rather than asking for "money." Tapi apa2 pun, as the days go by, I got used to presenting and mentioning the relevant issues only. Like they always say, the specialists are way older so their attention span is very short and they are not bothered to listen to the non-sense. I was lucky to have nice MOs who always guide me.

* the local grads dont have this problem because they are used to the system here, mmg since medical school they present depan specialist.

Ok, for those who don't understand about the hierarchy of the medical field, this is how it is: HOs are under MOs, so anything you do, you have to refer to MOs, for example, if you come up with a management for the patient, the MOs will monitor your management, so if anything happens, HOs don't get the blaming because anything you do is always under supervision. You are always protected! After two years of HOs, you become a medical officer (MO), and here, you are on your own. But above you is the specialist. You only refer to specialist for difficult cases.

I am sure that for those yang dah masuk clinical year, you notice that kita dekat mesir, ada buku khas for clerking, right? If HF patient, ape nak tanye and so on, we have a template! But here, there is no such thing. I remember masa mula2 clerk patient sini, I didn't know what to ask. But later, I realized that what you ask are all the things that are present in the theory book, it's just that it's in the form of a question. And it's very important that you analyze the complaints, because it can lead you to many differential diagnosis (DDx). Eg. patient coming with a cough, it could be many things, it could URTI symptoms or an asthmatic cough... so how can you differentiate between the two DDx? Again, you have to analyze the cough, ask about the timing of cough and so on. This is the easiest example that I can give right now...

So here, I would like to sarankan to my adik2 to study really hard when you are in medical school. Because when you work, you are expected to know everything! No one will guide you and tell you, "ok, listen to this, this is crepitations, this is rhonchi, this is a murmur..." you are expected to know that!!! So while you are in medical school, you have to start learning about all that. Rajin2 la tengok patients, ye! Jgn relax sangat, because when you work nanti, menyesal tak study betul2. You cannot miss any signs when you work because they are important. I was ever so thankful to Allah for the fact that I went to the extra classes while I was in the 6th year... alhamdulillah sangat2 for that, because I cannot imagine how I'll be if I didn't go to those clinical classes. Yesterday I was asked by my specialist to interpret an ECG! Thank God I could! To me, you have two choices, for those yang tak nak pegi kelas tuition takpe, but you must have a back up system to compensate for the lack of cases that we see... pegi ward sendiri ke, ape2 la, yang penting, you learn something. Like me, in the beginning of 6th year, I knew that I am not the kind who is bothered to go to wards on my own, I wasn't sure whether I was disciplined enough, hence I joined classes with Dr Hawary (for theory of medicine) and Dr Ashraf (for clinical medicine). People might say that I was spoon fed, but I'd like to make it clear, all the spoon feeds paid off ok! And I just don't know how to thank those professors who helped me. So the bottom line is, you have to study hard when you are in medical school! All the knowledge is essential in making the correct diagnosis and managing your patients. So siapa2 yang ada extra money tu, invest in classes rather than travelling, there will be a time when you can travel around the world. Focus on your priority which is a to study!

Oh yeah, before I forget, the myths about HOs being so busy that you don't have time to eat are all not true! Believe it or not, I lunch everyday, and a proper lunch that is, nasi with so many lauk! Again, it boils down to how you manage your work. I am telling you this so that you are not scared about entering your HO days because the last time, I was told that I won't have time to eat! Just be optimistic about life and stay positive!

Ok.. I better end my email here. I have a few things to say, but I'll leave that for later. All the best! If you have anything that you'd like to ask, do email me at nooraniah@gmail. com. I'd be happy to help!

Best Wishes,
Kak Niah.

-ilmu didahulukan,pencapaian diutamakan-

Pharmacology from Dr. Mutaal

Topics will not come in the written exam:

General Pharmacology:
Adverse drug reactions.
Principles of drug interactions.

N.B. adverse drug reactions or drug interactions present for individual drugs present throughout the book are NOT deleted.

Neuromuscular blockers
Ganglion blockers
Ganglion stimulants.

Eye: the whole chapter

Osmotic diuretics.

Treatment of shock.

Drug treatment of cholelithiasis (gall stones)

Pharmacology of oxygen & carbon dioxide.

Chemical transmitters in the CNS
CNS stimulants
Sk ms relaxants
Anesthesia (general & local)

Hypothalamic & pituitary hormones (ant & post).

Restoratives (blood, plasma, fluids).
Treatment of hyperlipidemia

Antiviral drugs
Antiparasitic drugs
Cancer chemotherapy
Drugs that stimulate the immune system
Drugs that inhibit the immune system

Additional topics:
Physiology in the beginning of each topic (e.g. physiology of arrhythmia).

N.B. this is not applied for topics of clinical cases e.g. hypertension, heart failure, angina, etc… all is important.

Structure of the exam:

1st paper:
Value: 75 marks
Chapters: General, ANS, Renal, CVS, Autacoids, GIT, Blood.

2nd paper:
Value: 75 marks
Chapters: Respiratory, CNS, Endocrine, Chemotherapy

Each paper will include:
One long (essay) question (15 marks).
One question including (a) & (b), (7.5 marks for each).
A number of short questions (3-5 marks for each).

3rd paper:
Clinical cases: 5 clinical cases (10 marks each).

-ilmu didahulukan,pencapaian diutamakan-