WeLcoMe To mY wOrLd

Finished with theory exam, tiba la detik mghadapi OSPE,OSCE & VIVA.....
i feel really2 nervous for the OSCE coz in my mind there's lot need to be study n practice....
ntuk ospe n viva plak takde la neves sgt coz 2 exam ni tak memerlukan subject hehe...
viva plak awal2 je rase relax skalinya mase tgh exam viva, disaster melanda..haha nnti sy critakan details nye k...awal2 sy x takut sgt dgn viva coz mase supplement hri tu 2x sy viva...so kira mcm dah get used....


oklah meh kita meneruskan perjalanan 1 persatu...start with....
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9/11/09 monday
Its OSPE!!!!


for this time, our OSPE only consist of 10 stations.. haha tak la sbyk 1st year dulu smpaikan 20stations...penat siottt....


kmi smua d kuarantin dkt galen dulu b4 divide into groups...1 session there will be 2 groups yg gerak serentak...sy plak kene group c2..means session ke3...aduiyaa penat gler tnggu d galen tu...mo study pun dah mcm tepu dah otak ni...mana bleh masuk lgi...just hope yg masa cepat berlalu n i wanna to finish it ASAP...


dorang chalen bertuah sal kena session 1st...dorang amin plak sian kene session last...hik3 msti penat dorang tnggu d galen tu...


b4 smpai turn kmi, kmi dsuruh berkumpul dulu d luar galen..siap buat barisan lagi...haha mcm kenangan sek rendah berbaris mo p perhimpunan pagi je...lama gak la kmi tnggu...then dorang suhail dah start bising coz kmi d suruh baris awal sedangkan blum smpai waktu lgi...then kak n abg fifi ckp la, bukan slh dorang tp dr mimi yg suh standby awal2....hoho jht gak dorang ni nak salahkan dr plak..hmm dr mimi kan new comer...so, that's why la dia skema skit...Opppss tersasul ckp dr skema le plak..hahaha ampun~


then bila line clear, abg fifi pun lead kmi menuju ke bgunan mpg...hahaha lawak oo jln dlm barisan..dah la kmi smua pkai labkot...mcm ala2 buat lawatan smbil blaja plak..abg pipi lak jdi tourist guide hak3...btw abg pipi n kak lab tu mmg sempoi laa...dorang pun gila2 gak...mmg fun laa, so tak de la boring ngat smbil mnggu giliran kmi smpai...


erm time kmi dah dekat dgn mpg...kak lab tu siap warning kmi lg jgn pndai2 nak wat sign language dgn group yg bru kuar nanti...hahaha kak ni mcm dah paham je dgn prangai kmi ni kan...then masa group yg dah siap, kuar dri mpg, dorang suhail brabis buat2 gaya sign language dgn dorang...siap ckp tq lgi (kononnya soalan dah bocor la) padahal tak pun...hahaha ada2 je dorang ni...


setelah lama menanti, akhirnya tiba la giliran kmi...hoho kecik gak lab mpg ni...patutla ospe 10 stations je plus 4 resting station...my 1st station was station infection yg RPR test tu..overall ok laa soalan ospe ni...lgipun byk repeat last year n omost same with tips..yg microscopic kbykan sy men agak je...hmm hrp2 btol la ape yg sy teka tu...


yg tak bleh bla bila station antibiotic susceptibility test tu...haha rupanya sy tgk petri dish tu dlm keadaan terbalik....nasib kak lab tu bg tau...aduiyaa dah la sebelah sy ada sorang dr tukang jaga...adehh malu beb...tp sy cam biase la buat2 kool jee hik3...lgipun even terbalik pun sy still dpt nmpak dgn jelas baa <------still mo cover line haha...


hmmm oh ye masa sy d resting station tu, ade laa ternampak prkataan "gud luck" n "tq" dkt kad yg tertulis rehat tu...hahahah smpat lgi org sblum ni conteng ayat gud luck kat situ...yg x bleh blaa bila ada gak org tolong balas tq hahahaha...ekceli sy pun mcm nak tulis something, tp takut plak bila kene tuduh mniru ke ape ke...dah la ada dr amalina tukang jaga...x pasal2 kene tuduh meniru...nayeee x_x


about 1 hour, kmi pun slesai...fiuhhh legaanyaa hati~ left osce n viva je lagi...
kluar je dri mpg tu dah nmpak dorang amin bratur d luar...hehe sy just wish dorang gud luck dri jauh n then trus bla...


that day, sy balik sorang2...hoho best gak jln kaki sorang2 ni...
ekceli dorang tiah ade ajak p lib mkn, tp sy tolak...hehe lgipun x sabar nak balik bilik tido!! lgpun petang kena praktis osce lgi...


smpai bilik sy terus tido smpai kul 2 lebih kot...tu pun tak sedar rupa2nya c edith dah ade d blik tnggu dorang chalen bngun n praktis osce sama2...


sy plak dah jnji nak praktis dgn amin...tp dpt idea ajak dorang praktis ramai2 d dwn...ct ok je dgn plan tu, yg penting chalen ade...then after tnya dorang chalen, dorang pun stuju...so petang tu kmi ramai2 praktis osce d dewan...hehe sik bek bilik kat atas tu kosong...so senang la kmi praktis...mula2 kmi study skit sal past year pnya qs...then tb2 kmi terpecah pgi 2 groups...ish3 sy plan nak praktis sama2...tp end up dorang ct praktis lain dorang edith lak praktis lain...sy plak x tau nak join yg mna...time tu agak tertekan sal sy tol2 lum study apa2 sal osce ni...so sy just observed je 2 groups ni praktis n try to learn as much as i can...


kmi study smpai kul 5 lebih je...lgpun sy kena balik awal coz lom solat asar lgi...then amin ajak smbung praktis mlm plak..sy ok je...


jnji dgn amin kul 7.30 tp delay p 8 lebih coz time tu sy tgh khusyuk berguru dgn sifu,chalen n edith...hehe thanks aa korang coz ajar sy...time tu barula sy ade confident skit mo brhadapan dgn osce esok...


so adekah osce berjalan dgn lancar???or ade bala yg menimpa sy???
hehe lets check it out!!
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10/11/09 tuesday
OSCE o_0


pagi tu, sik bek yen tolong kejutkan...if x confirm terlepas subuh lgi huhu...after solat n mandi, sy trus terpacak d meja study n study ape yg patut (last minute preparation hehe)...erm sy siap pnjam jam yen lgi ntuk osce ni...sy malas nak beli jam baru sal klau sy beli confirm tak tahan lama..lgipun sy x suka pkai jam...so senang crita just borrow je dgn yen...sik bek yen bgi ^.^


cam biase kmi suma brkumpul d luar csl n most of us duk dlm group n diskus sal osce ni..then suddenly c chun liang ckp, besar kmgkinan special test akan ditanya...whatt~!!!??? abis laaa~ sy lngsung x study sal spesel test ni...lgipun dr ruby ckp, spesel test ni x kan kuar pnya...tp x nak tnggung risiko, kmi suma pun start la praktis time tu gak...haha c amin siap dermakan lgi kaki dia buat demo mc murray test...then sgala drawer's test thomas test kuar...adehhh berkecamuk fikiran sy time tu...then i'm starting to feel nervous...huhu bgus2 nda brapa nebes tb2 after chun liang sebut sal sgala spesel test tu sy start nebes...eeennaaa skalinya teda pun kuar soalan spesel test tu...haiiizzzz kin panasss...


baa meh la sy critakan satu2 station yg sy tempuh...well~ stiap station sudah tentu ade critanya tersendri hehe...


ermm lama giler sy terpksa mnggu turn sal dorang panggil ikut no matric...cisss suke laa dorang amin coz dpt siap awal...1 sesi about 15 students kene pngil...sy pnya turn x silap sesi ke 4...lama gak kmi stay d csl room tu....b4 turn ct, sy byk diskus dgn dia, then bila ct dah kene pngil, sy pun join dorang alynn praktis...hehe time tu c ros derma kaki dia wat demo mc murray...


oh ye b4 start, dr chala bg briefing...haha yg lawaks nya, dr bg tau la kat kmi spya jgn bmbang coz pattela tap x kan kuar...kmi satu kelas serentak ckp "HAAHHHH!!????" aduiyaaa dr ingat kmi happy la konon??dia tak tau kmi tgh berduka coz sy jamin kmi suma dah praktis brabis ntuk patella tap tu...lgpun dah 2 taun berturut soalan tu kuar...skalinya for this time, dr chala nda mo c kuar T.T


k lupekan sal patella tap tu....
hehe being late to be called ada gak advantages nye...nak tau ape??hehe mestilah berkenaan dgn tips~
memandangkan dorang chalen siap awal, c ros pun suh la sy tnya tips dgn dorang...tp sy berat hati nak tnya..lgipun sy rasa if sy tnya amin confirm dia x nak bg tau pnya haha...then ros pun p a kol c chalen...haha brjaya gak dia dpt tips dri chalen...ekceli ros ade msj ed tp no respon..rupe2nye ed x kredit..ish3 time2 ni la c ed teda krdt aa haha...


chalen just smply give n takde la detail mana...skalinya, amnah approach us with a sms...hoho lngkap dgn details ooo tips yg amnah dpt tu...tak sure la sape yg hanta...btw thanks a lot to that person hehe...mmg detail giler info yg kmi dpt tu...sms tu mention sal lung auscult & percuss....auscult heart sound, hand fx test, check for anemia n lastly tredelenrburg test...dlm sms tu siap ade mention sal sudu n garpu lgi for station hand test tu...aduiyaa baik beno penghantar sms tu...thanks~


kmi pun ape lgi trus la praktis kelima5 skills tu....c rodney plak lawak ni...dia dgn ivin kononnya praktis percuss lung tp gaya dorang tu btol2 gaaayyyy oooo....hahahaha kin panass jaa...


tak lama pastu smpaila giliran me n dorang edith...huhu time ni sy tol2 nak brtrima kasih dkt nani...sal last2 minute sy nmpak ros diskus sal auscult heart sound dgn nani, so sy pun g a jenguk2 (time tu kmi dah kene suh standby da)...nani dgn baiknya ajar aa sy skali...adehhh sik baik sy dpt catch up...extra info for me mngenai aortic incompetence n radiation...thanks nani >.<


tik tok tik tok masa berlalu~
akhirnya smpai giliran kami...erm sy n edith kene group A..ade 5 stations...
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my 1st station.....
HEART


hehe x sngka 1st station was auscultation of heart...fuuhhh sik bekk laa td smpat berguru dgn nani...so i'm quite confident masa buat auscultation tu...


abg yg jdi subject ni ekceli subject kmi time praktis dulu...hehe bertemu kembali kt...
lec yg jga station tu dr aye2 mar...dr tu just duduk je d krusi n tgk dri jauh...


after perkenalkan dri n mnta chaperon sy pun start auscult...mule2 sy palpate dulu apex beat (buat2 gaya je haha) then start auscult dri mitral p tricuspid --> pulmonry --> aortic...pastu suh abang tu mngring kiri check mitral stenosis (nani ade mention if nak check mitral stenosis msti guna bell..so sy pun ikut spt yg dsuruh..)


pas tu sy suh abg tu tunduk skit sal nak chek aortic incompetence (hoho sy p check 2-2 d aortic n pulmonary ni...haizz rupa2nya edith ckp just check bhgian aortic je...lgipun nama pun aortic incompetence..edith kene tgur dgn dr aye2 sal dia check 2-2 bhgian...aduiyaa nasib time sy dr tak tegur...hehe dr tak prasan la tu kot..)


lastly sy suh abg tu baring smula n auscult bhgian carotid n axillary check for radiation...hmm ekceli yg sy dgr starting from awal2 auscultation tu bnyi yg sama jee..takde beza pun hik3...logiknya abg tu kan normal so mmg la heart sound pun normal...apee daaa...


habis auscult sy pun present dpn dr...adehh ade aa gak tergagap skit..dr tnya, did u palpate his apex? sy pn ckp la ade n siap sebut ayat kramat "left midclavicular line 5th IS"..haha dr pun ckp ok2..then sy smbung n mention sal heart sound normal n ape2 yg patut...pastu dr ckp, k u finish n can wait over there...fiuhhh dlm hati legaa oo siap 1 station...4 to go~


p/s: yg spoilnye, dr tegur sebab sy tak say thanks to subject...hahahaha adehhh mcm mana la bleh trlupa ni???huhu confirm hilang markah T.T
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2nd station
LUNG


hmm station ni sy paling takut coz sy x brape mahir dlm percuss2 ni...dah la dr yg jga ni sy tak kenal...start2 je dr suh read qs n tnya no matric..sy just jwb 43 tp dr mau full...sy pun just sebut cpat2 coz takut x enuff time...


suprisingly sy dpt habiskan b4 masa tamat...skali dgn my finding hahaha laju gile sy buat...sy nmpak subject trus introduce diri n suh abg tu buka bju n lie down...nasib baik laa dr ni pun just duduk je n just onserve dri jauh..lgpun dr tu mcm tgh busy dgn keje dia...hehe that's will be my chance to just simply do all the tasks...


seriusly sy just hantam2 je percuss tnpa palpate site yg sesuai ntuk percuss...hehe yg penting gayaa mesti ada maa...abis percuss sy smbung dgn auscultation n then vocal resonance...habis buat depan sy suh abg tu duduk n sy start percuss blakang plak...overall i oredi did mcm apa yg sy tlh blaja scara teorinya...teknik btol ke tak, blakang kira, yg ptg finish hehe...dr pun terkjut bila sy ckp i'm done...adehhh sah2 laa dr ni tak perhati langsung time sy buat td 0_o


p/s: hehe gud for me coz if dr trlalu perhatikan sy, confirm sy akn neves n tak bleh buat dgn baik...hopefully i can get gud mark....
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3rd station
INFECTION


huhuhuhuhu if korang nak tau, station ni laa yg disaster bg sy...sy msuk je trus blur coz nmpak ada set BP d meja n ada krusi...subject plak duk sblah katil...after sesi introduce diri, sy tak tau nak suh abg tu p duduk or lying down...time tu sy still fikir ambik bp time baring boleh tak??lgpun last year osce ambik bp mase baring...last2 sy just suh abg tu baring je hahaha...tp sy takde la p ambik bp abg tu time baring...sy truskan dgn examination of hand n face...check anemia n jaundice...pastu sy trus p check ankle edema...rasanya patut last2 bru cek ankle edema kan??tp sy just buat je lgpun abg tu dah dlm keadaan baring...


after that sy truskan dgn bp...sy suh abg tu duduk...dr ruby plak busy brcrita dgn sorang lgi dr laki tp sy tak prasan dr mana...tp mcm dr shamsur tak pun dr zahirul...


time bp ni paling disaster...seriusly sy buat dgn baik bp tu...tp sy spoil masa dr tnya bacaan...sy dgn confidentnya ckp la 125/80mmHg...dr ruby pnyala terkejut n ckp haahhh!!?? sy neves laa bila dr pnya expression muka cam tu...tp bp org tu mmg dlm range tu pun huhu mane plak yg salah ni???nak tau ape yg slh wahai nurul farahana????


arrggghhhhh mallluuuuu ooo syyy bila dr ruby mention yg bacaan spygnomanometer tu mane ade 5...sptuntya bacaan 120-122-124-126-128-130...yg sy plak dgn confidentnya sebut 125???aduiyaaaaa malluuu siotttt....mesti dr ingat sy just pretend je ambik bp td wuuuuuu T.T


p/s: disaster2...ntah brape la markah sy ntuk station ni...ekceli masa baca bacaan merkuri tu sy dgr systolic dlm rnge 120-130 so sy trus la assume 125 tnpa berfikir pnjg....hmmm this should be 1 pngajaran for me...dun simply make assumption ok...huhu napa laa sy slalu cuai part BP...time 1st year hri tu sy kin spoil bhgian bp gak smpaikan sy anti giler dgn dr KNN yg jga station tu...hahaha tp skang tak anti dah...ish3 tak berkat ilmu if anti2 lecture ni...peace~
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4th station
HAND


hehe i like this station sal dr nyo2 yg jga....erm tp yg jdi subject tak brape hensem laa hak3....mcm biasa la kan dtg2 msti kena suh bca qs n introduce diri...then start~


at first sy suh abg tu hulurkan tgn tp sy tgk mcm tak slesa la...then sy trpndgkan bantal d sblah...sy ingat lgi sifu n edith penah mention yg dorang mo cek tgn org atas bantal...(time tu sy tnya dorang if nak cek tgn, subject sptutnya dlm posisi baring ka duduk? so dorang ckp la dorang prefer duduk, lgpun if duduk lebih slesa n senang mo cek...sifu ade aa mention sal bantal time tu)...


hehe sy pun ambik la bntal tu n letak kat pangku abg tu...naahhh now bru laa looks comfortable...sy start with inspection n then move to palpation...sy just buat je ikut gerak hati...takde pun ikut sequence hehe...mula2 sy cek tenderness n suhu then sy suh abg tu genggam tgn, then bgkokkan tgn...abg tu just ikut jee...


pastu continue with jari jemari haha...adeh abg ni mcm dah mahir je..tak pyh tnggu sy suh bngkokkan dia dah start bngkokkan jari dia...abis with that sy pun suh abg tu pegang sudu n garpu n buat gaya makan...abg tu buat jee hehe...then tb masa test adductor brevis...sptutnya guna kertas kan...tp takde pun kertas, yg ade just plastik smpul ketas soalan exam...ermm dr nyo2 ckp, just assume it as paper haha...ape2 jee laa...


then dr tnya what test is that...huhu sik bek sy ada terbaca...sy sbut aa froment's sign test...dr tnya that test is what for?hehe easy~ ntuk test adductor brevis n ulnar injury...hmm seems like everything run smoothly....


pastu sy ckp la erm i'm done...tp dr ckp u forget i more test...brabis dr kasi clue...dia tnya what kind of test or special task u ask subject to do, if u want to test his fine fx of hand...at first sy just nak surrender je...skalinya sy terpandang butang baju abg tu...hahahaha get it!!! then trus sy ckp, abg, leh tak tolong butangkan bju??dr pun angguk je ambil snyum~....hahahaha alhamdulilah sik bek last2 minute i still can figure it out...


p/s: hehe i think i did a gud job for this station...lgpun suke laa tgk dr nyo2 asyik snyum~ jee hehe >.< btw thanks dr for the clue =)
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5th station
LOWER LIMB


yeaaahhh at last smpai d last station...i finished early for this station hehe...yelah,kn just tredelernburg test je...kejap je laa...pas introduce, sy suh abg tu berdiri n perform test tu...


x smpai 1 mnit dah siap...so present la dpn dr...erm kali ni dr laki...adehh tak tau la nama dr ni...tp dr ni baik~...dia tak tnya soalan susah2...simple2 je...


dr tnya what is the result of the test..sy jwb la T.test is -ve...dr tnya lgi test tu ntuk test ape?sy jwb ntuk test wheter any injury of adductor muscle of hip...(sik bek dr tak tnya lebih detail...dgr crita dorang zahira, dorang kene tnya lebih detail)....then dr tnya what condition will the result be +ve?? adehhh gagap2 jga sy jwb part ni sal sy tak brape hafal ayat dlm manual tu...so sy just terangkan smbil sy buat test tu sndri haha...tgk mcm dr tak brape phm je..then dia tnya la which site will sink?normal or abnormal?sy jwb normal n dr angguk....fuhhhh nasebbbb...then dr smbung laa, yaa right n dr ade mention sal sound s....(b4 dr habis ckp trus sy potong n habiskan sentence dr...sound site sink) hahaha adeh mcm kuang ajaq plak potong ckp dr...tp ntuk meyakinkan kpd dr yg sy tau psal tu, so trpksa laa hehe...lgpun dr tak marah pun...dia ckp gud2...


p/s: at last i done with OSCE...hoho takde laa seteruk yg sy bygkann...its fun (n.n) ermm except for station infection tu..... hahaha i guess, pasni x brani sy nak berhadapan dgn dr ruby huhuhu....btw thanks a lot ntuk pnyumbang2 tips bernas tu....jasa korang akan ku kenang smpai bila2...hopefully we all pass ntuk exam OSCE ni amiiiinnnnnn~ =)


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hoho pnjgnyeee crita osce....well skang ni tiba laa crita plg sensasi from my VIVA x_X
if osce sy label as disaster...ntuk viva ni lagi2 la berganda dia pnya disaster hahahaha....


oh ye b4 viva, sy ade exam english on wednesday...erm i think tak perlu la sy critakan d sini sal takde pun anything interesting happen during that time haha...ape2 pun just berharap me n my friends get gud marks for our english ^^
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12/11/09 thursday
VIVA x_x


as i mention previously, ntuk viva kali ni i'm x feeling so damn neves mcm yg sy feel time osce...well2 biasanya, if sy rasa x nebes, confirm smthing bad will happen or x pun prkara tu will x run as like what i expected it to be...


dah la mlm sblum ni i having some kind of conflict with amin....nak dpendekkan crita, mlm rabu tu sy study dgn amin n ed...mase tgh study tu tb2 dorang start part buli2...erm i guess time tu i'm x in da mood ntuk accept dorang pnya gurauan..at first sy ok~ layaannn je...skalinya bila dorang terover jokes sy pun mkn hati (haha mcm yg ed mention lam fb hri tu)...then sy start mendiamkan diri n x lyn dorang...smpaikan amin ajak balik pun sy x lyn ni...nahhh, last2 kena kasi tngal sorang2.... hahaha....rasaaaiiinnn loooo...


p/s: very2 sorry to amin n ed...susah nak kawal perasaan ni...kdg2 its just happen like that...hrp korang tak trasa hati dgn sy aa...peace~ len kali i'll did my best to not being so damn sensitive with u guys...life must fill with joys n jokes right??haha i get it oredi...


orait~ lets continue crita....


pagi yg damai tu, kmi semua berkumpul d hippocrates~ weeeeeeee lame giler tak menjejakkan kaki kat ctu...last time masa supplement hari tu hihi...adehh mnggamit kenangan sehhh hippocrates ni...mcm2 kenangan suka n duka....adehhh melalut lgi c nurul ni...cepat smbung crita~!!! hehe orait2...


leh kerna pntu gerbang hippocrates still x open yet, kmi pun lepak la d luar dlu...ade yg lepak d koridor, dpn lif n d tngga...leh krna me n amin still suam2 kuku, so i'm x joining them lepak dpn dscusion room tu, instead me n chalen p lepak d tngga...tak lama pastu ct pun dtg n join kmi skali...yg chalen pling suka bila ada dorang R lepak sama...hahaha happy x terhngga c chalen tu hik3...i know...ko happy bgi pihak sy kan...hahaha


masa tgh syok2 lepak kat tngga, prof zainal limpas...ish3 siap kene tegur sal kmi duk lepak kat tngga...haha sorry prof, tempat lain panas baa kat ctu sjuk skit hehe...


tak lame pastu, pntu gerbang pun diopen...kmi pun ape lgi berpusu-pusu masuk..mcm lembu masuk kandang je hahaha...then masing2 ambik port...kmi cpt2 p book tmpat yg ade meja...hehe senang skit nak study...soon after that, ade sorang abg ni masuk hippocrates n tmpal list nama kat depan...huhu kmi ape lg, trus aa p serbu n tgk sape yg kene dulu....ayoyo sy org ke 9 dlm group...hmm penantian yg sguh lama tu...same with me, sifu oso org ke 9...dorang yg len kbykan kene awal2...c amin lgi la, he bcome the 1st person hoho...neves gler sy tgk dia time tu hehe...yelah mesti aa nebes..if sy jdi org 1st, confirm sluruh bdn kene chills ni haha...


mmndgkan amin n ed awal siap...dorang dgn baik hatinya bekalkan tips ntuk kmi...thanks anyway =) chalen time tu smpat gak la study skit2 sal osteoarthritis...erm tp sal neurofibroma rasanya x smpat...lgpun dlm sms yg ed krim ntuk ros takde mention sal neurofibroma....kmi dpt tau sal neurofibroma tu dri edith...x tau la dia dpt dri mana...kmi time tu pelik gak napa soalan tak sama ni...x kan la soalan berbeza ikut group plak...tp bila check2 3 soalan lain omost sama..cuma ada tmbhan sal neurofibroma je...


lgi satu perbezaan, ed mention sal angina...tp info dri edith said AMI...hoho konfius2...leh kerna x nak tnggung risiko..baca je la dua2...tak rugi pun kan...ish3 org dah bagi tips tu pun dah kira bersyukur oo...ni nak byk songeh le plak...


ekceli omost smua org yg kena kuarantin d hippocrates tu dpt tips from sumber masing2...ketara sgt...suddenly satu kelas silent n duduk dlm kelompok smbil dskus smthng...adehhh confirm la diskus sal tips tu...hahaha u know what, i ekceli feel there is a strong connection btween our classmates...
dorang sume tak kdekut ilmu, smua pun tlg antra 1 sama lain...for people that kena viva awal, dorang tak de pun rasa ketidakadilan bile dorang decide bg tips kat kwn2 dorang... haha tak sngka teamwork pun bleh dipraktis ntuk time2 mcm ni...adehhh if dean tau~ massssaaakkkk aaa kite smua o.0


continue.....


hmm wlpun dah ade tips...but sy x tau ape brlaku dgn sy hri tu...sy mcm x serius je nak ambik viva...baca pun just light2 je...my mind mcm dah tepu n tak bleh masuk apa2 lgi...so masa yg ada tu just dibiarkan berlalu mcm tu je...


after about 2 jam penntian barula tiba turn sy kena pngil...ingatkan direct masuk..skali kuar tgk2 c madeline still lgi mnunggu...wasehhh lama giler c hasnul kena soal ni....sy dah start cuakk dah time tu....madeline pun nmpak mcm stress je...hmm pelik gak sal group kmi lama gler...group org len dah omost smpai turn last person dah...kmi plak still have 3 to go...pelik2...ntah dr ape la yg jga group kmi tu...yg pasti kmi tau salah sorang dri dr tu was dr nyo2...so ade aa lega skit..


yg tmbah kestressan sy bila sy dgr dorang amnah busy diskus sal nama ubat...sy tak sure tu ubat ntuk ape...so sy p a approach tnya ainie...rupa2nya dorang hafal ubat ntuk cholera...aduiyaa nape sy x penah dgr pun ubat tu...huhu mnyesal sy buat notes rngkas sgt...dlm notes sy just mention sal tetracycline je...so sy suh la ainie sebut 1-1 ubat yg dorang hafal tu...adedeh susah giler nak ingat...skang ni pun sy dah lupa haha...so sy busy la ingat nama ubat tu...then ainie tnya sal pathogenesis AMI...dia ckp ade tu nnti kene tnya...huhuhu really dunno what happen 2 me...i'm totally blur...lgpun masa baca topik AMI sy skip2 je part patho sal sy x brape phm dgn nota sy...dah la sy x bawa lec notes asal...huhuhu nurul2 apela nak jdi dgn ko ni...bgus2 dah ade tips ko mcm persia-siakan je...wuuuuu T.T


nasib la smpat diskus skit dgn ainie...tak lame pastu madeline kene pngil...OMG pasni turn sy oo...huh nervousssss nyaaaaa~ i just want it end ASAP...i cant hold it anymore ='(


lama gak madeline kene soal...akhirnya tiba la turn sy...sy yg mmg dah neves dr td brtmbah la neves bila kakak tukang jga exam tu ckp, "cepat2~ dr dah marah dah..." aduiyaa mana la nda kecut perut...sy jlan masuk n mnuju ke DR7...tgk2 dah ade dr shahril (laki prof amalina) tercegat dpn pntu dgn air muka yg serius....argggghhhhhh cuaaakkkk nyeeee -_-
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AMI

hmm sik bek dr nyo2 welcome me dgn satu snyuman yg sweet..so kurang aa skit neves...tp dr shahril still acting cool...then dr ask me to read the trigger...sy nmpak je keywords chest pain n cannot relieved by nitroglycerin trus my mind said..for sure it is unstable angina...tp dr ckp slh n ask me to think what's more severe than angina? dr sharil siap underline lgi ayat "x relieved by nitroglycerin"...adehhh fikir pnya fikir bru sy tringat kata2 ainie b4 this...dia ade mention yg rmai yg slh jwb sal soaln tu...answer sptutnya AMI...info tu ainie dpt dri kak sarmina..so sy pun jwb la AMI...dr pun angguk...hoho naseb2...

next qs, psal risk factor...dah terang2 ade d triggger sy pun laju je jwb erm smoking, obesity, alcohol....then dr shahril said "somemore??" aduiyaa tak ckup lgi ke? sy pun buat2 la brfikir...then dr nyo2 try mo bg clue..dia tnya what will increase in pt blood if the pt having AMI? dlm mind sy trbyg sal lipoprotein tu sume sal mcm ade terbaca je td...tnpa fikir pnjg sy jwb la HDL...dr nyo2 pun HAH!? haha adehh silap2...then dr tnya lgi which type is gud 1 n which is x...then baru la sy tersedar dri lamunan...sy ckp la hehe HDL is gud one n LDL is bad one..so supposed LDL will increase....tak puas hati dgn jwpn sy dr shahril plak tnya, what we call if pt level of LDL increase? huhu sebab lembab sgt sy jwb dr pun bg tau la...the answer is hyperlipidemia....that is one of the RF for AMI...rasanya sesi viva tu mcm sesi lecture plak bg sy...haha its fun what >.<

then dr shahril tnya sal pathogenesis of AMI...sy mntion la sal obstruction of atherosclerosis tp dr mau sy lukis n describe...aduhhh bala2...mane aa sy tau lukis...tp dr sharil bg aa clue...dia mention sal accumulation of platelet..so sy pun lukis la bulat2 pada paper tu...kononnya platelet la tu haha...pastu dr tnya, lpas platelet kmpul byk2 dia jdi apa?dlm fikiran sy asyik fikir sal atherosclerosis je so sy jwb la atheroma...aduiyaa ekceli jwpn dia thrombus laa!!! nurul2 masih tido lgi rupenya....huhuhu seriusly i really2 feel dissapointed time tu...omost smua soalan yg sng2 sy x dpt jwb...clue yg dbgi pun dah kire mmbntu giler dah...but i still cant answer well...yg sy prasan, sy suka sgt answer tnpa berfikir pjg....hmm mmg disaster ooooo.....

still on pathogenesis of AMI...huhu byk gler kesilapan yg sy buat...bleh2 sy mention sal apoptosis bila dr shahril tnya what we called for the dead muscle??cam ne lah sy bleh tak trfikir sal INFARCT?? ni la balasannya if not learnt by heart...klau nak diikutkan sng je pathogenesis dia...mula2 formation of thrombus...then obstruction...klau obstruction sudah tentu blood cannot flow kan...then oxygen pun kurang laa...when there is no O2...ape jdi pda muscle sekeliling??the muscle will die looo....ischemia....see~ so easyy kan??? (oh ye nak tau ape yg sy jwb bile dr tnya sal ape jdi kat muscle sekeliling blood v/s when there is no O2? sy pigi jwb HYPERTROPHY ni...-_- i think....dr omost get AMI ooo hahahaha....

last qs bout the AMI pasal complication...hmm yg tu laju je la sy jwb coz ade hfal td...sy dah mention about 4 tp dr shahril still wan more...adehhh last2 dia pun ckp k la move 2 next qs...adehhh at last~
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we move to cholera....

hohoho part ni lagila lawak~
masa ni suddenly dr tan masuk...huhu napela dr tb2 masuk ni...tmbah la sy neves ni...nasib dr takde part AMI td..if x confirm sy kena teruk dgn dr tan...erm nasib, masa cholera ni dr tan just stay kejap je...nasib laa time dr tan ada, sy dpt jwb dgn baik...haha yelah, soalan pun sng je kan...mngenai causal agent of diarhhea...then baru specific move to cholera....next, dr nyo2 tnya route of transmission, sy jwb la fecal oral...tp dr nyo2 still x puas hati n dia tnya lgi mcm mana people bleh dpt cholera...so sy mention sal ingestion contaminated water n food...ooo keyword jwpn is ingestion of contaminated...

n now smpaila masa yg dtunggu2....part yg btol2 memalukan sy...nasib dr tan dah kuar time ni....dr nyo2 asking bout the investigation....sy mention sal stool sample...then dr tnya, what other sample we can get besides stool?dr dah bg clue n sebut sal, "what swab?? from GIT" in my mind teda lngsung terlintas psal RECTAL swab ni...sy just ingat throat swab je...tp ragu2, x kan la buat throat swab plak...ahhh bantaii je la jwb...after sy sebut sal throat swab tu....dr nyo2 n dr shahril pnya expression muka mmg x bleh blaa laa....dorang siap ketawa lgi...hahahaha manala tak lawak...ade ke patut org diarrhea ko p buat throat swab...bengong!!!!!!!

sy ingatkan smpai ctu je la crita bout swab2 ni..skalinya dr nyo2 tnya how u perform rectal swab?? sy plak after byk kali make silly mistakes btol2 tak bleh berfikir dah...sy byk berkerut jee haha...then dr shahril genggam tgn dia n suh sy demo rectal swab tu...sy yg totally blank tu just capai je pen n "kuis2" kat bhgian luar genggaman tu...hmmm i think dr shahril tol2 dah kecewa dgn sy...dia ckp rectal kat dlm, mcm mana la sy bole ambik smple from outside --_-- oh my~ what kind of disaster yg sy create that day....

i feel so stupid infront of the doctors....

prjalanan dtruskan dgn soalan ubat...sy just mention tetracycline...nasib baik dr x tnya ubat lain...sejujurnya sy dah lupa ape yg sy hafal dgn ainie td...last but x leat psal prevention...sy just sebut sal hygiene n drink clean water...yg sgala education tu sy dpt mention atas bantuan dr shahril....
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finished with cholera...move to neurofibroma...

hmm part yg sy x dpt jwb is part phychomotor changes of pt with neurofibrosis ni...hehe nama pjg disease ni x ingat laa...dr nyo2 bgi la klu...whether pt tu feel happy or excited?? since dr just mention 2 options sy pun sbut la excited...hahaha adehhh lawak2...ade ke patut excited?? then dr shahril try to help me again n dia bg condition yg more clear...if org yg ada lesion tompok2 pda kulit apa yg dorang akan feel??sy jwb la stress?? then dr smbung lgi more severe than stress??sy answer crazy? hahaha sooottt!! dr still x putus asa mau mmbantu...dr mention b4 crazy ape jdi?? hmm end up i still cant answer it...ekceli the answer is depression!!! huhhhhhh napelaa susah sgt nak terfikir??

p/s: stelah ape yg sy lalui ntuk viva ni, bleh dikatakan this is the worst viva i ever haved!!i'm really2 dissapointed with myself...why i just simply answer without using my brain?? rasenye if sy dgn dr dilip, confirm sy kena teruk dgn dr...syukur gak laa sal dr nyo2 n dr shahril sporting giler...dr shahril siap speak in malay lgi ntuk buat sy fhm haha....thanks a lot doctors =) u all mmg byk kali try to help me...but, i still cant anwer well....hmm its my fault coz i'm not using the chances given to me to study well...i hope i will not encounter something like this ever again....i really didnt place any harapan yg tnggi for my viva...just pray for the best...

Ya Allah~ mudah2 han engkau kurniakan la kejayaan ntuk kami semua....kami dah berusaha sehabis baik...semoga usaha kami membawakan pulangan yang baik....amin2 ra'bal alamin~