[ KemUnited ] - The official blog of King Edward Medical University.

KAPS and KemUnited present: KemComics Fiesta 2012

2012-02-21T17:40:00.001+05:00

KAPS and KemUnited
present
KAPS KemComics Fiesta 2012

Make a funny comic depicting the theme "Kemcolianism at its Finest"
Use Photoshop or any image editing software or draw them and scan the comic.
Email it to blog@kemu.edu.pk before 1st March 2012.
Voting will commence from 1st March 2012 on KemUnited facebook page for 1 week.
Final results after 1 week of voting will be announced on 8th March.

Winners (Top3) will get Trophies at KAPS Arts Exhibition 2012 and feature in Kemcol Pictorial Section 2012. And every participant will get Certificates.

Take some ideas from the sample pics given below:-

Ahmad Hassan:-

Syed Arqum:-

Laiba Khalid:-

M. Bilal:-

Moeed Ahmed:-
Rules:-

1) A person can submit multiple entries
2) Photos will be judged on the following criteria:
50%: By Judges based on Creativity, humor and editing quality
50%: The number of "Likes" a photo gets on KemUnited facebook page
3) The Organizers of the competition reserve the right to reject any entry found to be offensive

King Edward Debating Society: Executive Cabinet 2012-13.

2012-02-17T16:24:00.000+05:00

Executive Cabinet 2012-13.

King Edward Debating Society Executive Cabinet decided for the session 2012-13 in interviews held on 17th February 2012 is as follows:-

Presidential Council:

Staff-President: Prof Dr. Samina Naeem

Staff-Advisor: Dr. Saira Afzal

President (Declamation): Muhammad Bilal

President (Parliamentary): Usama Talib

President (Parliamentary): Muhammad Ibrar Islam

Vice President: Sidrah Latif

Chief-coordinators: Iqra Ahmed

Rabia Zia

Coordinators Declamation :

Serious Category: Ayesha Sikander

Haris Bilal

Humorous Category: Muhammad Awais

Muhammad Fahad

Coordinators Parliamentary:

English: Farkhanda Qaiser

Saira Afzal

Urdu: Saad Musarat

Nida Iqbal Bhalli

Pre clinical Secretaries:

Declamation: Arfa Ahmed

Gul E Jannat

Parliamentary: Hannan Javed

Shaarif Basheer

Junior secretaries :

Declamation: Hammad Shafi

Aleesha Kainat

Parliamentary: Fatima Qamar

Abdullah Masood

Laiba Khalid’s: FIRST YEAR CHRONICLES Episode: 3 ‘Finale’

2012-02-12T23:21:00.003+05:00

Laiba Khalid’s:

FIRST YEAR CHRONICLES

Episode: 3

‘Finale’

Episode 1: Click here
Episode 2: Click here

I know I know I am a bit old for a freshman now but hey I just couldn't gather the courage to say bub-ye to my chronicles , oh someone get me a tissue please ! …....
Duh! To blow my nose of course, it’s freezing cold!

They say all the good things come to an end, i can’t be sure about the ‘good’ part but well it’s got to end, our 1st year at KE as well as the chronicles! It wasn't anything less than a roller coaster ride! Though the last few months were particularly bumpy...

The most awaited and equally hated part of the year, the Prof Season is what i am talking about. The impossible nerds wait rather impatiently for this moment so that their true talent is recognized and the rest of us of course hate it like anything! It’s the time when you realize:

Who ‘the’ theta of the group is
Who is your best bud
What good did attending all the lectures and jotting them all down do to you
How many types of liars are there in the class

Enjoying the non-prof season to the fullest is a very good idea
That the Rs can do a better job too
What manic depressive syndrome actually is
Who should you message and expect a reply from
You are not meant for this field
What your new-found hobbies and dreams are
How much your family loves you
No more celebrating eid for another 5 years
Fb can be useful too specially during the vivas
What are suicidal tendencies!

When you find that place could look scary too.....

History repeated itself once again when we were bombarded with the news of send-ups being conducted within 3 weeks and we just couldn't stop saying ‘WHY it’s always US??’ and then the ‘First Professional Part 1 Annual Examination’ (it literally feels as great as it sounds) were to commence less than a month after send-ups but due to dengue holidays and efforts of the Rs we got it delayed twice!

A theta's reaction to the delay

A normal reaction !

Some class things that got controversial this year include the class function.

No comments.

Then there was this laptop fuss! That too during the prof. The list had names of all the years from 1st to final year but wait a minute! Where is old 1st year? ‘Well your case is under consideration ‘, said some clerk in some office...ugghh......WHY US AGAIN!? What else we could have done but protest (following the tradition) and succeeded in getting registered for an offer we, being the crème de la crème, deserve above all!

Then Legolas, Gimli and Aragorn who boldly claimed to ‘BOL-say it all’ in the class diary, hid their very own identities ‘kiya yeh khula tazaad nahi?!’

At last, only a day after the best function ever (welcome party to first year) the result was expected. ‘Ijtimai’ prayers were said, tears were shed. Every person heading to Patiala carrying a file was suspected to be the ‘result guy’ and then a silence before a storm of shrieks echoing round the campus!

One word for the juniors before signing off , since we are officially seniors now, though many of you look and are elder than us but:

Seniors <------R.E.S.P.E.C.T.

1 down , 4 to go !
Farewell First Year and the Chronicles !

SURGERY

2012-02-12T13:22:00.003+05:00

FINAL YEAR!!! .... the finale to the five year saga... and yes its u who has to make yourself study throughout the year .. the era of spoon feeding has neared its end ... almost all the wards pass u in ward tests .. even if u go with the minimum preparation possible .... the class tests.. well lets just say they wont be any different from the surgery medicine class tests u went through in 3rd year 4th year!! ... .. starting off with surgery ... the text books available are :

1. bailay and love

2. SRB

3. dogar special and general surgery

4. washington manual

5.synopsis of surgery instruments

6.operative surgery

for the clinical methods :

1. S Das

2. Browse

General surgery : dont even try and do it from bailay .. because its is impossible to do it from there(unless u are a suppperrrrr nerd .. well then u are crazy )... dogar general surgery is the best book to do the entire general surgery from .... though do read through vascular system , shock from bailay !! ... for trauma .. the trauma manual of dr arshad cheema is a must have ,,, its easily available form the photocopier...

Special surgery:

some of the people found SRB to be a better book than bailay .... i on other hand just couldnt stand SRB .. that book has too much going on ... it really depends on u though .. whichever book u want to follow ... but bailay isnot perfect either ... u will find urself unable to answer test qs even after having gone through bailay ...

GIT and UROLOGY , i did these 2 from bailay ... BREAST AND THYROID ..did these from washington manual .... ORTHOPAEDS from shamim , PLASTIC SURGERY from wash manual, PAEDIATRIC SURGERY from bailay .... the rest of the special... well i didnt have the time or any capacity to do it ... though if u want to u can do that from shamim or from dogar special surgery .. for the topics u read from bailay ... u would never have the time to revise from there .. so after u have gone through bailay once .. either make ur own notes which u can revise before the paper or use dogar special surgery for revision .. since its a mini version of bailay ....

and since in viva at the end they doo ask u to explain the steps of a few imp operations .. do these from a seperate book of operative surgery ... the imp operations to which the steps u should know are

1. appendectomy

2.thryroidectomy

3.cholesystectomy (both open and laproscopic)

4. operations for hernia

5. laprotomy

During ur ward rotations ..... see all the instruments .... and note down their uses ... because at the end the external wasnt accepting the ones given in SYNOPSIS OD SURGICAL INSTRUMENTS.. do buy this book though and keep it with u in OT so u can identify the instruments... see all the tubes in drains from the dispensery in emergency .. they do ask u to identify these and give their uses .... u should see and be able describe the following x rays

1. free air under diaphram

2. air fluis levels in abdomen

3.omega sign in sigmoid volvulus

4.t tube cholangiogram

5. ERCP

6. pnemothorax

7. pleural effusion

8. subcutaneous emphysema

9. KUB (x ray kidney ureter bladder)

10. intravenous pyelorography

!!. cannon ball appearence of mets in lungs

12. apple core appearence in colorectal ca. ( barium enema)

13. fracture long bones

U should have learned and practised the following methods by heart by end of ur clinical rotation

GPE

thyroid examination

breast examination

inguinal hernia

paraumblical/umblical hernia

varicose vein

parotid

swelling in neck

ulcer

diabetic foot

GIT examination

the methods are best given in S DAS but dnt do the differential diagnosis from there.. the xternal in north surgery atleast wasnt happy with each and everyone of giving the list of d/ds given in das ... do those form norman browse

during the two month rotation try as u must u wont be able to cover he entire surgery .. just do the important topics and the ones u are taught in ward .. and well i will give u the same advice my seniors gave me but i never followed it .. STUDY FOR THE CLASS TESTS .. which i m sure very few of u will .. but it will def pay at the end when u have a month left in exams and surgery seems like a never ending abyss...

A Freshman’s Jolt; King Edward Chapter

2012-02-11T18:29:00.001+05:00

A Freshman’s Jolt; King Edward Chapter by Amna Khalil (1st Year)

King Edward was like a dream, dreamt with the full acknowledgement of it never being fulfilled ever. A few weeks into the declaration of the result, I would find myself squashing my tongue between my teeth again and again or pinching myself here and there. Watching how the planets aligned and led me to the one thing I truly desired in life was indeed amazing. Ecstatic, I watched all the KEMU videos on Youtube beforehand and nearly memorized the popular kemtips off the blogspot. In short, I was already in love with King Edward before even seeing it with my own eyes.
When I had to choose my subjects two years ago, I sank down into the sofa and I pondered and pondered over the issue. All I really wanted to do in life at that time was watch T.V .Four months into pre-engineering, the thought of me lying on my death bed (yes! I am quite the morbid person) hit me and made me think real hard about what would matter to me then. What would matter enough to give me the real satisfaction of having done something purposeful in life? Life? What could matter more in life than life itself?
The sheer fragility of life. It was then that I knew what I had to do , be there for people as they fought the fight between life and death, hold their hand as they won or lost that fight in a quarter of a second. As morose as it may sound, it did fascinate me. So did the fact that overalls look totally hot. It was then that I decided it was either going to be King Edward or nothing at all.
The real romance stirred up when I first set my eyes on the Patiala block. Across the Neela Gunbad chowk, it stood. The towering edifice of Patiala, a white stature of solitude, a virginal sanctuary .A transient glance, a moment caught in time. I stared dumbstruck at what fate had brought me to. Oh! I so couldn’t wait to embark on this new journey.
Orientation day was fun. Walking down the mayo road on the first day in our crisp overalls was the best feeling ever. The sun to that morning had indeed come up after many a late caffeine infused nights. We strutted along in our bright overalls, basking in the glory of our sweet reincarnation from the ultimate thetas to doctors-to-be.
Everywhere in the auditorium, people were recognizing the familiar faces of strangers across shoveling heads and shouting out to them. Having moved into the hostel a night before, I had made about a dozen new friends already so luckily I was spared the whole being-jam packed-in-a-hall-with-three-hundred-new-faces ordeal. Moreover, thanks to Facebook, we already knew half our class fellows and had made a million assumptions beforehand.
After the batch photo was taken, I walked up the stairs that separate Patiala from the real hustle bustle of the university and I wondered how incredible it would be to get lost in such a place , to have my name carved into the history of this majestic place. It was only later that I realized, there wasn’t much space to get lost in.
Follow the road straight ahead the “zero point”, and you enter the real life. Mayo, a sea of woe and demise, of white coats and thin blankets that may or may not last the night. The Big Ben on top, tick-tocking steadily. The seconds one has, till the last breath, put on plain view. The overlooking cold corridors of the Bahawalpur block that would prepare us for what lay waiting just across the road. Vulnerable forms on stretchers, the distinctive stench of poverty and the fear of how much shall be expected out of you and whether or not you shall be able to deliver. The white gate of the university is the only thing that separates you from the responsibility that awaits you.
Thou shall become so wholly daunted by the splendor of the place that only a sudden wet plop on the shoulder shall stir you out of your condition. Pigeon poop!!! The sopping identity of an entire institution on your very own shoulder.
Heads can be classified two ways, wanna-do-it ones and nah-I’ll-pass ones. Edwardian pigeons are indifferent to bad-hair days though and may leave your tresses in a worst condition than they already were on the day of the sub stage. However, they are more likely to bless you the one day you actually made the effort to wear a clean, properly ironed overall. I read somewhere that “The poop is not the poop, the pigeon is the poop”, and to eradicate the problem, you need to conclude the root of the problem first. In this case though, with all due sympathies to Nemo, I feel like neither the poop nor the pigeon is the real poop. Pigeons are the life of K.E, reminiscent of a time gone by. Like truck art, they adorn the slanting roofs of the labs. The real poop in this whole scenario is that there’s no way to get a proxy marked in Anatomy.
Dissection was what I dread the most about medical. The dissection hall is as frightening as it ought to be, dead bodies in a row, with the sunlight illuminating them through the punctures in the roof. It’s as if the divine light from the afterlife is reaching out to the cadavers. But when I saw our cadaver, a burn victim sprawled across the bed, waiting to reveal its secrets to us; life bitch slapped me across the face and jerked me out of my immature self. The crude veracity of life and what it would reduce down to, one day, stared right at me from hollow jaundiced balls. Fish oil capsules that carried a sea of secrets. It takes time to get accustomed to the smell of formalin and for many days, all I saw in my nightmares was the tranquil face, the distant glare.
Soon I discovered that physiology lectures are the best place to unwind. When O-i-n-s and incessant calls of “dr.sahaaaab “fail to interest me, I drift away into a deep slumber of my own rambling thoughts. Many a times I catch myself pondering over the baffling train tracks carved across my palms and wondering whether Allah would ever bestow the power to save a life in these slabs of flesh? Mere meat?!? I don’t take notes much but when I do, I look over at my writing and that’s the only evidence that I might actually become a good doctor one day. Dirty scribbling, it really is the sole consolation.
Sick of the roach-infested biryani of the hostel cafeteria and famished to death , Al-Kareeem , to us, was like heaven. The size of the place didn’t matter much , what mattered was the distinctive aroma of freshly baked bread that embraced us all in a calorific hug. Kudos to AlKareem for having kept us alive this long.
University gives us the chance to meet people from so many different places, each and every one with a story to tell. It’s just been two months and the shy smiles have sprung up into uninterrupted conversations across the dissection hall beds, the flat military style haircuts have been replaced by haywire chaos and chappals by gaudy boots. Transitions prove to be extremely amusing to watch and gossip about in the barren lawns of the hostel.
Hostel, at first sight, was a nightmare .The allotment was more like throwing your mattress on any piece of carpeted ground you could find and claiming that space to be yours. I got my space in the middle of the room, surrounded by a sea of mattresses. Thirteen girls in a single room, with mattresses side to side, was no slumber party. Sadly on our first night there, the rugby-sized rats gate-crashed as well and added to the misery of cold showers and fungus.
On the first weekend we spent at the hostel, while others set off to fortress we caught a rickshaw to the Mall. A scoop of Movenpick and a large platter of panini sandwiches later, we were like “Hey!!!!This feels like Lahore atlas!!!” Having spent all my childhood summers at my Nano’s, Lahore was no alien, but discovering and rediscovering new places unchaperoned and with crazy chaotic friends has its own allure.
I believe that once you get into K.E, it’s like proof enough of your sanity so you have the official right to go insane. Seriously going down the elevator the wrong way around, trying out all the outfits one can find in a mall, hanging out from the sides of the rickshaw and scaring people on the sidewalk sure is a hell lot of fun.
University years are the ones in which you make friends that shall last your entire life. Friends that stay up the entire night with you when its your sub stage and you haven’t done a single thing , the laptop-waley friends that make you watch movies till four in the morning right before the physiology test , the ultimate metal head friends who mock you for that single Katy Perry song in your ipod and introduce you to the world of “Children of Bodom” , friends who make you johar-joshanda when you are down with flu , the thetas who kick you out of the dorm cause you wont study and wont let them study either , the ones who paint your nails blue for you and the ones that bring you tikriyan and sohan halwa . The ones who know shall always have your back and will always lend you your cellphone when you need to place an order at three in the morning. At times, these people seem to be the only reason you endure all the difficulties hostel life brings along.
When lazy Sundays at the hostel get way too boring, one sneaks out the backdoor to explore the heart of Lahore , Anarkali. So did we.
Cheap thrills ,neon lights and Dolce and Gabbana bags for 150PKR a piece , Anarkali is a wonder in itself. We set out to explore the heart of Lahore in a huge group. Kasr-e-shereen k samosay , Guddu Fries , Riaz ka Faluda , we tried it all.(and thus spent the next day getting high on Eno) .
So far, King Edward has been amazing. The glamorous welcome party, Mayo k parathay , learning Turkish swear words and fighting over overalls. The monotony does kick in at times and we all have our weekly-crying-sessions in the washroom but the charisma of being a Kemcolian wipes all the tears away. Something tells me that whatever happens, these upcoming five years shall be the best years of my life.Inshallah.

The firstulas' chest

2012-02-08T17:25:00.007+05:00

"Life is a mirror and will reflect back to the thinker what he thinks into it".

On that note KemUnited warmly welcomes Batch2011-2016 to King Edward Medical University - The den of the Kings and Queens. You've paid the dues, time after time. You did the sentence, You've had your share sand kicked in your face, but you've come through. YOU ARE THE CHAMPIONS, my friends. And you will keep on fighting till the end !

So here's a breakdown of the life of a 1st Year at KEMU!!

KEMU Timeline :-

The Beginning:

First 2 Months: Expect the following not necessarily in the same order.

-Fooling - Its fun and make sure you get your share or you will feel left out and wont have any story to tell your kids!

-A visit to Anarkali - For Harry Potter fans, consider it like this. You get an acceptance letter from KEMU (Not via an owl but via the postal service) You head toward Anarkali! That is like the Diagon Alley of the Kemcolians! There is union bookstore, which will be one of the places you will have to go to whether you like it or not. The prices of the books are good. Then you will have to get a white labcoat from there as well. Skip the magic wand and just get some gloves for dissection. (I invested in a box of latex gloves in first year and I'm still using the same box in final year) for dissection you need a scalpel and about 5 blades along with a good forceps.

The March’s Sports week!! The university life before this is in a mere mild tincture! It is the sports week when you see the flamboyant colors in university, the swamped, energetic routine and the societies spreading their wings, setting off to a year’s flight. The sports week being followed by spring holidays (so that’s the only time of the year to be looked forward to!) With your medical calendar marked according to holidays and society events ;) that’s how life at KEMU begins.

In the subsequent months, academically, you are meant to fend two points:

a. grasping the basics and

b. earning a good internal assessment card!

Lets get down to business

Here is a lil guide on where to focus on during tests and how to avoid draining too much energy in the non-prof season.

Enjoy :)

Physiology:

Lets start with Pre/Post tests. They are merely meant to make you count the topics of your upcoming test! All you require for them are 20 mins and a person with lecture notes.

Then comes unit wise written tests. The key is to grasp the concepts. Preparation time varies according to your stamina and your interest in the subject. Try not to flung any unit since your prof viva will then revolve around it. If you flung a major unit(Renal, respiration, CVS) and don't feel like earning HOD's intense glare for prof viva, appear in its re-test somewhere b/w sendups and prof.

As for the objectives section, keep a record of the MCQs you are asked in these tests. Roughly 45% prof MCQs are the ones already asked at various places. If you additionally want to strengthen this section go for the book PRETEST.

With a good grip over concepts and MCQs, consider this monster annihilated!!

Anatomy:

Anatomy is said to constitute 60% of the prof exams!! This is because of its many popping portions viz. GA, Histo, Embryo and Gross.

To talk about the books, go for Tassaduq in GA(my preference over Ghulam), it is easier to retain, it has the required figures (so you don’t have to refer to KLM.) and there is an MCQ section at the end! Then there is KLM for Embryo, Difore’ atlas for Histo figures and Laiq for theory and Netter/McMinnin for gross spotting, KLM for clinical and ofcourse (our very own) BD!

As for their preparation periods, in Gross, there is no escaping the jam packed substages schedule!! Give 2 or 3 days to each with especial focus on clinical section. Before spotting, go for Youtube spotting videos and ofcourse a keen look at the atlas. Embryo’s entire syllabus (full year’s) requires a week, GA and Histo 3 days (in total). You don’t need to distress for these sections throughout the year. Just spare them 1.5 week before sendups and they are done!

Biochem:

Mushtaq. Period.

Lectures:

Jotting down the lectures definitely gives you an edge. Pre tests are not to be bothered about, objectives are better cleared and the prof vivas are more secured since the HODs mostly ask the same topics that they cover during lectures. But the legacy stands where most of us(and our seniors too :P) never penned down a word of these and did just fine ;), hence they may be expedient but certainly not a must!

Practicals:

Times to put those white overalls to work! Focus on two things while performing the practicals, Get the copy signed, Have the attendance marked!! :P and leave the rest for profs!!

Histo Slides https://plus.google.com/photos/114564228406603860810/albums/5592789794153607873?banner=pwa

Gross Models https://plus.google.com/photos/114564228406603860810/albums/5592785155478461841?banner=pwa

Embryo Models https://plus.google.com/photos/114564228406603860810/albums/5592792706824035441?banner=pwa

Past Papers

http://www.kemunited.blogspot.com/2012/01/past-papers-and-viva-questions-2010.html

http://kemunited.blogspot.com/2011/01/1st-year-past-papers.html

Societies:

A Must Do.

Joining societies in KEMU is not merely about showing what you possess, its about learning what you don’t!! So don’t hesitate, don’t consider living in the equilibrium world an option. Join any society according to your taste, step in KEMU’s underlife and behold the core, invisible otherwise.

Take your pick http://kemunited.blogspot.com/2011/01/societies-at-kemu.html

As for the most substantial part, the Kemcolians:

Not turning its vast leafs, the intro here is only to the epicly studious but (with due apology) makes-me-wanna-bang-my-head-type!! Unfortunately most Kemcolians inherit an in-built sensation of dissatisfaction under all conditions. See them top or see them flung, you will always hear them complaining about the cruelty of their teacher or sleeping the preparation time away and giving a ‘below average’ viva. Don’t jaw-drop when you see them ruling the marks sheet. Some people find it very hard to grow up and are found in every batch (EVERY year)!! Hence if you hear the much-loved :P theeta-song, enjoy their vulnerability and be someone who minds his own business! Also stay at a safe distance from them. They get unbelievably irritating in profs and no, you don’t wanna waste that precious time on people who possess all knowledge but zero confidence. Grooming failure. (No offence, if the reader finds any similarity to any content pls remember, better LATE than never!! )

The key to the crux of a Kemcolian's life resides in nothing but the very spirit of living!! Live to the point of tears and that’s that! See your view from the edge, don’t fear to fall and don’t hesitate to get up! Have a good life! :)

P.S. If you have any questions, pls feel free to ask them on Kemunited FB page. Ciao

Wards Dissected -- for 3rd Years

2012-02-02T20:54:00.002+05:00

Batch of 2013 share their experiences about major wards.

8 Things you need to know about West Medical Ward

by Sadaf Hafeez

Ward test won't be delayed at any rate.
The ward's head is Ma'am Balqees. She'll throw back every excuse for post-ponement as easily as Nadal hits the ping pong. So be ready for test on time.

The Test course won't be reduced.
Whilst batches from other medicine wards may brag of acing the ward tests with course-outline including only two systems namely G.I.T and Respiratory system , west medicine shall teach and examine you in all four systems namely G.I.T , Respiratory System , CNS and yes ,even CVS ! Again Ma'am Balqees won't take anything less.

3rd year is all about history taking ! Not so in west medicine.
Admin of west medical wards believes history taking is a mere joke without
knowing the differtial diagnosis. The maximum you can do is to ask specified questions about the presenting complains. Further you'll be lost for questions without a Differntial diagnosis in mind ( this is what Dr. Aadil of west medicine believes ) So they'll give you a few lectures on
history taking and rest of the classes be be focussed on teaching you methods, methods
and methods ! The wards test consists of evaluation in methods only . Fifteen histories are to be submitted on the test day , but history-taking own't be included in the test.

Methods appear deceptively simple.
Teachers will perfom the methods with an elegant ease ; you may be fall
to belive they ARE simple. And take them easy.But try performing them and you'll learn that elegance comes with practice. Many students neglect to perform themselves.They find themselves in hot waters during the test.

Volunteer !
Imagine the scnario . A teacher explains and perfoms the method to palpate a liver.
Then s/he asks for any volunteer from amongst the students to repeat it.
Everyone steps back. ( yes that lietrally happens ! ) A courageous student A
( mostly the batch rep ) takes the challenge and performs it.The rest of the batch
ends up practising it later too. But at the end of a week , the one first to volunteer would have
learnt the best for s/he practices under supervision of the teacher ; His/her mistakes are pointed out and omitted at the spot.
It can't be over-emphasized.Volunteer to perform methods on the spot!

Book to follow :
All students in our batch followed the bedside techniques by Dr. Shabbir. It would be more than enough if you can go through the info in this book for your 3rd year medicine ward test. In 4th year you may go for a better book like McLeod or Hutchinson .But word has it that even for the final year's ward tests , bedside is the basic text-book to follow. So make sure you go through bedside once during 3rd year.

Practice reporting what you have detected :

Learn how to write or report your findings . For this , do read the pattern for " writing a routine examination " given at the end of each system in bedside.

Mistakes Students generally make during the test :

--Command is to auscultate the resp. system. They listen for the breath sounds alright but forget to perform vocal fremitus . Two students did that mistake in our ward test.

--Command is to check the pulse , check pulse on both sides. Remember the rule :
whenever there is a pair , always compare .

--Whilst palpating the abdomen , keep your eyes on the patient's face to check for tenderness

. One student was given highest marks just for following this instruction during the ward-test.

--Whilst performing reflexes .e.g, knee jerk , look for contraction in quadriceps femoris and not for the movement of the lower leg.

--Don't move to the left side of the bed for palpating the left kideny
. Check it over from right side where you're standing.

--During percussion , strike the plexor on the pleximeter twice and lift it off. Don't keep it resting on the pleximeter. It will change the note of resonance. That's something student forget often.

--If you fail to pick up the findings ( e.g, briskness of reflexes ) you'll be forgiven.
But if you don't follow the protocol , be ready for some bashing. These steps are again deceptively simple and often get neglected when student is focusing on more imp. things. Third years are expected to follow they following steps of protocol strictly .
1. Always approach the patient from the right side . Sometimes the examiners deliberately stand on the right side to check you. If so is the case , you're allowed to even ask him/her to take a side :p

2 . Always ask for chaperon, if needed.

3.Introduce yourself ( E.g, Aoa,I'm doctor ABC )

4. Take consent ( Say : Me apka muaina kerna chahti/chahta hu. theek hai. Don't overkill by asking : Kia me apka muaina ker sakti hu? .If the patient said no, you better collect your things and walk out, for you can't proceed without a consent )

5. Proper posture and exposure for the system being examined.( E.g, exposure is from mid chest to mid thigh for abdomen exam )

6.Ask patient if he has any pain or tenderness in the area you want to examine.

7. Tell the patient what you're gonna do ( E.g, before doing reflexes , hit the hammer on your hand to demonstrable to the patient it won't be painful )

8. After, exam ,always re-cover the exposed areas and express a thanks to the patient.

Examining a system is like performing a drama ; you have to follow the sequence even if you know its unnecessary.

East Medicine

Teachers emphasized on perfoming the methods by the students themselves ,usually in their own presence . Main sustems were repiratory and GIT , but we did cranial nerves and precordium exam too.Students made mistakes in instructing the patient during the test.
-- Saima Ghafoor

Jb th Prof. Haroon thy ye best ward tha.Ab to Allah he hafiz ha.However DR.SHAHID SARWAR is the best teacher in this ward ; very cooperative and full of knowledge. Ward test consisted of just history taking.One advice is to ask Dr Shahid and Dr Azeem to take maximum classes.
--Haroon Ibrahim

South Medicine

South Medical is the best ward.All the teachers are so punctual and keen to teach.In 3rd year they try to train us in history takng as much as they can.Head is amazing.He triez to clear each n every thing and you can ask anythng.You need not be afraid of him.Sir Imran(v nice n cute) taught us GIT N RESPO.He made everythng easy and so simple that studnts can get evrythng easily.Mam shanda n Mam Aneeqa MA they are tooo good.CVS n CNS taught by them is unforgettable.You can memorize everythng on the spot.In short you are very lucky if zou have South Medicine ward.....!!!
--Anam Asad

North Medical

It is a good ward. Dr. Mohsin is always ready to teach students.
--Shafaq tabassum

West Surgical

Dr. Yaseen & Dr. GM r the two best teachers available in 3rd year.
Dr. GUL KHAN, all times favrt, co-operative, just like a friend. U can ask him to mark PROXY, to make a BUNK. May b u'll b called in Emergency Ward in 2nd time. But NO PROBLM at all.
Anyhow, regardin studies, jst history taking, esp. esp. PRESENTING COMPLAINTS, n sm wht GPE. Ward test will b 99.99% chill. Jst make sure ur presence there at Ward Test. Test agr bura hua to Dr. GUL ko keh daina, U'll b pass inshaALLAH....!
--M Abd ur Rehman

East Surgical

It is a very good ward.Dr.ameer afzal was our incharge,although he insulted us alot,he made us best at history taking and case presentation.Test was very easy,main focuss was on history.it should be well written,and well presented.He also asked some students for GPE.We were not taught methods,as we have attended medical ward 1st,and we told them that we know the mehods.Its very imp to be punctual in ds ward.
--Anam Tahir

South Surgical

Its SIr Luqman 's ward. His major emphasis is on three things : history, history and history.
--Saima Ghafoor

North Surgical

North surgical is really good. They dont create any problem for you in the end of year. Quite cooperative. baki methods to apne interst se khudi krne hotey hain, no body can do spoon feeding in this.
--Namra tauqeer

General Instructions

One hectic thing is to submit specified number of histories on day of ward test (exact number is negotiable. . . .grasp the chance to convince your batch coordinator).It may vary from 5 to 20 full fledge histories(depends sometimes how efficient your BR is in belling the cat).At least one or two of the batch members must have a record of histories with him/her.It helps a lot when its your first ward.Otherwise you can manage the returned histories of your colleagues,change the cover page,LABEL them by your name and get them submitted.

Ward Card. . . .Take care of this thing,even after the session is over.Get it regularly signed if it's the TRADITION of your ward.Majority of wards collect it before ward test day and return it when the ward test of next ward approaches.

If you exchanged your batch,get the office order and hand it over(photocopy recommended) to BR.Agay wo janay aur us becharay ka kam :p

Talking about medicine ward,they also focus on GPE and protocol of examination of systems.BEDSIDE is good to study but if you go through once the MacLOED's after that regarding examination steps,that helps a lot.Usually examintion of GIT and Respiratory System(and CVS if teacher is a zealous one) is taught.By the time you reach Nervous and musculoskeletal system,ward duration seems to be ending... :-) and its not included in ward test.In ward test,main emphasis is on history taking.Examiner asks few questions and make you perform few examination steps randomly from any of the taught systems....and yes!for history taking,YOUSAF is good book.

In Surgery....again the history!!!90 % patients have presenting feature...PAIN.You have to elaborate the features.Next comes the swelling...and here THE HERNIAS.Try to prepare the most common cases like Appendicitis and Cholecystitis very well...GOITRE is something which will be taught frequently during surgery rotation.

OPHTHALMOLOGY in 3rd year...get ready for "IZZAT" by Dr.Tehseen Sahi.Once or twice,majority will be THROWN OUT of ward for not having History sheets and Examination torch.

ENT...if unit I,you are Lucky...Dr.Abid will teach you.And if Unit-II even in 4th year,hard luck if you are interested in learning something.But smthg interesting if u want to enjoy.Even in ward test(a formality for 3rd years,Dr.shahbaz may ask u "Aj nashtay ech ki khada c?".
--Kashif Amin

I guess in 3rd yr Medicine z the best ward.V had alot to learn.Students shd try to focus as much as they can in mjr wards cos basic mthds v learn in 3rd yr r nt repeated so gd in 4th yr.
--Anam Asad

Studentts shd keep in touch wth ptnts nrmlly stdnts dnt interact wth stdnts too mch whch z nt gd.....Try to approach ptnts maximally,improve their hstry taking art cos in 3rd yr only stdnts hv maximum chance to make their hstry best.....In later yrs v hv mny othr thngs to lrn so try to visit wards as much as u can.
In any ward u go, they don't come and teach u on their own:p u always need to find a teacher urself and requuest him to teach u :P --Shafaq Tabassum

For More Info On Wards , Check

Wards 101 by A.F.Khan

Wards or No wards ?!? By Dr. Asad

A Land Without Barriers

2012-01-27T18:12:00.004+05:00

the Students' Patient Welfare Society in collaboration with

RAMP movement Pakistan invite you to the disability rights campaign:

A LAND WITHOUT BARRIERS

A workshop including discussions b/w architects and stake holders, presentations and speeches on the disability bill and its importance in the present age. An interactive session including competition between participants, skits prepared by the public, tea break and a special performance by the revolutionary LAAL Band.

An event where the youth is put into action, where the students will voice their opinion and sign the petition.

Venue: King Edward Medical University Auditorium

Date: 28th January, 2012

Time: 1-6pm

Chief Guests:

Dr. Khalid Jameel

Shahista Pervaiz (MNA)

Orya Maqbool jaan (Columnist)

Ayesha Alam Khan (Director of the Knowledge Factory)

Umair Rana

Ali Moeen Nawazish (23 A's in O' Levels)

Taimur Rahman - LAAL Band

For queries, contact

Rafeh Saeed(Final Year MBBS) (03228460193)

Zarsham Ali(4th Year MBBS) (0313747813)

Bilal Butt (03424012808)

Event Coordinators

Nazeeha Sami, Nida Rauf (2nd Year MBBS)

PAST PAPERS AND VIVA QUESTIONS ( 2010-2011)

2012-01-23T19:52:00.002+05:00

PAST PAPERS AND VIVA QUESTIONS

( 2010-2011)

hmmm.....

ANATOMY

Lower Limb Stage

- how is femoral sheath formed ? contents? femoral hernia ? (1+2+2)

- what is positive tredelenberg test ? conditions in which this test is positive ? (2+3)

- extrinsic muscles of sole of foot. identify the layers in which they are present and give their nerve supply. (2+1+2)

- classify knee joint. what are various movements possible, role of menisci & cruciate ligaments. (1+3+3+3)

- a football player has sufferd from severe trauma to the lateral part of left leg just below the knee. he drags his left toe when he walks & cannot feel the dorsum of foot. give the origin , distribution & termination of the nerve involved. (1+3+1)

-structures passing under extensor retinaculum

-dorsalis pedis artery

-draw dermatomes

-2nd layer of sole

-if femoral artery is ligated how is limb supplied

-great saphenous vein formation and clinical

-course of nerve most commonly injured in posterior dislocation of hip.

Upper Limb Stage

- claw hand , types

- pronator syndrome

- ulnar artery

- draw anastomosis around acapula , clinical significance

-mech of abduction at shoulder joint , effects of fracture of surgical neck of humerus on this movement ?

- digital synivial sheath, using your knowledge of anatomy explain why pricks for blood samples are usually made on index or middle finger.?

-axillary lymph nodes, location, drainage and role in spread of carcinoma.

-muscles supplied by ulnar nerve. what will happen if the nerve is damaged proximal to wrist joint

- dorsal digital expansion. muscles attached to it & mech of their action.

Thorax stage

- thoracic symp trunk

- venous drainage of thoracic wall

- auscultatory areas, murmurs

- mech for increasing the diameters of thoracic cage . joints at which these movements take place, why do movements at true ribs differ from those produced at false ribs.

- after an operation on his left kidney a patient develops difficulty in breathing, on auscultation breath sounds are diminished on left side. what would be the most likely diagnosis. the attending doctor orders xray to confirm. what would be the findings on xray. what had happend to the patient and what should be the streatment ?

SEND-UP PAPER

PROF PAPER

VIVA QUESTIONS

· DR. ATTIYA external examiner

(20 marks viva + 5 marks surface marking)

· upperlimb+thorax+surfacemarking

· >radius bone attachment
· >nerve supply of pronatus quadratus
· >other muscles supplied by ant.antrossius nerve
· >right lung identification points
· >definition of bronchopulmonary segments in one line
· >significance of segments
· >table spotting of upperlimb
· >surface marking of flexor retinaculum of lowerlimb
· >nerves related to humerus
· >tennis elbow
· >pleura n its nerve supply
· >costodiaphragmatic recess n its importance
· >paracentesis thoracis
· >surfac marking of dorsalis pedis artery
· >trendelenburg's test
· Saturday night palsy?
· joints bw 2 vertebra their types?
· axillary n retinacula(ALL) arteries veins nerves of upper limb (all) Lower limb
· borders of lungs
· apex beat
· fracture of clavicle movement of fractured parts
· revise all the functions
· nerve supply of the muscles attached to the bone u get
· and its joints as well
· brachial artery(its branches)
· function of biceps
· joint for supination n pronation
· type of joint
· any other example of pivot joint in body
· attachments on coracoid process,what is coracoid??
· name all the muscles of radius and its nerve supply
· why musculocutaneous is musclucutaneous
· pronation n supination
· side determination
· pivot joint
· base of heart
· borders of lung
· respiratory units
· broncho pulmonary segments
· transverse sinus
· oblique sinus
· pronator quadratus function
· other pronators in forearm
· axis of supination,pronation
· other pivot joints in body
· describe right atrium of heart, its blood supply and openings
· inter atrial septum
which vertebrae is this?
type of joint b/w vertebra
movements of shoulder joint
phrenic nerve supplies?

DR.RAFIA

lower limb + embryology

· do we have a ball n socket joint in the foot
· what forms the socket
· movements at ALL the joints
· cutaneous innervation of superficial cutaneous branch
· vasti, nerve supply
· gastrulation
· neurulation
· derivatives of ectoderm
· pigment cells
· neural crest
· trophoblast
· edward syndrome
· axis of joints
· name bones of foot
· structure passing thru groove in cuboid
· function of peroneus longus
· dorsiflexion,itx axis
· find quariceps femoris on limb
· nerve supply of vastus medialis,
· at what point nerve to vastus medialis arises
· derivatives of neural crest
· nerve supply of visceral plura
· cardiac temponade
· where does fertilization occur
· Ankle joint , axis movable ?
· Amniocentesis
· Chromosomal abnormalities?names
· edwards syndrome
· NTDs
· chorionic cavity functions amnion and function of fluid
· a-fetoprotein
· fully functional placenta
· common p. nerve
· hip joint movements muscle responsible and axes!
· from where the vertical axis for medial n lateral rotation of hip joint pass??
· >femur attachments
· >ankle joint
· >type of joint in inf.tibiofibular joint
· >tarsal bones
· >significance of fertilization
· >functions of amniotic fluid
· >table spotting of tibial nerve
· >supply of tibial nerve(muscular+cutaneous)
· >femur side determination
· >knee joint
· >locking (wether it takes place on the ground or off the ground)
· >table spotting of sciatic nerve n gastrocnemeus n its supply
· >how gastrocnemeus differs from soleus (origin n action), why there action is different
· >spermatogenesis
· >features of mature sperms
· >conjoined twins
· >edward syndrome
stages of development of oocytes
locking on or off ground?

BIOCHEMISTRY

SEND UP PAPER

PROF PAPER

VIVA QUESTIONS

· DR.SHAKEEL

· What is functional difference between Hemoglobin and Myoglobin?

· What is Structural difference between these two?

· Name Fatty acids.

· Classify Fatty acids. Both Classifications.

· Name some Essential Fatty Acids.

· Name some Essential Amino Acids.

· what is colloid

· what are trace elements and examples

· function of iodine

· gibbs donnans effect its significance

· osmosis

· co enzyme of thiamine , its reaction

· co enzyme of folic acid

· pentathenic acid, where is it found

· advantage of lipid bi layer

· LDH, chylomicrones

· good colestrol

· advantages of lipoproteins

· phospho proteins , examples

· AST

· plasmids

· bacteriophages

· taurine

· vitiamin D

· apo proteins

· cardio lipins

· enzymes in diagnosis

· poly nucleotide

· purines n pyrimidines

· DRAW cyclic AMP

· WRITE down ammonia buffer

· modified proteins

· gamma carboxylation of clotting factors

· what r non standrd amino acids

· name non standrd A.A, why so ?

· significance of LDH

· taurine

· enzymes which increase in liver disease

· oxidorductase+example

· anti metabolite of uric acid

· normal level of glucose

· phosphatidic acid

· HDL

· example of another conjugate of proteins, phosphoprotein, casein ?

· enzymes in liver damage? How to detect them?

· Enzymes kis trh blood main atay?

· Vit D alternative name? Calcitriol? How is it formed? Vit D uses?

· plasma pH, buffers(imp)

· chemical names of vit E and K

· functions of vit K

· difference between glycogen and starch,

· give any example of polynucleotide,

· hyaluronic acid

· uridine

· can 40mg/dl can be converted to 40mg/100 ml

· >secretors

· >qualities of a good buffer

· >bicarbonate/phosphate, better buffer?

· other name of folic acid

· its coenzyme

· folate trap

· ultimate result of folate trap

· megaloblast

· how will u say that the cell is a megaloblast

· cAMP

· uridine

· EXTERNAL EXAMINER Dr.Afroze (Sims )

· What are crystalloids?

· What is Respiratory Alkalosis?

· What is Saponification?

· how vitamin deficiency causes megaloblastic anemia

· GGT

· role of C

· role of E

· role of B1

· role of b6

· surface tension

· its role

· biliverdin color in feaces

· ligases

· carb/lipids/proteins esp. conjugate varieties

· 1 from git,

· 1 frm physiochemical aspects

· storage diseases

· colloid osmotic pressure

· functions of plasma proteins

· classification of protein

· globins,globulins,histones

· classification of lipids

· lipases

· eicosanoids, prostaglandins

· Cholesterol?

· functions of cholesterol

· definition of pH, pKa, Ka

· >diff btw collagen and cellulose their structure?

· >diff btw gags and glycoprotiens

· >anomer,enantiomers,d-l isomers

· >when will you give vit k injection

· folate trap

· deficiency of folic acid.....megaloblastic anemia

· deficiency of vitamin B12

· difference b/w megaloblastc nd pernicious anemia

· coenzymes,its examples

· Whats TPP,its functions

· disease due 2 deficiency of alpha keto glutarate dehydrogenase

· level of billirubin n billiverdin in blood

· purines

· uric acid

· isomerism

· bile salts
all minerals...

PHYSIOLOGY

PROF PAPER

VIVA QUESTIONS

· DR. MEHRUNISA

· Incisura
· A, C, V wave
· What is compliance? What is its value?
· What makes the sensory part of vasomotor center?
· What are the values of Starling Forces in normal capillaries?
· What is physiological splitting of second heart sound?
· Why cell volume increases?
· Starling forces?
· GFR?
· GFR measurement in clinical setup?
· Functions of cell membrane.
· Functions of kidney
· How does kidney maintains acid base balance
· Metabolic acidosis, its effect, clinical picture, compensation, partial compensation.....
· Myasthenia Gravis, Its TreatmenT
· Composition Of Blood, Plasma Proteins, Values of albumin, Globulin...
· Motor Unit, Summation...
· Functions Of ER
· Erythroblastosis Foetalis...
· Heparin, Its Function, Its Mechanism of Action...
· Neuromuscular junctional transmission Myasthenia gravis,
· apoptopis,
· counter current multiplier,
· urea role,
· urine output,
· smooth muscle impulse,
· cell volume maintenance
· RBC indices etc
no. of nephrons
where urine is concentrated, how ?
parts of nephron
adaptive control, e.g ?

DR.SHAHID NADEEM

· What is nephron?
· What are the parts of a nephron?
· What is the threshold value for glucose?
· What is Micturition reflex?
· What is nerve contraction?
· Pacemaker ?
· AV nodal delay?
· minute resp vol?
· Alveolar ventilation?
· V/Q ratio define.
· Apnea
· Eupnea
· Tachypnea
· Tachycardia
· Stroke vol output
· All Lung Volumes n Lung Capacities
· Diff b/w Atrial n Vent. Fibrillation
· 1st n 2nd Degree Heart Block..
· Anaphylactic Shock
· Neurogenic Shock
· scuba diving,
· respiration center,
· ejection fraction etc
plateau level of cardiac output
cardiac output of athlete and normal person
fibrillation

ISLAMIC STUDIES/ETHICS

( the credit for the viva questions goes to my class-mates who cared to share and discuss the questions in the class group during prof )

KEMCOL 2011: PDF Version

2012-01-23T14:44:00.000+05:00

KEMCOL 2011

1)Click on the link
2) Click on download now and wait for 20 seconds
3) the download link will appear. Click on it

Physiological parameters, indices and values

2012-01-14T20:37:00.001+05:00

Physiological parameters, indices and values

Reference: USMLE book

Blood and Hematology

*	Alanine aminotransferase (ALT)	8–20 U/L	8–20 U/L
	Amylase, serum	25–125 U/L	25–125 U/L
*	Aspartate aminotransferase (AST)	8–20 U/L	8–20 U/L
	Bilirubin, serum (adult) Total // Direct	0.1–1.0 mg/dL // 0.0–0.3 mg/dL	2–17 µmol/L // 0–5 µmol/L
*	Calcium, serum (Ca2+)	8.4–10.2 mg/dL	2.1–2.8 mmol/L
*	Cholesterol, serum	Rec:<200 mg/dL	<5.2 mmol/L
	Cortisol, serum	0800 h: 5–23 µg/dL // 1600 h: 3–15 µg/dL	138–635 nmol/L // 82–413 nmol/L
		2000 h: ≤ 50% of 0800 h	Fraction of 0800 h: ≤ 0.50
	Creatine kinase, serum	Male: 25–90 U/L	25–90 U/L
		Female: 10–70 U/L	10–70 U/L
*	Creatinine, serum	0.6–1.2 mg/dL	53–106 µmol/L
	Electrolytes, serum
	Sodium (Na+)	136–145 mEq/L	136–145 mmol/L
	Chloride (Cl−)	95–105 mEq/L	95–105 mmol/L
*	Potassium (K+)	3.5–5.0 mEq/L	3.5–5.0 mmol/L
	Bicarbonate (HCO3−)	22–28 mEq/L	22–28 mmol/L
	Magnesium (Mg2+)	1.5–2.0 mEq/L	0.75–1.0 mmol/L
	Estriol, total, serum (in pregnancy)
	24–28 wks // 32–36 wks	30–170 ng/mL // 60–280 ng/mL	104–590 // 208–970 nmol/L
	28–32 wks // 36–40 wks	40–220 ng/mL // 80–350 ng/mL	140–760 //280–1210nmol/L
	Ferritin, serum	Male: 15–200 ng/mL	15–200 µg/L
		Female: 12–150 ng/mL	12–150 µg/L
	Follicle-stimulating hormone, serum/plasma	Male: 4–25 mIU/mL	4–25 U/L
		Female: premenopause 4–30 mIU/mL	4–30 U/L
		midcycle peak 10–90 mIU/mL	10–90 U/L
		postmenopause 40–250 mIU/mL	40–250 U/L
	Gases, arterial blood (room air)
	pH	7.35–7.45	[H+] 36–44 nmol/L
	Pco2	33–45 mm Hg	4.4–5.9 kPa
	Po2	75–105 mm Hg	10.0–14.0 kPa
*	Glucose, serum	Fasting: 70–110 mg/dL	3.8–6.1 mmol/L
		2-h postprandial: < 120 mg/dL	< 6.6 mmol/L
	Growth hormone - arginine stimulation	Fasting: < 5 ng/mL	< 5 µg/L
		provocative stimuli: > 7 ng/mL	> 7 µg/L
	Immunoglobulins, serum
	IgA	76–390 mg/dL	0.76–3.90 g/L
	IgE	0–380 IU/mL	0–380 kIU/L
	IgG	650–1500mg/dL	6.5–15 g/L
	IgM	40–345 mg/dL	0.4–3.45 g/L
	Iron	50–170 µg/dL	9–30 µmol/L
	Lactate dehydrogenase, serum	45–90 U/L	45–90 U/L
	Luteinizing hormone, serum/plasma	Male: 6–23 mIU/mL	6–23 U/L
		Female: follicular phase 5–30 mIU/mL	5–30 U/L
		midcycle 75–150 mIU/mL	75–150 U/L
		postmenopause 30–200 mIU/mL	30–200 U/L
	Osmolality, serum	275–295 mOsmol/kg H2O	275–295 mOsmol/kg H2O
	Parathyroid hormone, serum, N-terminal	230–630 pg/mL	230–630 ng/L
*	Phosphatase (alkaline), serum (p-NPP at 30°C)	20–70 U/L	20–70 U/L
*	Phosphorus (inorganic), serum	3.0–4.5 mg/dL	1.0–1.5 mmol/L
	Prolactin, serum (hPRL)	< 20 ng/mL	< 20 µg/L
*	Proteins, serum
	Total (recumbent)	6.0–7.8 g/dL	60–78 g/L
	Albumin	3.5–5.5 g/dL	35–55 g/L
	Globulin	2.3–3.5 g/dL	23–35 g/L
	Thyroid-stimulating hormone, serum or plasma	0.5–5.0 µU/mL	0.5–5.0 mU/L
	Thyroidal iodine (123I) uptake	8%–30% of administered dose/24 h	0.08–0.30/24 h
	Thyroxine (T4), serum	5–12 µg/dL	64–155 nmol/L
	Triglycerides, serum	35–160 mg/dL	0.4–1.81 mmol/L
	Triiodothyronine (T3), serum (RIA)	115–190 ng/dL	1.8–2.9 nmol/L
	Triiodothyronine (T3) resin uptake	25%–35%	0.25–0.35
*	Urea nitrogen, serum	7–18 mg/dL	1.2–3.0 mmol/L
*	Uric acid, serum	3.0–8.2 mg/dL	0.18–0.48 mmol/L

Bleeding time (template)	2–7 minutes	2–7 minutes
Erythrocyte count	Male: 4.3–5.9 million/mm3	4.3–5.9 x 1012/L
	Female: 3.5–5.5 million/mm3	3.5–5.5 x 1012/L
Erythrocyte sedimentation rate (Westergren)	Male: 0–15 mm/h	0–15 mm/h
Erythrocyte sedimentation rate (Westergren)	Female: 0–20 mm/h	0–20 mm/h
Hematocrit	Male: 41%–53%	0.41–0.53
	Female: 36%–46%	0.36–0.46
Hemoglobin A1c	≤ 6%	≤ 0.06%
Hemoglobin, blood	Male: 13.5–17.5 g/dL	2.09–2.71 mmol/L
	Female: 12.0–16.0 g/dL	1.86–2.48 mmol/L
Hemoglobin, plasma	1–4 mg/dL	0.16–0.62 mmol/L
Leukocyte count and differential
Leukocyte count	4500–11,000/mm3	4.5–11.0 x 109/L
Segmented neutrophils	54%–62%	0.54–0.62
Bands	3%–5%	0.03–0.05
Eosinophils	1%–3%	0.01–0.03
Basophils	0%–0.75%	0–0.0075
Lymphocytes	25%–33%	0.25–0.33
Monocytes	3%–7%	0.03–0.07
Mean corpuscular hemoglobin	25.4–34.6 pg/cell	0.39–0.54 fmol/cell
Mean corpuscular hemoglobin concentration	31%–36% Hb/cell	4.81–5.58 mmol Hb/L
Mean corpuscular volume	80–100 µm3	80–100 fL
Partial thromboplastin time (activated)	25–40 seconds	25–40 seconds
Platelet count	150,000–400,000/mm3	150–400 x 109/L
Prothrombin time	11–15 seconds	11–15 seconds
Reticulocyte count	0.5%–1.5% of red cells	0.005–0.015
Thrombin time	< 2 seconds deviation from control	< 2 seconds deviation from control
Volume
Plasma	Male: 25–43 mL/kg	0.025–0.043 L/kg
	Female: 28–45 mL/kg	0.028–0.045 L/kg
Red cell	Male: 20–36 mL/kg	0.020–0.036 L/kg
	Female: 19–31 mL/kg	0.019–0.031 L/kg

Cerebral

Cell count	0–5/mm3	0–5 x 106/L
Chloride	118–132 mEq/L	118–132 mmol/L
Gamma globulin	3%–12% total proteins	0.03–0.12
Glucose	40–70 mg/dL	2.2–3.9 mmol/L
Pressure	70–180 mm H2O	70–180 mm H2O
Proteins, total	< 40 mg/dL	< 0.40 g/L

Sweat	Reference Range	SI Reference Intervals
Chloride	0–35 mmol/L	0–35 mmol/L

Urine	Reference Range	SI Reference Intervals
Calcium	100–300 mg/24 h	2.5–7.5 mmol/24 h
Chloride	Varies with intake	Varies with intake
Creatinine clearance	Male: 97–137 mL/min
	Female: 88–128 mL/min
Estriol, total (in pregnancy)
30 wks	6–18 mg/24 h	21–62 µmol/24 h
35 wks	9–28 mg/24 h	31–97 µmol/24 h
40 wks	13–42 mg/24 h	45–146 µmol/24 h
17-Hydroxycorticosteroids	Male: 3.0–10.0 mg/24 h	8.2–27.6 µmol/24 h
17-Hydroxycorticosteroids	Female: 2.0–8.0 mg/24 h	5.5–22.0 µmol/24 h
17-Ketosteroids, total	Male: 8–20 mg/24 h	28–70 µmol/24 h
	Female: 6–15 mg/24 h	21–52 µmol/24 h
Osmolality	50–1400 mOsmol/kg H2O
Oxalate	8–40 µg/mL	90–445 µmol/L
Potassium	Varies with diet	Varies with diet
Proteins, total	< 150 mg/24 h	< 0.15 g/24 h
Sodium	Varies with diet	Varies with diet
Uric acid	Varies with diet	Varies with diet

3rd Year Study Guide 2011 - Read at your own risk!

2012-01-08T18:44:00.002+05:00

Welcome to 3rd Year !

Still having bouts of anxiety about leaving the cozy, well cocooned world of anatomy and physiology (and probably biochem too :P), having jitters about what it will be like in third year, and yet doubting that are you really gonna enter the ward years, feel like real daac saab for once, ABSOLUTELY NORMAL, don’t worry seniors are here to lend a hand to you (though seniors will appreciate if juniors show their gratitude by some fiscal means ;) ) So let us have a ride, you and me together through the waters of third year, how to trudge safe and clear off the dangerous spots and what to take seriously and what to ignore... Hope to cover all the bases, let us go!

Third year lectures and lecture theater:

You are luckiest in this regard! Believe me one thing I am literally bawling over is that I no more will get to sit in forensic lecture theater. Without doubt the most sleep-conducive and student-friendly lecture theater of all times is forensic lecture theatre! Gone are the stifling physio and anatomy lecture theatres, welcome to the airy-rary forensic lecture hall*cheers*. And the lectures are bearable too, because you may stop listening as per your attention span and freshen up with a novel or music player. Best seats are the middle benches mind it, DON’T attempt to sit at the very back because lecturers love to call the back rows to the front empty seats. THINK GREAT, TAKE MIDDLE BENCHES, ENJOY THE TIME.

About the lectures, let us take it subject wise.

1. Pathology: Dr. Munir (HOD) takes the lectures initially, and you should pay heed to his lectures. They are good and interesting, plus a single word out of his lectures that you quote in viva will mask all the behemoth of bongis that you make. HIS LECTURES SHOULD BE LISTENED TO ATTENTIVELY. Rest of the pathology lectures, even if you want to be attentive, you can’t. So better quit trying at an early stage.

2. Pharmacology: Again lectures of HOD are important. And most important is to recognize the HOD :P! Yes he is the one who appears to be just some other assistant professor but infact he is the man of the show DR. ZAHID. What he teaches in lectures, he will throw at you very meanly in prof, so don’t be lulled into false sense of security by his very polite mannerism in lectures, he can be a real villain if he feels like it. Don’t tick him off in lectures especially. Rest of the pharma teachers may be benign or malignant, RED ALERTS are Sir fawad, Sir rafiq (don’t make eye contact with him and don’t sit in first row when it is his lecture, you will be questioned and that too about the lecture he is about to deliver). Rest are benign.

3. Forensic medicine: You may or may not listen to these lectures. Choice is totally yours.

But there is something you shouldnot forget about thirdyear, you only have two choices: either cultivate good friendship with the lecture theatre attendants and munir of pharma, or attend the lectures. No third way out. Be careful about your attendance.

The lectures of medicine and surgery, ortho, eye, ent, can be missed, as frequently as one wants. It will be better however to attend medicine and surgery lectures. About the tests of these subjects: sit with a theta and copy it all away. Don’t sweat to prepare these tests.

Third year SUBJECTS:

Congratulations dearies! You are rid of anatomy and physiology and biochemistry. Third year subjects are more interesting(my personal opinion). You have:

1. General Pathology and microbiology (microbiology further has bacteriology, virology, mycology and parasitology)

2. Pharmacology

3. Forensic medicine and toxicology

Books:

Books that you should study are very important. There are many misconceptions that have been passed down from one to the next third year. I am going to challenge them all, and that was the reason why I warned in the beginning that read at your own risk. If you trust my opinion, go along with it. If not then quit reading and ask your seniors whom you trust and then don’t blame me when prof proves them wrong ;)

For pathology:

1. Robbins pathology: I will say read medium robbins. Medium is sufficient for your tests, sendup, prof, viva. Jo ziada aukhay n shokhay hain wo Big Robbins padh k khush ho sktay hain, and I am sorry to burst your bubble of reading-big-book ego, but medium and big have almost comparable knowledge :P be smart and choose medium.

2. Levinson’s microbiology: this is a must, you will do bacteriology, mycology, virology and immunology from it. (chap of immunity is a part of gen patho, but it is done not from robbins but from levinson.)

3. Parasitology by Shahid Anwar: Parasitology needs to be done from here, but add to the lab diagnosis from levinson too, because Dr munir (if he has parasitology in viva wishes to hear things from levinson.)

4. Shamim microbiology: Get this book, do culture media details from it, and lab diagnosis of important bacteria. Important bacteria list will follow later.

5. MRS-made ridiculously simple: some people prefer to do virology and mycology from here. It is simple and ridiculous too for sure. If you want a short cut about virology choose this, but if you want to have a concept stick to levinson. My opinion, levinson is better.

This finishes (mercifully) the list of pathology books.

For Pharmacology:

Now this is the most clichéd subject. You will hear seniors rumoring “yawr, anatomy to yaad ho jati hai, pharma nai hoti!”

Don’t let this all panic you. Pharmacology is a very good subject, however sadly the approach to it is grossly twisted by most. Lippincott is handed down from seniors to juniors as a legacy. Lippincott is no good. Who so ever tells you to read it, give me their contact…

1. Big Katzung: teachers want you to read it. But this will require lots of perseverance and dedication. If you can stomach it, you have aced pharmacology! If you can’t, *sigh* join the club. For you is mini-katzung.

2. Mini-katzung: for those who can’t read big. Mini is easy to memorize, makes your concept and you remember it well in exams. Lippincott is good to read, even easier than mini, but it is very difficult to reproduce in prof.

3. Multi-author/Cheema: buy it; you need this to do General pharmacology. Beyond that don’t use it for any chapter. Use only occasionally in ANS and GIT for comparison tables.

4. Synopsis classification of drugs: don’t buy at all! If you already have, have a bonfire with it, call over your friends and tra-la-la!

Some points to remember about pharma:

· In prof, written and viva, katzung is pivotal. Don’t leave katzung, it is my humble request ( I am ready to go down on my knees and beg you to use it, big or mini). I used mini, and there wasnot an mcq or a question that I could say I never heard of. Katzung gives you a clear advantage.

· Pharma needs to be revised. Before a test be sure to revise the chapters after a thorough first reading. Without revision you won’t remember much.

· CLASSIFICATION of drugs is very important. Do the classifications given in mini as a tree at the start of chapters or within the chapters in the form of headings. Don’t think that giving the classification of Lippincott or synopsis will get you marks. CLASSIFICATIONS OTHER THAN THOSE OF MINI-KAT ARE USUALLY NOT ACCEPTED!

· Buy the mini-kat which is the foreign edition, it is bigger in size, colourful and attractive and has chapter summary tables at the end. The mono-colour mini-kat which is smaller in size (I guess this one is irani edition) doesnot have the chapter summary tables at end!

For Forensic medicine and toxicology:

1. Nasib R Awan

2. Parikh

3. Terse

Buy either parikh or terse, PARIKH being better option. Forensic medicine is usually done from notes available with the photocopier. Nasib is usually used to do law, but it is also a good choice for combining with notes. Toxicology general is done again from notes, special toxicology from terse or parikh. I prefer parikh, but some use terse too.

Forensic medicine is not to be worried about, this being an easy subject.

For MCQs:

You all know by now that mcqs come from some book, and thankfully not out of our teachers’ minds (that would be a disaster for sure!).

Pathology=> Kumar and Klatt’s Review of Robbins and cotran pathology. Good news is that all the general pathology mcqs in sendup and prof come from here. And if you are lucky about 15 mcqs are from gen patho, do buy this one!

Pharmacology=> Do the mcqs given in mini-kat. There are no mcqs in big kat! Mini-kat has the mcqs at the end of each chap plus at the end of the book. Most mcqs turn up from here. Even if you choose to study Lippincott (damn you :P) please have a look at mcqs of mini-kat.

Forensic medicine=> Now these are the ones that can turn up from several places and from nowhere too! Jaypee forensic mcqs however have the most of those which came in prof…

Mcqs are important this year sonny! Because in pathology and pharmacology 30 mcqs are worth 45 marks! 1.5 marks per mcq! You loose a lot if you wrong them. Forensic mcqs are 1 mark each.

And this brings us to the end of the books of the subjects in thirdyear. But you need to buy something else too:

1. Norman Browse for surgery ward

2. Macleod’s clinical examination for medicine ward

3. Bedside techniques for medicine ward

No other book of surgery, medicine, eye, ent is as yet required. Oxford handbook of medicine and surgery however may come in handy, buy those if you want.

Practicals:

Good news: you have practical each day of the week :P

Pharmacology practicals: Buy two practical notebooks, one a bit thicker than the other. Bring the thicker one in the start, this one is for Pharmacy practicals. Thinner one is for Experimental practicals, you will need this later in the year. All the practicals will be dictated to you. Be sure to wear your overall to pharma lab, or do bring it with you on the day of practical, otherwise no attending the practical and no attendance at all!

Pathology practicals: Buy one practical copy for this. Befriend a vigilant person who completes copies in time and attack his/her copy to complete yours.

Forensic medicine and toxicology practicals: For these your normal A, B and C batches are divided further into 5 batches A1, A2, A3, A4, A5… So on. There are five practicals happening at one time namely autopsy, medicolegal, radiological, biological, analytical. Check out the notice board for the schedule and batches allotment. Get practical manual of forensic from the department.

Tests: You are grown up now really, so throw away your markers and coloured pens for a while. In forensic medicine and pharma tests, using any colour other than blue and black is absurd. However, you can use colours for diagrams in Pathology. In third year you will be bombarded with tests, but they will help you a lot preparing for finals. Take the tests nice and easy and seriously too. They are one very good thing about thirdyear!

Internal assessment: Hallmark of third year! Your savior in Prof! Keep it good. All your tests record is present with each and every examiner, and if you have a clear internal assessment everyone will pass you in viva even if you just tango infront of them. Don’t be absent in a test, an absent test is worse than a failed test! Internal assessment is very very important, tie this to your duppatta, stole, belt or sock or whatever but do remember it.

So this is about what you need to know before entering the world of Third Year. I will soon get back to you with a blow by blow account of how to tackle each of the subjects, how to prepare a test etcetera. Oh no don’t thank, I am in a benevolent mood :P till next time, adios amigos!

Also read
3rd Year Study Guide by Muzna Sarfraz
A detailed chapter-by-chapter breakdown of the 3rd yr course, tips and tricks and so much more ! Great read for 3rd years
3rd Year Experiences of Class of 2012 - A Study-guide
Here the whole class of 2012 shares their invaluable experiences of the whole year. To pass on the pearls of wisdom to the newbies. The post is unique as it has the experiences of the whole class, From toppers and nerds; to slackers and back-benchers..

4th Year: ENT Instruments Demonstration

2012-01-04T17:17:00.000+05:00

ENT Instruments Demonstration Video

4th Year Community Medicine Viva Questions 2009-10

2011-12-29T16:36:00.002+05:00

4th Year Community Medicine Viva Questions 2009-10

4th Year: ENT Instruments

2011-12-28T00:42:00.001+05:00

4th year ENT intruments

4th Year: Pathology slides

2011-12-28T00:23:00.005+05:00

4th year pathology slides Latest shown on 30-12-2011

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