pituicytes / pinealocytes

Histology

subjek terakhir. tercomel. berwarna-warni. (macam tulis status gua plak haha)

ini merupakan subjek 'terkecil' tapi ganas kitorang
malam sebelum exam histo berlaku rusuhan kat area Abbasiah. memang x bukak buku lah gua. bukak mukabuku je. hehe

24th of July. Written.

MCQ ok. matching pun ok.

essay bolehlahhh. x susah macam 3 subjek yang mengganas sebelum2 nih.

mcq physio yg kejam. essay biochem yg buat org speechless. anat yg x kurang susah.

tapi ade bantai2 gak weh (x bantai memang x sah lah kan? haha)

25th of July. Oral Exam.

dijadualkan start pukul 8 pagi.

sampai universiti nombor terus dipanggil.

Dr Mohamed Abd Rahman.

doctor lab bawah. doctor yg ajar male reproductive system. dan doctor yg buat buku 1000 MCQs.

orang ke 4 disoal

orang sebelum2 ambil masa yg lamaaa nak habes. cuak beb.

I = Assalamualaikum , how are you doctor ?

D = Fine , thank you. Your name is Iskandar..

I = Iskandar Afiq.

D = You know we have place called Iskandariah here ?

I = Yes, of course (senyum sampai nampak enamel gigi haha)

D = So Iskandar , can you tell me about appendix ?

I = Appendix has usual layers. Mucosa , Muscularis Externa and Serosa. But it has no submucosa , no goblet cells , and no muscularis mucosa. It contains aggregation of lymphoid follicles as well.

D = What do you know about Paneth Cell ?

I = Paneth Cells an be found at the base of crypts , especially small intestine's crypts. Its function is to secrete lysozyme for anti-bacterial action.

D = Very good. Tell me where is calcitonin is secreted.

I = Calcitonin is secreted by parafollicular cells of thyroid gland.

D = Antidiuretic Hormone ? Insulin ? Testosterone ? Aldosterone ? Melatonin ?

I = ADH secreted by supraoptic nucleus of hypothalamus and stored in pars nervosa of pituitary gland , Insulin by beta cells of pancreas , testosterone by Insterstitial cells of Leydig , Aldosterone by Zona Glomerulosa of Suprarenal Gland and Melatonin by Pinealocytes of Pineal Gland. (time jwb pasal melatonin gua tersilap cakap pituicytes. doctor buat muke pelik. nasib sempat tukar jawapan. doctor hanya tersenyum je )

D = Excellent. Tell me layers of cerebellar cortex.

I = Cerebellar cortex has 3 layes , Molecular layer , Purkinje layer , and Granular layer.

D = What do you know about Space of Disse ?

I = It is a space between blood sinusoid and hepatocytes. It contains fat-storing cells or Ito Cells , microvilli , Pit Cells , ....

D = Very good. Go now ! 

I = ^__________^

kejap je oral gua kali ni
kalau tau kejap baik pg exam pakai kain pelikat je hahaha
pulang ke ARMA 8.25 pagi




alhamdulillah tamat semua oral exam 2nd year.

paper terakhir , Psychology , 28hb. MCQ je kan hehe.

bukan Histology , tapi HistoloLOgy =)

aktiviti2 yang boleh dibuat sempena summer break (kalau x balek Malaysia)


- talaqqi Al-Quran
- pegi kelas bahasa Arab. clinical year lg 2 tahun wehh
- pg gym workout dgn abg hensem  Ilham haha 
- swimming ? lama x berenang
- habiskan 7 season House untuk prepare ke 3rd year. lagi best dari TMD =)
- curi dan baca buku Pathology senior2 tingkat 7 hehe

n.b

- jom g shopping !

- pindah Abbasiah ? kene fikir panjang dulu.

- rindu family. (ingat gune gua2 xde perasaan rindu ke ha hehe)

TMJ

ini kisah 2 ekor tupai yg kelaparan

oke silap

ni cite pasal 3rd paper kitorang

Anatomy

ye jika anda berasa pelik kenapa gua punye status kebalakangan ni sibuk pasal anatomy

anda masih normal

itu kerana gua telah diamanahkan oleh ketua batch untuk mengawal (?) subjek ni

bersama penolong cik Nasibah yg palingbanyakbuatkerja

jadi status2 terbabit utk pemangkin rakan2 kuliah gua

untuk sama2 menempuh subjek dengan kuantiti buku paling banyak ini

dan subjek yang kurang diminati ramai orang (sedih gua)

lalu datanglah hari yang takditunggu-tunggu

14 Julai 2011

written

xperlu komen banyak2 kan ?

anda yang buat anda tau macamane soalan nye

16 Julai 2011

masa untuk oral pulak

(bg gap sehari memang buat gua jadi malas. malam sebelum tu baru bukak buku head and neck)

lalu dengan muke poyo tengah2 kepanasan terik summer mesir

kami melangkah (naik teksi) ke ain shams

10 pagi

tunggu punye tunggu

lajnah gua bernombor 3

bersama2 rakan kuliah Izzaty , Apai , Esan n Capek

Dr George Fayek

Dr yang banyak bg kata2 semangat dalam kuliah

dan selalu tunjuk keindahan seni dalam slide nye

dan juga berkelulusan New York wehh

mari lihat perbualan gua dengan beliau

D = Dr George

I = budak baru belajar

I = how are you , doctor ? (haa aku nak mulekan ckp dulu hehe)

D = fine. and how are you ? 

I = I'm all good. (bg kerneh bla bla bla)

D = tell me what are these structures ? (tunjuk foramina2 kat skull comel tu)

I = optic canal , foramen ovale , foramen spinosum , jugular foramen . 

D = and of course this is ..... (aku suke gaya doctor cakap. style lah)

I = Foraman Magnum !

D = doctor gelak. ( aku gelak # 1) Tell me movements which occur at temporo-mandibular joint (TMJ) .

I = elevation of mandible , depression , ...

D = and what is this ? (sambil buat gaya muka)

I = (aku gelak # 2)protrusion. and also retraction .

D = very nice. which muscle do the retraction ?

I = posterior fiber of temporalis .

D = depression of mandible ?

I = lateral pterygoid .

D = tell me surface anatomy of the spleen .

I = 9th , 10th and 11th ribs.

D = very good. enumerate the nuclei of trigeminal nerve . 

I = motor nucleus , mesencephalic nucleus , spinal nucleus and main sensory nucleus .

D = what do these nuclei supply ?

I = motor nucleus supplies muscles of mastication , mesencephalic nucleus for proprioreception , spinal nucleus for pain and temperature and main sensory nucleus for touch to the face . (kat sini berlaku sedikit kekeliruan mengundang kepada doctor dan aku gelak # 3)

D = good. tell me the parts of basal ganglia .

I = caudate , putamen , and globus .. ( x sempat jawab)

D = globus pallidus . thanx , you may go now. (sambil senyum lebar)

tamat oral exam paling kelakar dan paling santai.Dr George memang baik dan kelakar , kan ?

n. b

- papa dah keluar hospital . alhamdulillah .

- next exam , 24 & 25 Julai , Histology . doakan ! =)

favism

biochemistry

2nd paper

killer subject

4 & 5 July 2011

4th of July

exam written

60 MCQs , 45 marks

mcq nye boleh tahan lahhh

walaupun ade yg konpius2. (kalo x konpius, bukan biochem lah kan ? )

essay

seperti yang dikhabarkan

keluar lah gak akhirnya soalan cases

agak susah disitu

tapi bantai saje

pukul 12 da stop membantai

termenung tgok dak2 nigeria dgn skill meniru yg hebat

(nak kuar dewan exam awal nti org ckp bajet pandai lak kann)

5th of July

oral exam

khabar angin (lagi) mengatakan exam start pukul 9 pagi

tp mendapat khabar yg takbaik oleh orang yg pg awal

exam dah start pukul 8

kelam kabut beb

nasib baik doc x ikot nombor

lalu bersiap dengan pantas menahan teksi ke ain shams

sampai department biochemistry , amek kad tertulis , lajnah 4

tnggu punya tunggu luar bilik doctor

lalu kuarlah doctor Farid dan tanye ,

lajnah 4 ? owh aku tu.

aku pun berlalu masuk dalam bilik doctor.(kenape dah mcm novel plak ayat nih)

D = Doctor Farid

I = Dr Is Afiq (ecehh)

I = assalamualaikum . how are you , doctor ? (kali ni kene start dgn positif.xnak jd macam physio lepas)

D = fine. alhamdulilah. how was your exam yesterday ?

I = err.. nus-nus. (ni ayat paling best aku setakat 6 oral exam nih.haha)

D = nus-nus ? it was difficult ?

I = quite difficult. especially the cases.

D = what question came out in your exam yesterday ?

I = cholesterol. (alamak.aku terperangkap.mati aku kalau doctor tanye balek pasal exam semalam)

D = only cholesterol come out in the exam ?

I = ouh , no. we also have questions on vitamin D and favism.

D = favism is really important because it can lead to hemolysis of RBCs. what do you know about hemolysis ?

I = (knape mcam soalan physio 1st year nih) Hemolysis is the rupture of RBCs and release of its content.

D = yes. and what factors can lead to its rupture. maybe because of its membrane. do you know anything that can maintain the membrane's integrity?

I = yes. its glutathione.

D = glutathione ,good . and why this disease will lead to hemolysis of RBC ?

I = favism , which is defiency of glucose 6 phosphate dehydrogenase is important for red blood cell. this enzyme involved in HMP pathway , which produces NADP+P. NADP+P is important for glutathione for its conversion. that is why deficiency of this enzyme will lead to rupture of red blood cell. (time suruh explain by words susah plak semalam.haishh) 

D = yes , good. ok , calcitonin is one of the hormones in our body. what is its function ?

I = its main function is to regulate blood calcium level. it decreases blood calcium in the blood.

D = what is its mechanism of action ?

I = hmm. (bagus soalan ni.tp aku terdiam. cmne jwpan dalam konsep biochem eh. kang aku bg jwpan cam dalam buku physio kang)

D = ok , look . where does this calcium comes from ?

I = bones.

D = yes , so calcitonin decreases calcium level by formation of bone.

I = yessss. (ouh cmtu ke.haha.same macam physio lah.ngokngek tol aku)

D = tell me what increases calcium level in the blood.

I = parathyroid hormone and active vitamin D.

D = yes. ok , methionine is very important amino acid in our body. do you know its function ?

I = yes. methionine , in its active form , S-adenosyl methionine (SAM) is important in transmethylation reaction. for example , the formation of epinephrine from norepinephrine , melatonin from serotonin , choline from serine , and ..

D = ok , that is enough . now tell me what is the difference between type-1 diabetes mellitus (DM) and type-2.

I = type-1 DM is insulin dependent DM (IDDM) . it is mainly due to lack of formation of insulin by b-cells of pancreas. while type 2 is non-insulin dependent DM (NIDDM) . its maybe due to insulin resistance in our body. it mainly occur in obese people. Type 1 occurs in young people while type 2 in old people. 

D = ok. tell me the chronic complications of DM.

I = the patient will suffer from hyperglycemia and ketosis. if we treat them with overdose of insulin, they may be hypoglycemic as well.

D = what happened to the central nervous system? and their eyes ?

I = there will be neurological manifestation (neuropathy) . and cataract will develop in their eyes , due to accumulation of sugar alcohol .

D = ok . thank you. you may go now.

oral exam ni betul2 buat gua rase macam doctor yg tngah explain kat patient

ape2 pun tarik nafas lega

alhamdulilah

subject paling membunuh selesai gak akhirnya

14 & 16 July 

head & neck . abdomen . neuroanatomy . pelvis . special embryology . 

all the best untuk semua ! :)