Friday, May 20, 2011

Attachment to the Laboratory at Klinik Kesihatan

Can you give me 10 blood tests that they do at the Klinik Kesihatan Lab.

Quiz on The Management of Obesity Clinical Practice Guideline

       1.       The grades of recommendations (Evidence Level A,B,C) was modified from the ____        guideline
2.       Evidence Level A is evidence from __________
3.       Evidence Level B is evidence from __________ 
4.       Evidence Level C is evidence from __________ 
5.       The CPG was published in the Year ______
6.       Why is it important to adopt a CPG on the Management of Obesity in Malaysia?
7.       The Management of Obesity CPG provides informations on the ____________ (4) of obesity in Malaysia
8.        This CPG is planned for a review at every ___ year interval by the Committee
9.       What are the grades of recommendations (Evidence Level A, B, C) for the following:
·    a)     The BMI should be used to classify overweight and obesity and to
                                            estimate relative risk for disease compared to normal weight
                              ·    b)     The waist circumference should be used to assess abdominal fat content
·    c)     Based on current evidence in adults, overweight is defined as BMI 23         kg/m2 and obesity as BMI 27.5 kg/m2
·    d)     Current evidence suggests that waist circumference of 90 cm in men   and 80 cm in women is associated with increased risk of comorbidities                
·     e)    In overweight and obese individuals, weight loss is recommended to:
o Lower elevated blood pressure
o Lower elevated levels of total cholesterol, low-density lipoprotein
    cholesterol and triglycerides
o Raise low levels of high-density lipoprotein cholesterol
o Lower elevated blood glucose levels

Thursday, May 19, 2011

ATTACHMENT TO MO AT KLINIK KESIHATAN

Student 1
1) Give 10 cases that you have seen whilst sitting in the MO room

Student 2
1) Give 10 cases that you have seen whilst sitting in the MO room

PHARMACY ATTACHMENT AT KLINIK KESIHATAN

Student 1
1) Can you list 10 medications that you helped the pharmacist dispensed.
2) Can you provide the category of prescriber (List A*/ A/ B.. Drug) according to the BLUE BOOK of each of the medications given
3) Give me the 6 informations included for each drug in the BLUE BOOK

Student 2
1) Can you list 10 medications that you helped the pharmacist dispensed.
2) Can you provide the category of prescriber (List A*/ A/ B.. Drug) according to the BLUE BOOK of each of the medications given
3) What is the best way to search for a drug in the BLUE BOOK

Tuesday, December 28, 2010

Discussions with Primary Care Lecturers

Please feel free to use this section to post topics covered during the DISCUSSION session with the primary care lecturers at each of your Klinik Kesihatan attachment.

Interesting Cases to Share

I hope you will use this section to post any interesting cases seen during your consultation sessions in KKTE/ KKSB either whilst sitting with the primary care lecturers or with the FMS/ MO's. You can also include interesting experiences encountered whilst sitting with the Staff Nurse, Pharmacist, Lab technicians, Dietician, Physiotherapist and MA's in the procedure room.  

Tips on Sharing Informations in this Website

Uitm have long moved away from the "Spoon Feeding Era" whereby medical students are being "Fed" with informations along the learning process. Nowadays, medical students are encouraged to use a "Adult Learning Approach" whereby students are expected to use CRITICAL THINKING and formulate a systematic way of learning with some guidance from their lecturers. This website is created exclusively for all primary care UiTM medical students in the effort to uphold this new self learning approach.

The main purpose of this website is to initiate discussion and sharing informations learnt throughout the 8 weeks of Primary Care posting. I hope that each time you see a case with a lecturer during consultations, you will write down the case in this website under the relevant headings and also provide any tips learnt from your lecturer during the consultation, e.g. tips on history, examination, management and diagnosis. You may also want to share interesting cases that you have seen whilst sitting with the MO in KKTE/ KKSB.

This website is also meant for you to share topics covered during the discussion on each of your klinik kesihatan sessions. Group 1 may cover different aspect of the topics listed in your primary care handbook. So Group 2 can learn as well when Group 1 posts the informations learnt via this website and vice versa.

I will asisst with any of your queries or misunderstandings with the help of the other lecturers in primary care.



For any questions in this website asking on how to manage the patient, I expect you to give a complete and concise answer in the following format:
1) Relevant history:
       - History of presenting illness (HOPI)
       - Systemic Review
       - PMH/ PSH
       - SH
       - DH (allergies)
       - FH
       - ICE 

2) Relevant examinations:
       - General Observation (Go)
       - Vital signs (Vi)
       - Relevant Systematic examination approach (e.g. start with the hands, radial pulse, eyes ..) 

3) Appropriate management which should include the PLIMA:
       - Patient Education
       - Lifestyle Changes
       - Investigations
       - Medications
       - Appointment/ Safety Netting


For the Drug Discussion, the answer should be in the following format:

List down the relevant drugs available first then divide each drug into the following category: (please refer to the MIMS website)
1) Generic Name
2) Route of administration (Oral, IV, IM, SC, Inhaled, Nebulised) and Dosage for each route
2) Mode of Action (Pharmacodynamics/ Pharmacokinetics)
3) Side effects
4) Contraindications
5) Pregnancy Category
6) Precautions (for example in children and breastfeeding)
7) Drug interactions 

You may also quote any useful website related to the topic being discussed. One very good example of an answer related to a HEADACHE CASE can be found in the following website:

http://www.medscape.com/viewarticle/537504




All the best!