last day of ENT

last friday was the last day of ENT so we had a viva to se what we have learnt throughout the 2-week posting.

there were 3 lecturers who were available to take the viva; dr kahairi, dr sayuti and dr amin. there were 6 of us so we drew lots. me and arep got dr amin.

i've never followed dr amin's clinic before so i dunno how he is. rase berdebar jugak.

apparently he was very nice. he asked which structure i wanted to be asked about. i said ear or nose. throat macam susah je.

he attended to a patient 1st. the dr did an otoscope then he asked me to do it. all i could see was inflammation of the external auditory canal. i couldn't see the tympanic membrane properly. he asked me to use a smaller one. tak nampak jugak. so he connected the otoscope to a camera n video. only then could i see a perforated tympanic membrane. he asked me to describe it. he wasn't really listening to my answers and was attending to the patient. when the patient had gone, he asked me about the facial nerve. i knew it had 4 components but tak ingat the 2nd motor component. dr gave clues until i could answer. ok, good.. good.. he said.

he asked so many detailed and basic questions, i kene absence kejap. in the clinic i saw lots of otitis externa and otitis media and tympanic membrane perforations so i am a bit well-versed with the external and middle ear. the inner ear part macam tak cover sangat. the dr had to ask me about that one. about the cochlear's endolymph and perilymph. i was like OMG, tak tau nak hentam ape. my knowledge was so superficial. i guessed my way thru and alhamdulillah Allah helped. i answered correctly.

then dr asked about presbyacusis and noise-induced hearing loss. i know that they have high frequency hearing loss. he asked me to explain the pathophysiology. alamak! i tau high frequency is recieved by the base of the cochlear. tu je i tau. then dr explained. he also asked 10 causes of conductive hearing loss. i hot

then he asked about the nose. before he could ask i asked if icould tell him about nasopharyngeal carcinoma. dah bace sket2 tajuk tu. he let me describe it 1st then gave me a clinical scenario. tu yg susah tu.

the he remembered that there was another student he had to take for viva too and asked me to call him. when arep entered the room i asked if i my session was over. he said "duduklah dulu. if ur friend cannot answer then, u answer for him". well, as long as its his turn, it was ok with me so i sat again. susah jugak arep's questions. some i could answer, some i couldn't.

then, after a few rounds of questions he said, "ok, both of u passed."

yay! that was a very interesting and educating viva session. hehe. sedih dah habis ENT.

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i asked dr wan islah why he chose ENT. he said he wanted a specialisation in which he could still play football and have a life. interesting!

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posing with the cool head lamp.
boleh tengok tekak n hidung org dgn jelas.

i had to hold it coz longgar sgt ikut head circumference dr raja. kalau adjust nanti dr perasan karang ada org tamper with it hehe

last ENT OT day.
lepas ni masuk OT for anaes n ophthal pulak