I finished pediatric cycle today with the zachot (credit test). There were 3 teachers; of course the one who considers me as her favorite student still exists, that insufferable monster who wants to eat me alive. She was glaring at me all the time throughout zachot. She definitely has some unfinished business with me. I was her target from the start!
But then, I am one kind of a stupid person. There was definitely a more lenient and kinder teacher whom I can go answer my pediatric stuffs to, but I chose that woman monster instead! What the hell, right? Since she’s got an unfinished business with me, why not I go give her some closure? And to her I went. Everything went fine, fine and fine from Rheumatic Fever to Hydronephrosis to Case Report.
I can tell that she’s proud of me, although I’m always late for her class (but to think back what’s there to be proud of? It’s just rheumatic fever and hydronephrosis!). Whatever. Got my zachot without ОТРАБОТКА she promised to make me do last week… and she’s got her psychological closure! Ngengengenge! 
Ok, enough small talk. I would like to honor a request from a dear boss of mine. He wishes to walk an extra mile as well. Let’s start with Biochemistry:
A 48-year-old divorced man presents with shortness of breath. On questioning, the man admits a 20 year history of extensive alcoholism. A systems review reveal that he experiences tingling and burning sensation in his legs for the past few weeks. Physical examination reveals that he is tachycardic (heart rate 122/min), has rales bilaterally and bilateral pitting edema. He also has decreased sensation in his feet and reduced reflexes in his lower extremities. Chest X-ray shows enlarged cardiac silhouette and bilateral pulmonary congestion. The deficient factor in this condition serves as a cofactor to which enzyme?
•A. Adenosine Deaminase •B. Aldolase B •C. Transketolase •D. Homogentisate oxidase •E. Carnitine AcyltransferaseAnd here’s Endocrine Physiology:
Growth Hormone (GH) is essential for human growth. Which of the following is a stimulus for GH secretion?
•A. Hypoglycemia •B. Obesity •C. Dwarfism •D. Pregnancy •E. Somatostatin •F. Tumor Necrosis Factor (TNF)And here’s my favorite -Pathology:
A 45 year old woman complains of a blurry vision. She says that her eyes have been very dry and itchy and she is unable to make tears. She also states that she has a dry mouth despite drinking adequate fluids. Physical examination reveals bilateral dry, ulcerated corneas and fissures on the sides of her lips. Her knees are swollen and reddened. When asked about her knees, she says that her knees and wrists tend to be swollen and stiff in the morning. The intern in charge runs for test of autoantibodies, which reveals rheumatoid factor positive and also another autoantibody test is positive. What might the other positive autoantibody test be?
•A. Anti-Jo-1 •B. Anti-dsDNA •C. Antibody-SS-B (La) •D. Antihistone antibodies •E. HLA-B27Okay that’s enough I guess. Whoever answers all the three questions correctly, plus explanations, will get a sushi treat from me. Hehe feeling very spring and generous. You can try answer in comment, or simply thru my YM. Final date? Err… one week, two weeks, tomorrow… what the hell right? I’ll decide later. It’s not like everyone loves to read my blog tho… ngengengenge
P/s: I’ve heard that my blog appears a little skewed (senget)/unreadable or something like that from someone’s computer. Is it true? Need some feedbacks pls.
