Anatomy II and Medical Communication: Check!!

May 30, 2013 § 2 Comments

2 down and 3 to go! The past few days have been just short of crazy. On Monday I attended both the histology and anatomy consultation, lost my phone, and spent the rest of the day cramming for my exam on Tuesday.

The exam was divided into 2 main parts: dissection room and office. In the office portion we were asked 4 questions: 1 histology, 1 embryology, and two anatomy. Here’s what I remember from my exam:

Dissection:

– Given internal genitals and asked, “What is this?”. The bladder was huge and I was nervous, so I didn’t know at first, but after some looking I found the uterus. Once I found that, I had to identify the uterine tubes, name the mesosalpinx and mesometrium, identify the ovary and the suspensory ligament, then the round ligament of the uterus.

– To identify the sternocostal surface of the heart, the right coronary artery, the superior and inferior venae cavae, the coronary sinus

– To identify the quadrate lobe of the liver, the portal vein, the round ligament

– To identify the ureter and the vas deferens entering the deep inguinal ring

– To identify the thyroid cartilage, mylohyoid and geniohyoid muscles, retropharyngeal space, hypoglossal nerve

Office:

Histology: For this one I got the human liver. We are given a random slide and have to identify the specimen and then explain the details about it. This was my weakest point. She had to remind me to mention the space of Disse and I couldn’t name the Toshio Ito cells (which aren’t in our book but were mentioned in class) or describe the pathological unit of the liver in enough detail.

Fetal Circulation: For this part, I did a drawing similar to this one. I had drawn the outline and then described the circulation while drawing in the blood path. I had to mention the ductus venosus and ductus arteriosus, describe the reason for the ductus arteriosus and the importance of it’s location and then what changes happen after birth and what the remnants of the different structures are.

fetal circulation

Anatomy I: For this part, I got the pancreas. I was really happy about this because it is one of my favorites. I drew a picture of the pancreas, stomach, liver, and duodenum and then included the ducts of the pancreas, Vater’s papilla and the minor duodenal papilla. I had to described its location, the blood supply, the passage of bile and the parts of the pancreas.

pancreas_asco

Anatomy II: My last topic was inguinal canal!! Such an amazing coincidence after posting about it in my blog last week. You never know what is going to pop up!

After anatomy, I had one day to cram for my Medical Communication final. These were the exam topics:

A-List

1. Basic definitions in communication and their role in medical practice: basic elements, axioms and levels in communication; verbal communication.
2. The role of non-verbal communication.
3. The role of active listening and the role of empathy.
4. Doctor-patient consultation.
5. Communication issues of patient information.
6. Patient education and shared decision making.
7. Convincing strategies in medical practice: learning theories and cognitive models;
8. Convincing strategies in medical practice: the role of arguments, behavior change model.
9. The role of suggestions in doctor-patient communication.

B-List

1. Communication with acute patient.
2. Communication with ill children.
3. Communication with elderly patients.
4. Communication with somatizing patients.
5. Communication with alcohol and drug addictive patients.
6. Communication about sexual problems.
7. Communication aspects with patients committing suicide attempt.
8. Communication possibilities in prevention and handling aggression.
9. Communicating bad news.
10. Telemedicine

For my exam, I got topic 1 from the A list and topic 5 from the B list. Here’s a little goody I found while studying for the exam. I had noted it down during one of the lectures.

Now or never

May 27, 2013 § 5 Comments

Anatomy exam in a little over 12 hours…not feeling good about it, but can’t pretend to know what the result will be. I’ve done my best and nothing I’ve learned was a waste of time. I’m closing out the night with a glass of wine to calm my nerves while looking over drawings of the urogenital system. Then its up at 8:00 for some histology review before my exam at 1:00. Wish me luck!

lungs art

Charlotte’s Birthday

May 25, 2013 § 5 Comments

In the midst of exam chaos, we all managed to sneak away from our respective study caves to celebrate an amazing person: Charlotte! Her birthday isn’t until Monday (I think…she’s apparently hidden it from facebook recently – sneaky girl!), but since most of us have exams this week, tonight was the perfect night.

We all met up at Arriba! Taqueria in Oktogon to surprise the lucky birthday girl.

Birthday Girl Charlotte's Bday

I was able to squeeze in a few more topics once I got home, but I’m starting to get nervous about the ones I won’t be able to review. All I can do is hope for the best! I am doing everything I possibly can, so I will have to be satisfied with the result. Tomorrow Jannie is coming over to study and help quiz me a little bit. She has her biochem semi-final on Friday, so she will be studying that while I cram anatomy.

The virtue lies in the struggle, not in the prize

May 24, 2013 § 2 Comments

Quote by Richard Monckton Milnes

Things are getting a little tense in my little study cave! As the date approaches I am getting more and more stir-crazy. I still have “a lot of time” but the more I learn, the less I feel I know.

This is where I live now…

histocave

It’s a mess…

histomess

and I’m finding weird ways to keep myself entertained…like baiting birds with bread on the windowsill. No takers yet…but I’m still hopeful.

hanselandgreteldontlivehere

In more exciting news, I left the apartment yesterday! And for several hours! Jannie had her anatomy exam (which went well) so I walked with her to school and quized her along the way. While she was doing her exam, I went up to the anatomy consultation. I was one of the first ones there, so I was lucky enough to get a whole cadaver to myself for an hour. I spent a little bit of time reviewing the urogenital system and then refreshed a bit of my gastrointestinal knowledge. After a while, some other students from my faculty arrived and we spent maybe an hour or so testing each other on various structures. Christian (from my group, not my younger brother) and I made plans to test each other on Monday at both the histology and anatomy consultations. We’ve sort of paired off in anatomy already and I’ve learned so much when we’ve tested each other during the practicals.

After Jannie was done with her exam we started the walk home and then decided to grab some lunch…and a celebratory glass of wine! It was really, really nice to check out of my cave for a little bit. I felt like I got a little refresh in the midst of all this study chaos. Once we were finished, I headed back home to my study spot and studied until a little past midnight.

Alright, enough of a break! Back to the papers sprawled out in front of me…

Paralyze resistance with persistence – Woody Hayes

May 21, 2013 § 5 Comments

That’s me lately! Persistent. It’s almost 19:00 here and I’ve been comfortably nestled in this chair since 8:30 this morning – except for a little break where I tried to take a nap. Let’s just say that didn’t work out…

I’m either suffering a sort of student Stockholm-syndrome or I’m actually really enjoying myself. It’s easy to do when you have little goodies like this hidden within anatomy – an anastomosis (joining of two blood vessels) called “Crown of Death”!

CrownOfDeath

By setting off so much time to prepare for my anatomy exam (about 11 days), I’ve given myself the opportunity to really absorb the material. I sleep 7-8 hours a night and study from when I wake up, until I go to bed. I haven’t really left the house…I even scheduled a grocery home delivery through Tesco. For 900,- HUF (about 20 NOK or $4) they’ll deliver everything – and it all costs the same as it does in the store. We’re approaching true hermit status!

Yesterday Jannie came over to join me in my study cave. She has her exam on Thursday, so is understandably a bit more nervous.

studymess

Charlotte sent me this picture yesterday afternoon. It made my day! Only Charlotte can keep such amazing humor so close to an exam – hers is tomorrow! Wish her luck!!

tumblr_mmanoyA8111qeidtlo1_400

If you are interested in where I got the drawings for the Crown of Death, it is from the end of this video (which can also be found on youtube). It is amazing for understanding the inguinal region and inguinal and femoral hernias.

 

What you need…

May 19, 2013 § Leave a comment

…to cram for your anatomy final.

Anatomycramming

  • 2 anatomy atlases – Sobotta (my absolute favorite) with drawings and Yokochi with pictures of real specimens
  • 1 anatomy textbook – to explain everything
  • 1 “homemade” guide of all drawings and lectures from this semester
  • 1 Haytham notes (notes written by a former student turned professor who loved anatomy so much that he wrote out notes for most of the topics)
  • 1 Histology atlas and textbook
  • 1 school-issued histology atlas
  • 1 school-issued histology textbook
  • 1 embryology
  • 1 pocket atlas and textbook – for when the big ones are too much
  • personal notes from semester
  • lots of colored pencils and/or pens

Put in about 16 hours yesterday (7:30-23:30, with short breaks to: go to the store, make dinner, talk with Jannie about how much we love anatomy and call my mama) and then maybe 10 or 11 effective hours today. It was much more challenging getting started today than it was yesterday. Hopefully tomorrow will be better!

Fueling me through these insane study periods is 8tracks.com, suited for my music-ADD needs. Here are some of the playlists I’ve been listening to today:

 

A bittersweet end

May 17, 2013 § 6 Comments

The last sessions of our classes have come and gone and I find myself in a mixed state of relief and stress. The skies of Budapest have graced us with yet another raging storm and I’m cuddled up in the office so that I can listen to the rolling thunder and rain trickling against the window. It’s the 17th of May, Norway’s Independence day (gratulerer med dagen!) and Skjalg is out celebrating with other Norwegian students at ANSA’s 17th of May celebration on Margit Island (though I don’t know how nice that is now that it’s pouring outside). Me and my boringness stayed home to study some anatomy.

Stian, my good friend from Norway, sent me an email and some pictures, asking how I would be celebrating the day. It got me thinking about where we were last year and what today would be like in a parallel universe. Then I realized, I have a blog post from this day last year! Praise the blogosphere for tangible memories 🙂 Here are some more pictures from that day:

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Now Stian’s pictures from today:

majorstuenOur old street in Majorstuen, right off of Bogstadveien.

DanielAnetteDarling Daniel and Anette!

I wrote him back saying that I had “big plans” and sent him this picture:

IMAG0899

So boring, I know! But there is no time to rest just yet. Classes are over, but now it’s the tough part – exam period. For the next 4-6 weeks, we are going to be huddled in our apartments, if not at libraries or cafes, trying to cram in as much material as possible into our heads. My exams are as follows: Anatomy semi-final, Medical Biophysics final, Medical Biochemistry semi-final, Medical Communication final, and Chemotaxis (my elective course) final. We have 3 shots at each exam and if we still don’t make it after that, then we need to repeat the semester, which means falling behind a year. Hopefully I won’t need more than one pass at each exam…

To close out anatomy today, we had our midterm on the urogenital system. I was 100% sure it wasn’t going to go well for me, but I emerged with a 3 (somehow..). The exams varied greatly between classes: Skjalg had 10 multiple choice questions, another group had images they had to label, and for ours, we had 10 theoretical questions and a pin-test. I only managed half of the theoretical questions, but got 9 out of 10 on the pin-test (stupid round ligament). I hadn’t expected that there would be such a big theoretical part, so I had spent most of my time studying images in my anatomy atlas.

Now I get to spend time making up for my falling behind in anatomy! I want to finish with the urogenital by at least midday tomorrow so that I can begin reviewing for my exam. It’s on the 28th, so I have a little over a week, but I know that time is going to fly by before I know it. Ok, I’m off to bed with my embryology book!

Check out Charlotte’s newest post: Today, I recap the last week of school

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