MSA Academic Quiz - Week 5 Result

The Winner for Week 5 of the MSA Academic Quiz is Chong Kok Hung of group 37, 6th Year.

The answer scheme is as follows:

ECG:
Sinus rhtyhm
Atrial extrasystoles, identified by early beats with broad and abnormal p waves(best seen in v2, and v3
Extrasystoles are followed by compensatory pause
Normal axis
There is an RSR pattern in lean III, but the ORS complex is narrow
The ST segments and T waves are normal


SPOT DIAGNOSIS:
AAA (Abdominal Aortic Aneurysm)

Congratulations, Chong Kok Hung.

Meeting with MARA representative

The official representative of MARA will be present at the university on the 27th of May 2010. There will be held a meeting with said official at the main campus, in the hall under the dean's office at 1730 [5:30 p.m.]. Attendance for MARA students is compulsory.

MSA Academic Quiz - Week 6

ECG

SPOT DIAGNOSIS

Please  answer in the comment section below according to the following  format:

Name:
Group:
Course:  

Answer  for ECG must follow the following format:

1. What do you see in the ECG?
2. What is your interpretation?
Example of answer:
1.  Rhythm sinus, Axis normal, QRS duration is 80ms, No ST elevation.
2.  Normal ECG.

Answer  for Spot Diagnosis:

The first entry with the  correct answers and a correctly-filled form  will be picked as the  winner. Entries must be sent before 10 a.m.  on the 30th of  May 2010.

Questions can be downloaded here.

Note:  Your entry will not appear on the comments section until the quiz  has  ended.

MSA Academic Quiz - Week 4 Result

The winner of the 3rd Weekly MSA Academic Quiz is

Ong Yu Chen (Danny)
6th year
Group 35


The winning answers were:
Answer for ECG:
Sinus rhythm,
R is almost equal to S in lead I means this is the limit of normality towards "right", normal QRS duration, peaked P in lead II, III, AVF suggestive of P pulmonale - right atrial hypertrophy with right ventricular hypertrophy due to pulmonary hypertension,
deep S in lead I, pathological Q and inverted T in lead III (S1, Q3, T3 pattern),
T wave inversion are also noted in AVR, V1, V3-V6,
ST elevation best noted in V1, V4-5

Dx: pulmonary embolism

Spot diagnosis:
Based on the lobulated appearance, and the location in the midline of hard palate..

Dx: Torus Palatinus

MSA Academic Quiz - Week 5

Due to some technical problems, the result of last week's quiz will be posted later. We're sorry for any inconvenience.



ECG

SPOT DIAGNOSIS

Please  answer in the comment section below according to the following  format:

Name:
  Group:
Course:  

Answer  for ECG must follow the following format:

1. What do you see in the ECG?
2. What is your interpretation?
Example of answer:
1.  Rhythm sinus, Axis normal, QRS duration is 80ms, No ST elevation.
2.  Normal ECG.

Answer  for Spot Diagnosis:

The first entry with the  correct answers and a correctly-filled form  will be picked as the  winner. Entries must be sent before 10 a.m.  on the 23rd of  May 2010.

Questions can be downloaded here.

Note:  Your entry will not appear on the comments section until the quiz  has  ended.

MSA Academic Quiz - Week 3 Result

The winner of the 3rd Weekly MSA Academic Quiz is

Lim Shu Yu
Group 35
6th course


The winning answers were:
Answer for ECG:
sinus rhythm, axis normal, AV disassociation(no relationship between P waves and QRS complexes), ventricular rate is 43/min.
Interpretation : Complete heart block(third degree heart block)

Answer for spot diagnosis:
Hernia of Morgagni- a congenital diaphragmatic hernia where there is a defect in the anterior diaphragm.

SPA Interview details

Attn: All 6th Year Students

The details of the Suruhanjaya Perkhidmatan Awam [SPA] interview can be obtained through psdmoscow.com/blog

As of 10:27 p.m. 11th of May 2010, the Malaysian Government plans to conduct the SPA interview in Russia.

Please be informed.

MSA Academic Quiz - Week 4

Due to some technical problems, the result of last week's quiz will be posted later. We're sorry for any inconvenience.



ECG

SPOT DIAGNOSIS

Please answer in the comment section below according to the following format:

Name:
Group:
Course:  

Answer for ECG must follow the following format:

1. What do you see in the ECG?
2. What is your interpretation?
Example of answer:
1. Rhythm sinus, Axis normal, QRS duration is 80ms, No ST elevation.
2. Normal ECG.

Answer for Spot Diagnosis:

The first entry with the correct answers and a correctly-filled form will be picked as the winner. Entries must be sent before 10 a.m. on the 16th of May 2010.

Questions can be downloaded here.

Note: Your entry will not appear on the comments section until the quiz has ended.

MSA Academic Quiz - Week 3

ECG

 

SPOT DIAGNOSIS

Please answer in the comment section below according to the following format:

Name:
Group:
Course:  

Answer for ECG must follow the following format:

1. What do you see in the ECG?
2. What is your interpretation?
Example of answer:
1. Rhythm sinus, Axis normal, QRS duration is 80ms, No ST elevation.
2. Normal ECG.

Answer for Spot Diagnosis:

The first entry with the correct answers and a correctly-filled form will be picked as the winner. Entries must be sent before 10 a.m. on the 9th of May 2010.

Questions can be downloaded here.

MSA Academic Quiz - Week 2 Result

The winner for the MSA Academic Quiz - Week 1 is...


Drum roll, please...






Lim Shu Yu, Group 35, Year 6!

Congratulations, Lim Shu Yu on your winning entry. Your prize will be passed to you by an MSA Committee representative.

This is her winning entry:

Answer for ECG:
Assuming that this is an ECG with the speed of 25mm/s- Sinus rhythm, rate-75/min, normal axis, PR interval prolonged-o.28s, QRS complex-broad ORS complexes, RSR pattern best seen in V2-V3 ,
ST elevation in leads II, III, aVF,
ST depression in leads aVL, V1-V5.

Interpretation: Acute inferior infarction, 1st degree block and RBBB.

Spot Diagnosis:
Empyema Necessitans.
It is a spontaneous discharge of an empyema(pus) that has burrowed through the parietal pleural, usually into the chest wall, to form a subcutaneous abcess that may eventually rupture through skin. More commonly secondary to pneumonia.

Other entries were as follows:


Entry No.1
ECG 1)
Sinus rhythm
regular
HR 75 bpm
left axis deviation-highest R in I and avL
Prolong PQ interval-0.32s
Pathology Q-III,avF
ST elevation-II,III,avF
ST depression-V1,V2,V3,avL
rSR pattern-V1,V2,V3

ECG 2)
Acute inferior myocardial infarction (ST elevation as mentioned, transmural, due to the pathology Q ), with reciprocal changes in V1-3,avL ( ST depression ), RBBB and AV block 1st degree.

Most likely involve left anterior descending artery (LAD)which supplies the base, AV node, RBB, anterior division of LBB ( bifasicular block, which show left axis deviation on ECG )


Spot diagnosis: Pus discharge from fistula as a complication after chest trauma.


Entry No.2
ECG
1.normal sinus rhythm
Right axis deviation
2.Non-ST elevated Myocardial Infarction(septal region)-abnormalities in V1 lead

SPOT DIAGNOSIS
Furuncle(late stage)
the furuncle has already burst
presence of scar around wound is usually seen in cases of furuncle


Entry No.3
ecg: regular sinus rhythm; rate 75-80bpm; left axis deviation (R tallest in I lead); RBBB (rSR pattern, wide QRS >120ms in V1, slur S wave in I and V6); inferior MI (ST elevation in II,III,aVF); qR complex in I, aVL and LAD (left anterior fascicular block) plus PR>200ms (first degree AV block) and RBBB (trifascicular block)
spot diagnosis: site for chest tube (tube thoracostomy) for empyema


Entry No.4Answer for ECG
1.- Sinus rhythm, heart rate 75bpm
- Left axis deviation
- PR prolongation
- Abnormal progression of R-wave in chest leads
- Pathological Q-wave & ST elevation in III, aVF
- Fragmentation of QRS in II
- ST depression in I, aVL
- Reversed tick-shaped ST depression in V1-V3
- Biphasic P-wave in V1, V2
- J-wave or Osborne wave in V3-V6
- Rollercoaster pattern in II

2.- First degree AV block
- Old infacrt or myocardial scar in inferior wall of left ventricle (LAD, deep Q-wave, QRS fragmentation)
- Possiblity of new acute MI (ST elevation in inferior lead, accompanied by reciprocal ST depression in left lead)
- Left atrial hypertrophy (biphasic P in V1-V2)
- Patient has hypothermia (J-wave) due to AMI
- Possibility of quinidine toxicity (AV block, rollercoaster pattern)

Answer for Spot Diagnosis:
Chylothorax with chyle fistula

Entry No.5
Answer for ECG
1. Sinus rhythm, normal axis, prolonged PR-280ms, broad QRS complex, normal QT, ST elevation in lead II,III,AVF, RSR pattern in V1-V3, Osborne/J waves are noted in V4-V5.

2. Acute inferior myocardial infarction associated with first degree AV block and RBBB.

J wave may be due to severe ischemia etiology.

Answer for Spot Diagnosis:
From the location of the wound and the scar around the wound seen, it is most probably an old scar of chest tube drainage.

Dx: Empyema necessitans

Thank you for all your submissions. There's still more prizes to be won each week. Each week's questions will be posted on 12 a.m. sharp every Monday. Try your luck!

CME [M&M] 03/05/10

Date: 03 May 2010 (MONDAY)

Time: 12.30pm - 3.00pm

Venue: Study Room Hiroshima

Topics:

UMN part 2 - Approach to brachial plexus & carpel tunel syndrome - Wenn Fong

Spot diagnosis - Dave

Spot diagnosis - Nicole Chow

Open to all.