Saroj Kumar Jha

 Hi there. Are you preparing for MBBS entrance examination? If yes, you are in a right place here. I am Saroj, an intern doctor at IOM. While I am saying this, I remember my entrance preparation time. I have done my plus2 from St. Xaviers College.  I had started preparing for it since I entered my 12th joining premedical session at an institute here in Kathmandu. I made it to IOM as a fresher. Anyone who gets selected here at IOM will tell you that their entrance journey was not that difficult and it holds true in my case as well. Let me tell you one thing first. Entrance preparation is all about your motivation of becoming a doctor along with your dedication to do anything to achieve your goal.  I guess,you must be in one of the three conditions:  1. You are not motivated at all to prepare for entrance however you are just trying to attempt it once believing in your luck. If that is the case, let me make you clear, it is nearly impossible for you to get it there. I am not demotivating

Visit on Youtube Here are some of the tips that is based on my personal experience while I was preparing for my final year MBBS examinations. I hope you find it useful.  1. Follow the syllabus Medicine is an ocean. You cannot study everything. It’s a fact. You have to be jack of all. Don’t leave any topic even if its not high yield for exams. Make a schedule categorizing all the topics and the day you will study them. It will help you as at the end of the day you will know whether you finished for the day or not. Also you will know your speed and reschedule your study plan. Make a list of topics you are studying that day and cross-check it before you go to sleep.  2. Start from the basics  When you look at the syllabus, its too much and you are lost on where to start. Starting from big topic will only make you feel that you cannot complete the syllabus. Take a small topic or the topic that you know a bit or have some confidence about it. Complete it and feel confident. It will give

Visit on Youtube Hello and welcome. I am Saroj, an intern doctor at Institute of Medicine, TU teaching hospital, Kathmandu. Today I will discuss about how to study Medicine and how I studied it during my final year MBBS. First of all, lets talk about the books, notes, apps and other resources. We all know there are two main books, i.e. davidsons and harrisons. Harrisons is a huge book which needs alot more time and patience while davidson is a concise yet complete book. Davidson is a one stop book I must say. I used davidson as main textbook. Trust me its enough, at least for exams. I am telling you this also because the questions asked these days are approach based so you need to be jack of all topics and master few very very important topics. And you can always go to harrisons for some parts that is not very well written in davidsons like I did which includes approach to common symptoms like fever, cough, jaundice, etc. Few topics that you must study from harrisons are neuropat

General observation: Drowsiness                                     Audible wheezes or stridor All vitals + PILCyClOD In head to toe examination : Neck: JVP (d/t cor pulmonale) Head: Horner’s (d/t pancoast tumor) Oral: candidiasis (immunosuppression or prolonged use of inhaled steroids) Upper airway examination: Nose:             External: external nasal framework             Vestibular: position of nasal septum Polyps Signs of inflammation over the skin Congestion Discharge Paranasal sinuses: Tenderness over sinuses Oral cavity and oropharynx: Oral hygiene, halitosis Teeth (caries) Tonsils Post nasal drip Polyps(antrochoanal) Lower airway examination/ CHEST EXAMINATION (ASK THE PATIENT TO SIT ON THE EDGE OF BED AND EXAMINE BACK OF CHEST FRONT THEN THE FRONT) Inspection: (look from front, back, sides & if possible top) Position of trachea (central/ deviated to left or right side) &trail’s sign Use of accessory muscl

All vitals + PICyClO [in head to toe examination: examine hands, nails and skin for splinter hemorrhage, vasculitic rash or petechiae, osler nodes, janeway lesions, cold extremities, erythema marginatum Also examine face and eyes for corneal arcus, malar flush, xanthalesma, conjunctival petechiae, roth spots in fundoscopy] JVP measurement with hepatojugular reflex Precordial examination Inspection: (patient supine with head 30-45 degree with chest exposed) Shape: any deformity or Bulging Pulsations: apical impulse/ mitral area                         Aortic, pulmonary and tricuspid area                         Suprasternal and parasternal area                         (+epigastric pulsations) Venous prominences Scar marks Inspection of back for kyphosis, scoliosis, suzman’s sign Intercostal fullness Palpation: (thrill and its radiating areas, palpable P2) Mitral area: Apex beat (site and character)                         Palpable heart sounds

Anthropometry: (use WHO chart for inference) Weight: Height for > 2 yrs(stadiometer), length( infantometer): OFC: Chest circumference(at mid inspiration or mid expiration): MUAC (11.5-12.5 cm) Arm span: BMI Subcutaneous fat: US/LS: (for achondroplasia)