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- To become a charter holder, candidates must pass three difficult exams, have a bachelors degree, and have at least four years of relevant professional experience. Passing the CFA Program exams requires strong discipline and an extensive amount of...
- Before becoming a CFA charter holder, a candidate must meet one of the following educational requirements. The candidate must have four years of professional work experience, a bachelor's degree or be in the final year of the bachelor's degree...
- It focuses on analysis using the tools of the 10 topic areas of the Candidate Body of Knowledge. These areas are ethical and professional standards, quantitative methods, economics, financial reporting and analysis, corporate finance, equity investments, fixed income, derivatives, alternative investments, and portfolio management and wealth planning. The exam format is multiple choice questions to be completed within six hours. It focuses on the valuation of various assets and emphasizes the application of investment tools and concepts in contextual situations. The exam format is 21 item sets mini case studies with six multiple choice questions for each set questions total.
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It focuses on effective wealth planning and portfolio management by requiring the candidate to synthesize all the concepts and analytical methods in the entire curriculum. The exam format is between eight to 12 multi-part structured essay questions and ten multiple choice questions to be completed within six hours. The hand-written answers are graded by hand. Successful candidates take an average of four years to earn the designation. However, it is not a guaranteed path to riches and glory. Before taking the plunge, carefully consider several drawbacks to earning one. The CFA is not a quick-fix for an ailing career. If you're enrolling in the program to jump-start a stalling career, you may want to look at other reasons your career is not moving forward first.- Perhaps before investing inordinate amounts of time and a substantial amount of money into building your pedigree, you might choose to improve your soft skills , such as work ethic and political suaveness. Becoming a CFA charterholder is a huge investment in time—a recommended minimum of hours per year over three years—or more if you fail and decide to re-take an exam. And after committing all that time, there is no guarantee that you will earn the charter.
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While the cost factor may not be a major consideration, it is worth pondering. A Level I candidate will pay a one-time program enrollment fee plus an exam registration fee. There is also the cost of the books and study programs you'll have to buy. Altogether, you should expect to spend several thousand dollars each time you attempt the exams. These include white papers, government data, original reporting, and interviews with industry experts. We also reference original research from other reputable publishers where appropriate. You can learn more about the standards we follow in producing accurate, unbiased content in our editorial policy.- Face Reasons for oral cancer examinations It is important to note that around 75 percent of oral cancers are linked with modifiable behaviors such as smoking, tobacco use and excessive alcohol consumption. Your dentist can provide literature and education on making lifestyle changes and smoking cessation. When oral cancer is diagnosed in its earliest stages, treatment is generally very effective. Any noticeable abnormalities in the tongue, gums, mouth or surrounding area should be evaluated by a health professional as quickly as possible.
- During the oral cancer exam, the dentist and dental hygienist will be scrutinizing the maxillofacial and oral regions carefully for signs of pathologic changes. The following signs will be investigated during a routine oral cancer exam: Red patches and sores — Red patches on the floor of the mouth, the front and sides of the tongue, white or pink patches which fail to heal and slow healing sores that bleed easily can be indicative of pathologic cancerous changes. Leukoplakia — This is a hardened white or gray, slightly raised lesion that can appear anywhere inside the mouth. Leukoplakia can be cancerous, or may become cancerous if treatment is not sought. Lumps — Soreness, lumps or the general thickening of tissue anywhere in the throat or mouth can signal pathological problems. Oral cancer exams, diagnosis and treatment The oral cancer examination is a completely painless process.
- During the visual part of the examination, the dentist will look for abnormality and feel the face, glands and neck for unusual bumps. Lasers which can highlight pathologic changes are also a wonderful tool for oral cancer checks. If abnormalities, lesions, leukoplakia or lumps are apparent, the dentist will implement a diagnostic impression and treatment plan. In the event that the initial treatment plan is ineffective, a biopsy of the area will be performed. The biopsy includes a clinical evaluation which will identify the precise stage and grade of the oral lesion.
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Oral cancer is deemed to be present when the basement membrane of the epithelium has been broken. Malignant types of cancer can readily spread to other places in the oral and maxillofacial regions, posing additional secondary threats. Treatment methods vary according to the precise diagnosis, but may include excision, radiation therapy and chemotherapy. During bi-annual check-ups, the dentist and hygienist will thoroughly look for changes and lesions in the mouth, but a dedicated comprehensive oral cancer screening should be performed at least once each year. If you have any questions or concerns about oral cancer, please contact our practice. Testimonials She is a good dentist. My wife, my son and myself have been with her for more than 15 years and we are very happy with her services. She is a hard working professional. Steve D. I went to this dental office regularly twice a year since , and I am greatly satisfied. The facility is brand new, clean and spacious. And the equipments are top notch, and very comfortable.- There are TVs on top of every chair, so that I can watch TV shows when the doctor is working on the procedure. The people there are very polite and efficient, from front desk to aid to doctor. The aid was very dedicated to the work, taking care of sucking out the water from my mouth. This facility have more than 5 doctors, each have their own specialties, but can also take care of any problem. I've met 3 different doctors, they are all very skilled. I've done normal cleaning multiple times, deep cleaning twice, and had 2 wisdom teeth removed. The normal cleaning was smooth. Deep cleaning, the doctors took good care of aesthetic, check and talk with me several times to make sure the aesthetic is enough.
Gauhati University Exam Routine 2021 UG PG 1st 3rd 5th Semester Revised Exam Date Sheet
And the cleaning process is not very painful, compared to other doctors I have visited before. The wisdom teeth removal was quick and almost painless. Good skills! Yue F.- Male GU Exam A normal male genitourinary exam would be dictated as follows: The testicles are descended bilaterally. They are firm, non tender, and without masses or lesions. No penile lesions are noted and there is no discharge from the urethra. The scrotum is without induration, erythema, or edema. No hernias are palpated in the inguinal canals Examples of possible abnormal findings on the male GU physical exam include: Vesicles present blisters seen with Herpes or other infections Verruciform wartlike lesions of penile shaft Green discharge from meatus opening of penis Hydrocele collection of fluid in scotum Varicocele enlargement of one of the veins in the scrotum that drains blood from the testicles Inguinal hernia palpated in left or right inguinal canal Female GU Exam A normal female exam includes evaluation of the perineum the space between the vagina and anus , the external genitalia, the vagina, uterus and adnexa ovaries The external genitalia is without lesions.
- Introitus is normal, vaginal walls pink and moist without lesions or evidence of trauma. There is no cervical motion tenderness and the adnexa are without masses. There is no abnormal discharge from the cervix. The skin is without erythema or induration. Sphincter tone normal. There are no masses palpated on digital exam. For males: the prostate is firm, non-tender, without nodules. Share this:.
- Expanded problem focused exam — a limited exam of the affected body area or organ system and any other symptomatic or related body area s or organ system s. Detailed exam — an extended exam of the affected body area s or organ system s and any other symptomatic or related body area s or organ system s. Comprehensive exam — a general multisystem exam, or a complete exam of a single organ system and other symptomatic or related body area s or organ system s. The guidelines include a detailed chart that specifies the exam elements that must be performed and documented to justify each level of exam. In the chart, the shaded headings list the organ systems and body areas as CPT categorizes them. These body areas and systems are worth some attention.
- Look closely at the terms and the way they are grouped; they may not correspond exactly to those you are used to running through in your mind. This presumably represents recognition that these systems are easier to ask about than to examine. Now, back to the multisystem exam chart. Parenthetical examples provide clarification and guidance within the chart. Finally, CMS urges you to keep in mind that the use of the documentation guidelines is not a substitute for medical necessity. A well documented service won't automatically be assumed to have been medically necessary.
- Growth at edge of glans due to HPV infection. The testes should appear as 2 discrete swellings, although if the room is particularly cold, they may retract a bit up towards the inguinal canal more of problem in pediatric then adult medicine. Gently feel the testes, palpating the tissue between the thumb and next 2 fingers of your examining hand. Each should be of the same consistency and size. If there is a significant size discrepancy or complete absence of one of the testes ask the patient if this has always been the case. They may have had one surgically removed The patient should be able to relate whether he was ever able to feel both testes or if anyone has ever told him that he has a testicular abnormality. If there appears to be a single testis, carefully examine the inguinal canal see below for evidence of a discrete swelling that could represent the location of an undescended testis. Make careful note of any discrete lumps or bumps within the body of the testis.
- The presence of a firm nodule would be worrisome for testicular malignancy. Occasionally, the entire testis feels enlarged. This is most commonly caused by a hydrocele, which is a collection of fluid that fills a potential space surrounding the testis. Hydroceles have a characteristic texture that is different from that of testicular tissue. You can also distinguish them from the body of the testis by trans-illumination. To do this, shut off the lights in the exam room and place a flash light on the scrotum, directly over the area in question.
- A hydrocele will allow the transmission of light, while testicular tissue will not. Testicular enlargement caused by hydrocele. Orchitis: Picture on left demonstrates testicular enlargement caused by infection within the body of the testis. The inflammation has spread from the testis to the skin of the scrotum, with resulting edema causing fewer skin folds over the right testicle compared with the left. No transillumination is seen picture on right as the inflamed testis does not allow the passage of light as opposed to hydrocele shown above, which readily conducts light. This is not always the case, as sometimes orchitis will cause a "reactive hydrocele" to form, which will transilluminate. The epididymis is a discrete structure which lies towards the top and back of each testis.
- If there is any testicular pain, it may be easier to perform the exam while the patient is supine. Diagram of male genital anatomy. The vas can be distinguished from the rest of these stuctures as it lies along the posterior aspect of the bundle and feels firm and wire-like. You will normally be unable to specifically identify the remaining structures. Identify any discrete swellings within this collection of tissues. If present, note their relationship to the testes and inguinal canal. Dilated veins, referred to as a varicocele feels like a bag of worms Evaluation for inguinal hernias: If you detect a diffuse swelling amidst the cord structures or note the inguinal canal area to be protuberant, the patient probably has an inguinal hernia. The following examination, however, should be performed on all male patients, regardless of whether you suspect any underlying abnormality. Before palpating this region, have the patient bear down i.
- Right Inguinal Hernia If you are examining the right inguinal region, place the index finger of your right hand along the spermatic cord, inverting the scrotal skin as you trace the cord to where it emerges from the external ring of the inguinal canal. You may be able to put the tip of your finger into this narrow opening. Put the fingers of your left hand over the inguinal canal, which runs obliquely towards the patient's anterior-superior iliac crest, or on top of any noticeably swollen area. Have the patient repeat the above maneuvers that increase intra-abdominal pressure and note if you can feel, with either hand, any bulging tissue that would be consistent with a hernia.
- Hernia Exam Exam of the left inguinal area is done in the same way, though hand positioning is reversed. Hernias are generally non-tender and there should be no evidence of acute inflammation i. Inguinal hernias come in all sizes. Distinguishing direct from indirect hernias on the basis of exam is rather difficult and not clinically important as both should generally be repaired and the final determination can be made at the time of surgery. Some hernias will be barely palpable by the index finger placed in the external ring of the inguinal canal. Others can be quite massive. In this setting, it may be difficult to distinguish the cord structures or testis from the contents of the hernia, though give it a try. The testis should be located at the bottom of the scrotum.
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Large right inguinal hernia: Prominently seen in picture on left. Picture on right demonstrates appearance in same patient after manual reduction. Auscultation on top of a hernia may allow the detection of bowel sounds, which can be useful information if you are unsure as to the nature of an inguinal bulge. In the event that the patient is unable to stand, the above examination can be performed as described with the patient supine. This may actually be a better position for evaluating the inguinal canal if you are concerned that it may contain a discrete mass, as in the case of a suspected undescended testicle. This gives you an opportunity to perform the exam while providing the patient with something to lean against for support.- You can remain seated. Separate the cheeks of the buttocks and look at the peri-anal area. Make note of any skin abnormalities, bleeding sites, fissures or hemerrhoids. Thrombosed External Hemerrhoid Rectal Fissure and Prominent Skin Tag The digital rectal exam can provide information about several important organ systems, including: Gross inspection of the stool. Is there obvious evidence of blood, which generally implies that the bleeding site is close to the anus? In such cases it will also have a characteristic odor. Normal appearing stool should be tested with a special agent designed to detect hemoglobin see below. This is referred to as checking for occult blood i. In these cases, the source of bleeding is most frequently within the colon, although it can be from anywhere in the GI tract. Palpation upwards, posteriorly, and laterally will allow you to feel for rectal based masses.
- Feeling anteriorly will allow you to examine the prostate gland. For additional information see: Digital DDx: Anorectal Symptoms Before proceeding, provide the patient with a box of tissue paper that they can use for cleaning themselves at the end of the exam. Open a stool guiac card and place it on the exam table next to the patient. Then: Put a lot of lubricant a.
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Tell the patient that you are going to place your finger in their rectum. Remember, this is a delicate aspect of the exam, and the patient often feels quite vulnerable. Thus, it's a good idea to talk them through each step. Place your well lubricated index finger against their anus, but do not yet insert it into the rectum. Ask the patient to bear down as if they are trying to have a bowel movement.- This helps to relax their external sphincter and should decrease discomfort. As they bears down, gently push forward until you have placed the entire finger within the anal canal. Pay attention to the following: As your finger enters, make note if you hit any resistance. You may run into some stool, which should easily move out of the way. A mass e. If this occurs, do not force your finger forward. By gently rotating your hand, you can use the pad of your index finger to feel to the left, right and then directly backwards i. What you encounter will vary with the clinical situation. You might, for example, feel a fluctuant collection in a patient with a pelvic abscess associated with a perforated appendix.
- Orient your finger so that it is directed anteriorly i. It should now be resting on the prostate gland, which is palpated through the wall of the rectum. Make note of the following: The prostate has two lobes with a cleft running between them. Can you feel each lobe distinctly? Do they feel symmetric? Are their any discretely firm areas referred to as nodules? Normal prostatic tissue feels more or less like the tip of your nose. Anything firmer is suspicious for malignancy. If you feel a firm area, check and see if the prostate is freely mobile or if it feels fixed to the pelvis, which can occur via direct extension of a malignancy.
- Does the prostate gland feel big? You will obviously have no idea until you have had an opportunity to examine many to get a sense of the range of normal. In general you should be able to get you finger over the top of the gland. One helpful way of trying to feel the full extent of the prostate is to make sure that the patient is leaning over the exam table, which has the effect of directing the prostate out towards you. Then take your left arm and wrap it around their waist, enabling you to draw the patient towards you as you push with your examining finger.
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Any pain on palpation, which is suggestive of prostatic infection? Does the gland feel swollen? Again, this is a very subjective finding which is only apparent after examining many normal prostates. It occurs in the setting of infection. Try to have the patient distinguish between the discomfort of the exam in general from any pain specifically produced by pushing on the prostate.- Dec 09, I have not run across the patient's measurements before and have no clue of the proper way to type them. I don't have set hours per se, but do have a quota to meet. I get frustrated with trying to make ends meet financially, but also being there for my family needs and responsibilities as well. Does anyone have any advice on on being an MT at home while managing family life? Jun 21, As my mind wanders through the shift, I was thinking do the young people still want to do this for a living?
- Are these medical transcription schools still in existence and telling people they can make a wonderful living at this? I just wonder if, in the next 10 years or so, as the oldtimers like me retire or go work at Wal-Mart, what is going to happen in this wonderful career choice? Will they have to actually start paying a decent wage just to get people to do this? Working With Young Kids At Home May 30, Just wondering if anyone has any suggestions to work at home with 2 small kids, under age of 3. Losing a babysitter and have no other options. I have done it before but not for long periods of time.
- Any helpful hints or suggestions would be appreciated. I think sold-out American workers like ourselves could make the same changes in how they think about offshoring.
GU Exam Final Sem Exams Likely From Sept Second Week: GU - Times Of India
Go to College website i. In case of ER or Improvement, please choose respective field and fill details. Students are required to refer to their latest mark sheet to obtain the paper code and paper name. Please keep a copy of Examination Fee Payment Receipt for further references. Please download filled Examination Form, which will be available after examination fee payment is done. In Case of any discrepancy in the Examination form, please contact the College Administration Office. The Last date of filling the Examination Form is 05 March, I have read and understood the above mentioned instructions. All Rights Reserved. Here is the message which will come!!!- The University conducts the examination in semester mode. Gauhati University Exam Routine is available online at the official website, gauhati. Students can check the GU exam programme on this page. The University uploads the exam programme in pdf format. The exam date, time, day, branch and subject name is mentioned on the Gauhati University exam routine. Students have to submit the exam fees for appearing for the semester examination. It is equally important to carry the admit card on the day of the examination.
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