Monday, October 17, 2011



it had been a while since a posted anything about my exams
as far as i remember the last exam review i did was when i was in 2nd year
2 years later 
i'm going to review another paper i just answered earlier today


as any sane people would have expected
examination will definitely filled with ambiguousness
questions with multiple possible answers

today's paper was another example
but the ambiguousness was extremely unbearable
*probably because i did not know what to answer i supposed*
nevertheless, i still want to rant here!!

it was the KFQ part
*KFQ stands for key feature question*

in psychiatry paper
there were 5 KFQs
so in a simple review :

no 1. quite direct question on bulimia nervosa, the reason for diagnosis, the treatment, and what not
no 2. a little difficult question on anxiety disorder, how to differentiate with costochondritis, and the treatment
no 3. *save this for a longer review after this*
no 4. a man with alcohol withdrawal with delirium and visual hallucination of a dinosaur plunging towards him
no 5. a quite simple question of schizophrenia and things associated with it 

now, moving on to the most ambiguous question i've ever answered

this was how the question
*more or less*

a 21-years old clerk was brought to casualty dept because sudden aggressive behaviour in which he threw stones at the window panes of his office. it was about a few minutes when he later was noted to be confused and kept to himself. he had similar episodes before this which preceeded by mouth-chewing and jerky movements of the limbs

he did not realised anything that had happened at all. all he remembered was buzzing sounds in his ears prior to losing his consciousness

q1 . what is you provisional diagnosis?

i was like, WHAT??
ape ni?mcm xpernah dgr je
maybe some of my friends are familiar with the scenario
but definitely not me
but it did not end there

q2. what is your differential diagnosis?

how am i supposed to come out with differentials when i cannot even think about the provisional

q3. give four reasons to support your provisional diagnosis

my goodness!!
this definitely not going towards the right direction
reasons for provisional??
i dont even have one for the love of god!!

q4. list 3 biological investigations relevant in this patient

u asked for it
i'll list down whatever investigations that came across my mind and have things to do with the mind
it's psychiatry afterall, isn't it??

q5. what is the most useful drug that can be used to treat this condition?

there you go
treating something i dont even have a single idea about
what should i prescribed then?
perhaps anti-psychotics?
or mood stabilizers?

luckily the question ends there
and i spent 30 minutes staring at that question
ONLY staring

oh my goodness

thank god it's over
in my mind at that moment
what if this is a real-life situation?
what if i was the medical officer attending this patient?
if i was in a secondary or tertiary hospital
i probably can consult my specialist or consultant or whoever more experienced
but what if i was the only medical officer in a district hospital?
what then??


let's not think about that just yet
and focus on the next paper tomorrow

help me dear god

Saturday, October 15, 2011



 "so excuse me forgetting, but these things i do
you see i've forgotten if they're green or they're blue
anyway the thing is what i really mean
yours are the sweetest eyes i've ever seen"


"you've saved my life, now maybe it's my turn to save yours
but i can never repay you, what you did to me was way more"


"aku manusia lemah, selalu terjatuh
berbeda aku darimu, kau berdiri teguh
aku serba tiada, aku kekurangan
dan bila kau tiba, aku hilang dari kewujudan"


"and the tears come streaming down your face
when you lose something you can't replace
when you love someone but it goes to waste
could it be worse?"


"when the evening shadows and the stars appear
and there is no one there to dry your tears
i could hold you for a million years
to make you feel my love"


p/s : just some random music in my playlist

happy.exam.everyone ^_^


*somewhere inside my mental apparatus*

mr.Id : let's do something movie perhaps?
mr.Superego : nadhira, go read your have your psychiatry paper in less than 48 hours..dont waste your time for god sake!!
mr.Id : chill superego..nadhira had been reading all week..
mr.Superego : no she did not!!she hasnt read enough!!
mr.Id : she did!!!
mr.Superego : if you are so sure, then tell me the differences between neuroleptic malignant syndrome and serotonin toxicity syndrome and give me the immediate management for lithium toxicity
mr.Ego : errrrr......
mr.Superego : see!!told you she hasnt read enough yet!!
mr.Ego : okay folks..lets do some reading
mr.Id : fine!!!

just some hallucinations of mine :)

happy exam everyone!!
best of luck


~ posted with love using BlogPress from my iPad

Monday, October 10, 2011



dalam perjalanan ke Ikea ptg semalam bersama-sama kakak, abg izhar dan mikhail .super.adorable.

kakak : mikhail pg duk blakang dgn aya..baca satu sampai sepuluh

mikhail .super.adorable. pun berpindah ke belakang

saya : oke mikhail..jom baca satu smpi sepuluh

saya : satu
mikhail : atu
saya : dua
mikhail : iga
saya : empat
mikhail : pat
saya : lima
mikhail : nam
saya : tujuh
mikhail : joh
saya : lapan
mikhail : apan
saya : sembilan
mikhail : puluh

saya : kak, apesal ade nombor die lompat2?
kakak : memang mcm tu..ade nombor die xnk sebut

saya : oh..mcm tu..oke..sekarang bace one to ten pulak..jom mikhail..ikut aya baca

saya : one
mikhail : one
saya : two
mikhail : car!car!car! *sambil tunjuk2 kereta kt luar*
saya : oke..mikhail..two..
mikhail : aaaaaaaaaaaaaaaaaaa

saya : oke..da malas..xpyh baca da

mikhail .super.adorable. senyum and terus pg depan kacau abg izhar bawak kereta :)

comel sangat!!!

~ posted with love using BlogPress from my iPad