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
PSYCHIATRY - Theory
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
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?
or mood stabilizers?
luckily the question ends there
and i spent 30 minutes staring at that question
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?
let's not think about that just yet
and focus on the next paper tomorrow
help me dear god