.ambiguity.

assalamualaikum

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

so 

2 years later 

*now*

i'm going to review another paper i just answered earlier today

FF4118

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

proceed

q2. what is your differential diagnosis?

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

uurrrggghhhhh!!

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

fine!!

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?

anti-depressant?

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??

*sigh*

let's not think about that just yet

and focus on the next paper tomorrow

help me dear god