Now . Future

Here comes my last battle after studying for 5 years. MBBS is not an easy exam at all. It is divided into 4 components which MUST pass all of them. CPC (Clinical-pathological Correlation) and Theory paper, OSCE , clinical exam and CONASS. I’m gonna jot this down and this sure becomes my best memory when I read this back 10 years after this. ^^

CPC case was a Chinese lady who was diagnosed with SLE complicated with lupus nephritis and antiphospholipid syndrome. At least it is not that hard to answer. The exam tips from Perak Medical College were so not reliable this year. All their tips sure won’t come out in the real exam. So it’s a good tips also since u can just skip those topics that they mentioned to u. =.=’’’

I think theory paper is not difficult to score. Here comes the OSCE. All you need to be armed with before u enter the hellish exam hall are practical and communication skills. The most memorable part here is I failed to ambu the patient while doing CPR. Prof Phang kept looking at the chest rise but it won’t happen. The head is not tilted high enough!!! That was the killing part. Sigh~ Anyhow, at least I know it was unshockable ventricular bradycardia. I think can pass that station gua. Overall, OSCE is not that easy to score because all you need is calm, calm and CALM!!! Seriously, it’s really hard to achieve that since u’re just given 5 min to answer all those procedures. If I evaluate myself for OSCE, I can tell you I just borderline pass. When time comes you will do stupid things in front of the examiner. Seriously.

Everyone pray for the good examiners and good patients in clinical exams. And I got an every1-dream-case for long case session. An Indian gentleman with background history of DM, HPT, Hypercholesterolaemia and was diagnosed with Chronic IHD 19 years ago. The patient is a good historian because he has been invited 3 times for exam purpose. The long case examiners were Prof KJ Goh, Prof Dhamendra and 1 external. This is the perfect combo to pass u in exam until proven otherwise. And the good thing is they like to reassure you. They will agree to whatever u said and ur confidence will be boosted up sky high. Wow!! As long as what u said is correct la of course. Zzz.

My short cases are obstructive jaundice (Dr. shangkar), Oblique lie with breech presentation(Prof PC Tan) and MS with AF and Heart failure (Prof Adeeba). U’re given only 10 min to examine patient and come out with diagnosis to discuss with them. This is the most scary part of MBBS I think. I did quite OK for the surgery and Obs cases. Prof PC Tan asked me to calculate POG on the spot!! OMG. This is hard man. U know la medical student’s mathematics ady not that good still want me to count??! Luckily I get it correct and the diagnosis as well. (I spent roughly 20seconds to count POG while Prof just stood beside me. I can listen to his breathing sounds!!......) ^^ But I did sucks for my last short case. I jz able to pick up signs for AF and heart failure. But I really miss that mid diastolic murmur =( Being questioned on that and I kena stunted there. Bell rang and I think I had failed that session. The pulse rate is so weak and I only get that AF when I auscultated the heart sound!!!

Here comes to the end of my MBBS exam. Tmr will be the judgement day and I hope all of us can pass the exam and continuing our long journey to serve for the people. I pray and I hope…