xm clinical paeds dah abes!lega…ya Allah, if u ask me, which one i prefer,clinical or mcq,i’d rather say mcq, though i know clinical lagi sng nak dpt markah…
dapat teenager with CF utk exam.Ya Allah,berdebar bukan main mase exam.present hx pon tergagap2.tapi okaylla…kene show examiner how do i assess clubbing, and was asked about GI manifestations and complications of CF, and show them how do i do respiratory examination.i told the examiners everything i knew about CF,except 1 thing, CF can cause NIDDM.ya Alllah, langsung terlupe. mmg lps borak ngan John after xm, die mentioned jwpn die since die pon dpt patient with CF jugak. argh…tapi takpelah…i mentioned the rest anyway-rectal prolapse,malabsorption,high energy requirement, pancreatic enzyme LAP(lipase,amylase,protease) deficiency, FTT, cirrhosis and portal HTN and gastrostomy for overnight feeding etc..lupe langsung psl NIDDM.cume teringat yg termention ‘pancreatic abnormality’..huhu…
kene ty DDX…bagitahu examiner, yg rase2nye patient tu ade bronchiectasis since she was treated with tobramycin/colomycin nebs. so, very highly likely kan patient yg dpt ppseudomonas infxn dpt bronchiectasis? (betul ke?) mmg kene treated aggressively. tapi itulah…in term of examination-wise, rase mcm byk kene improve lagi.kene always put myself in exam situation,sbb bile xm plus nervous,yg kite biase buat pon bleh tertinggal.cam tak teringat ape2 pon ms xm tu.em…alhamdulillah…pass..that’s all i want to know. ade mcq xm by the end of this week.so,got to prepare for that plak…