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10 May 2007 @ 05:26 pm
;_;  
I really wish I'd watched more than one episode of Entourage when it finally aired here. I didn't like it but I've been reading fic and it's, um, really good.

In other news, I had my first exam this morning; eighty EMQs in three hours. Which was annoying, because they only needed an hour. I've been doing my wishy-washy behavioural science revision like a good little girl, and one thing actually struck home: how much clinical medicine is an art rather than a science, diagnosis like making a jigsaw puzzle rather than solving an equation (my metaphor, not theirs).



Options:
(a) Actinomyces israelii
(b) Aspergillus fumigatus
(c) Chlamydia psittaci
(d) Coxiella burneti
(e) Cytomegalovirus
(f) Haemophilus influenzae
(g) Klebsiella pnuemoniae
(h) Legionella pneumophilia
(i) Mycoplasma pneumoniae
(j) Pneumocystis carinii
(k) Pseudomonas aeruginosa
(l) Staphylococcus aureus
(m) Streptococcus pneumoniae

For each case below, choose the SINGLE most likely cause from the above list of options.

Each option may be used once, more than once, or not at all.

1. A 70 year old alcoholic man presents with sudden onset of purulent productive cough. The chest x-ray shows consolidation of the left upper lobe. Streptococcus pneumoniae

2. A 10 year old boy with cystic fibrosis presents with pneumonia. Pseudomonas aeruginosa

3. A 20 year old male IV drug abuser presents with breathlessness and cough. The x-ray reveals patchy areas of consolidation with abscess formation. Staphylococcus aureus

These are probably the best in terms of medically-oriented exam questions, but man are they bastards to answer. The only ones I was sure of were the STD questions, and only then because the answer was syphilis twice. Then again, when is the answer not syphilis? I ask you.
 
 
Current Mood: optimisticoptimistic
 
 
 
karorumetallium: omgdedkarorumetallium on May 10th, 2007 04:51 pm (UTC)
... so I'm not the only one who has been reading - andliking - fics about series I've never watched. It's refreshing to know I'm not alone in my madness xD

Okay dude. You left me O_____o
every Starbucks should have a polar bearscoradh on May 10th, 2007 04:53 pm (UTC)
Yes, I read Smallville too. Oh, and Supernatural. Are they like brothers. what.

It has that effect on me also >>
karorumetallium: pic#61509936karorumetallium on May 10th, 2007 05:07 pm (UTC)
ASDFGGHHSAGASDF I do the same concerning Supernatural, because of those brothers... the series has SO much potential for slashing/incest. It's good to see it's not being wasted away xDDDD

... well, but you're actually studying it, ne? xDDD
every Starbucks should have a polar bearscoradh on May 10th, 2007 05:12 pm (UTC)
I don't think one could help employing Jared Padaleki that way. It would be breaking all the rules of nature.

Trust me that does not make one iota of difference when it comes to figuring out if a friable mass in the uteric orifice of some man's bladder is a transitional cell carcinoma/squamous cell carcinoma/squamous cell papilloma or a bat out of hell (as happened this morning). See subject title.
karorumetalliumkarorumetallium on May 10th, 2007 05:31 pm (UTC)
... "employing" is such a... deliciously nasty word in that context xDDDD.
every Starbucks should have a polar bearscoradh on May 10th, 2007 05:33 pm (UTC)
I know right :9
The Fancatus Bureau of Incestbalefully on May 10th, 2007 05:00 pm (UTC)
YOU ARE SCARING ME SO MUCH. D: D: D: I AM GOING TO HAVE TO DO THIS. SO SOON. D: D: D:
every Starbucks should have a polar bearscoradh on May 10th, 2007 05:02 pm (UTC)
Not really; this is new in our course, doing pathology this early -- generally you'd have to wait three years for the joy of this. :P And you do build up a core of knowledge by the time you get there. It's just that the questions are tricky and we've not been on wards yet and I don't study as much as I should. Study lots! Then you'll be fine. ♥
kestrelsparhawkkestrelsparhawk on May 10th, 2007 05:20 pm (UTC)
Those were fascinating -- thanks for posting. I love glimpses into other people's advanced schooling torture. I still have dreams about going to the wrong class for exams, and forgetting to write my dissertation (two separate dreams, obviously!)
every Starbucks should have a polar bearscoradh on May 10th, 2007 05:27 pm (UTC)
I have dreams about crazy things too. Like forgetting the exam timetable, which you have to bring with you everywhere. I dreamed I left it, not at my accom, but at home, and with my parents in China so there was no one to fetch it.

I also dreamed they made me do my exam in a garden. I'm not sure if this was supposed to be a punishment or not.
kestrelsparhawkkestrelsparhawk on May 10th, 2007 05:35 pm (UTC)
I also dreamed they made me do my exam in a garden. I'm not sure if this was supposed to be a punishment or not.

It sounds lovely, but the way it made you feel would be an indicator if it were a nightmare or not!

Forgetting an exam timetable does sound like a nightmare, for sure! Especially leaving it half a world away. As an undergraduate, I didn't attend classes much *blushes* and one very LARGE class I didn't attend from the third day of class till the final. When I showed up, they'd moved the 500-person class elsewhere. Being rl, not a nightmare, I was lucky, and ran into a friend I'd happened to know was in the class. He'd dropped it in the second week, but fortunately they'd moved it by then, so he could tell me where the exam was. I HAD to pass the class to graduate.

Fortunately, I got an A. But I still have dreams about it where I can't find it.
every Starbucks should have a polar bearscoradh on May 10th, 2007 05:37 pm (UTC)
Hmm, all I can think of to top that is the dream I had this time last year, where I had to do my exam sitting on a bar stool, and the exam paper was the size of a textbook.

Not to mention that everyone around me was scribbling away furiously like they had a Matrix cord from their brain to Grey's. But, like you, that happens to me IRL as well. *_*
kestrelsparhawkkestrelsparhawk on May 10th, 2007 05:42 pm (UTC)
This sounds like a lovely rl conversation to take place in a bar. Did everyone else also have to do their exam on a bar stool, or were you the only lucky one?
every Starbucks should have a polar bearscoradh on May 10th, 2007 06:40 pm (UTC)
Yup, that was just me. I was in the Speshul Med Class. The one where you end up carrying notes for other doctors when you qualify ... :P
let's keep it casual: [Tenimyu] RuiRui & Doori Crime Buddiescasually on May 10th, 2007 09:17 pm (UTC)
lskdfj I'm doing behavioral sciences as my major and seeing this stuff makes me go >________< like crazy.
every Starbucks should have a polar bearscoradh on May 10th, 2007 09:27 pm (UTC)
Oh! this isn't BH. The lovey-dovey stuff is BH, this is path. Um. I don't like BH, no med student does I think, but I'm sure it would be interesting if every sociologist came in solely to give a lecture on why doctors suck ... ^^
every Starbucks should have a polar bearscoradh on May 10th, 2007 09:33 pm (UTC)
I mean, if every sociologist didn't DAMN IT I HATE THE COMMENT FUNCTION
amourdevinamourdevin on May 10th, 2007 11:38 pm (UTC)
Once again I am glad that I never had The Dream to become a doctor (or a lawyer for that matter: I have a friend going through her first year of law right now, and she regularly has crying jags interspersed with giggling fits). I only recognised about half of the critters on the list, and that is just from general microbiology.
Of course, I have my own lists of things that I am supposed to memorise (ha!) to diagnose fermentation fuck-ups, but that is a whole different story.....
every Starbucks should have a polar bearscoradh on May 11th, 2007 10:12 am (UTC)
We have to do a bit of law -- medical negligence and so on and so on -- I don't know how anyone could stand it full time. The BS that goes on in it defies imagination. And talk about making fourteen sentences where one would do. My inner creative writing major dies a little every time.

Yes, thank god we don't have to think too much about that. It's gram negative, so based on the clinical presentation what is it, is as much as we have to deal with. *throws confetti*
Dr Leezardlizardspots on May 11th, 2007 12:37 am (UTC)
*shudder* Bacteria and EMQs, such a pleasant mix. x_x
every Starbucks should have a polar bearscoradh on May 11th, 2007 10:10 am (UTC)
Mwah, you can say that again.