Just finished my final exam for paediatric posting. Last Monday, I had theory papers for PMP and MCQ. We were supposed to have the PMP paper in the morning. But due to blackout, the PMP paper was postponed to the evening. According to Dr Naznin, if the electricity was still not come back till the evening, we need to postpone the theory paper after clinical exam which mean it would be held on Thursday as our clinical exam was on Tuesday & Wednesday. Luckily, the electricity came back at the noon. I don’t want to postpone the theory exam bcz then I would become more anxious to sit for clinical exam. Usually, after we finished our theory paper, we would feel half of our burdens have been lift up. And, we just have to focus on our clinical exam only. But then, if the theory paper was held later, we would feel more anxious to sit for our clinical exam bcz so many thing in the mind to think and remember of.

3 cases that came out in PMP were type I DM, Thalassemia, and AGE. Arghhh.., all of them asked for pathogenesis. DM asked for pathophysiology that can lead to tiredness and polydipsia as well as pathogenesis of one of its complication, Thalassemia asked for pathophysiology that can lead the signs and symptoms, and AGE asked for pathogenesis of the E. coli infection. Each of them contributed 10 marks. I left the questions at the end since it required explaination. But then, bcz there was not enough time, I can’t answer those question properly. I think I would loss a lot of mark bcz of that. Hope I still can pass though bcz the MCQ paper also quite tough.

Yesterday was the day for my clinical exam. As usual, I always be in the last group. For long case I’ve a got a case of asthma while for short case I’ve got case of marasmus. I’m not worried about long case, but I’m a bit worried of my short case. I think I’ve done good but still there were few question that the examiner asked in which I can’t answer. What make me worried was because he is an outsider or in other word an inviting examiner. I don’t know his style. He asked me a lot of questions. Actually, we were not supposed to ask about malnutrition case as it’s for 5^th year. But then, maybe bcz there are not much case. The main question that I can’t answer was the difference btwn marasmus and kwashiyokor in term of causes. I knew the differences in term of clinical presentations, but not in term of causes since I didn’t read in detail about it because I never thought that I would get the case.

Usually we would feel very nervous after each clinical exam thinking whether we would pass the exam or not. This is the 1^st time I have a bit of confident that I would pass the clinical exam after being in the clinical year.  But then I’m still worried bcz clinical exam is so unpredictable. Sometimes u felt as if u would fail yet u passed. And, it is not impossible that it can also be vice versa. This last exam was so important to me bcz it would determine whether I can proceed to the 4^th year or not.