Gary's Anatomy..

..sucked.. well, if you can't remember the 'what nerve goes where' which you've been cramming for sleepless nights, burying your head under Gray's and Moore's, what's the point going for the killer exam yesterday?? Seriously I didn't want to think about it anymore since it's just.. depressing. When the rest of us were drowning in agony (a friend almost fainted due to the level of stress), there were a few people who finished the paper in 1.5 hours out of 3.. hello, can i have the honour of smacking you guys in the head? lolz..

Some questions from yesterday to make you pull your hair out..

A. Chiropractic
B. Herbal medicine
C. Vitamin therapy
D. Naturopathy
E. Homeopathy
F. Aromatherapy
G. Meditation
H. Acupuncture
I. Reflexology
J. Tai Chi
K. Hypnosis
L. Osteopathy
M. Spiritual healing

EMQ 1
Of the above, list FOUR complementary and alternative therapies most often referred to by GPs.

EMQ 2
Which therapy is the one which is most commonly practised by medical practitioners?

MCQ 21
In a study on NSW medical interns:
A. 85% felt a personal sense of accomplishment after graduation
B. 25% met the criteria for psychiatric morbidity on at least one occasion
C. There was 75% peak prevalence of burnout after 8 months
D. 21% suffered from depersonalisation
E. 28% met the criteria of emotional exhaustion at the middle of the year

On top of that, some stuff for next week's OSCE to really make your life more miserable:

Mr X is a 70 year old divorced lawyer (ie someone you wouldn't want to mess with) who suffers from osteoarthritis of the spine and hips, hypertension, mild cardiac failure, bilateral cataracts and bipolar affective disorder. His arthritis significantly limits his physical activity, to the extent that he has difficulty performing simple daily tasks.

He lives alone and cares for himself, despite his disability. His son and a daughter visit him weekly despite his erratic moods and often abrasive personality.

His children are increasingly concerned about his ability to drive a motor car. He has been involved in a number of minor accidents over the past few years as well as some additional narrow misses. In view of these facts and his evident physical disability, his fitness to drive is most probably impeded. His children have raised with him the possibility of giving up driving but being a stubborn person, he has always rejected it.

You are the patient’s general practitioner. On several occasions in the past when you have seen Mr X with his daughter the issue of driving has been raised. You know that it is against Victorian Road laws to drive when the person's vision is impaired. This morning you have received a phone call from Mr X’s daughter who is very upset about a recent event her father related to her in which he was stopped by the police driving the wrong way on a highway. She asks your help do something to stop Mr X from driving “before he kills himself or someone else”. She mentioned that her father does not know that she is calling you, and asks that you do not tell him that she has done so, or else she might receive severe consequences.

This afternoon Mr X comes to see you for a routine check-up appointment. Please talk with him about his continual to drive a car.

Went and looked up what is meant by bipolar affective disorder. What I found:
Characteristics of bipolar affective disorders (Emedicine.com)
- periods of deep, prolonged, and profound depression that alternates with periods of an excessively elevated mood and / or irritable mood, known as mania (ie mood towards you can suddenly change, and you might not know the state which he is currently in)
- severe thought disturbances and may practise reckless behaviour with no regard for the consequences

6 more days people before I'm free from my misery.. Oh wait, crap.. results out on 30 November.. ARGH!!!!