Tuesday, November 08, 2005

Farrrrrrrr out!!!!!

OK, just came out from my OSCE (finally found out what that stands for: Objective Structured Clinical Examination.....although I don't know what is so objective about it, it definitely won't be the marking) and......*grrrrrrr!!! at myself*


So for once, I was TOTALLY CALM (I'm usually shaking when I go into these things) must have been divine intervention, wasn't nervous or anything, heart rate was normal, could talk properly, and the case wasn't too hard.....So hopefully I'll be all good for the oral marking criteria (at least it felt alright), but unfortunately in terms of clinical stuff I recommended all the wrong things.

Why do I keep getting cases on UTIs???? 46yo woman with recurrent UTIs, with script for a new antibiotic, 3 day course of Noroxin, as she had had a urine test which showed the strain of bacteria she had was resistant to the drug the doctor had previously prescribed. So all good as Noroxin is meant to be used for resistant strains. But completely didn't realise the course was meant to be increased to 10 days as her UTIs are recurrent. How stupid of me. Goodbye to Major Finding and Recommendation #1.

Also stuffed up Major Finding #1 as I suggested nitrofurantoin to be used for prophylaxis of her recurrent UTIs, not realising that nitrofurantoin interacts with Noroxin, and these two drugs should not be used together. Stupid stupid stupid.

Hopefully I at least pass with what I wrote for Major finding #2 (that she is at risk for developing diabetes and should get tested). You have to pass this stupid exam to pass the subject! even if you've passed everything else! If I fail this, it would be a total waste of my flukes in our earlier 20% case study assessment and 5% multi-guess quizzes! (I was so surprised when I got those back, I thought that maybe for once, I might even get a credit in this subject!)

(Not that there's anything wrong with passes, but would you trust a pharmacist who's never gotten above 65 in the subject called "Pharmacy Practice"? It's pretty much the only subject that really counts and has any relevance to being a pharmacist, and I suck at it. (OK, maybe the other subjects are kinda relevant as well...)

Waaahhh! The case was so easy and I stuffed it up! Not enough time. If there had been more time I would have checked things more thoroughly. Not that real-life pharmacists get enough time to do things.

Oh well. It's over now. Back to studying for normal sit-down exams.

6 comments:

Minerva said...

Everyone makes stupid mistakes, at least these ones are in an exam and not in real life. :)

Well you know, I'm struggling to paaaass Nursing Leadership NC6 so meh, not an essential subject imho.

Catie said...

well, yes, exams are pretty sucky...
but i don't know how much like reality they actually are. so don't worry, it'll all be fine. and even if it isn't, it'll still all be o.k. :D (it makes sense, i swear)

Vivian said...

what, comments already?

I was about to take the post off for a few hours because I realised some people might still be doing the same case this afternoon...not that I've told anyone else in pharm about this blog, and my friends have done their exams already, and not that anyone would be blog surfing a few hours before their exam, but this post defeats the purpose of the quarantine.

oh bugger it, i can't be bothered..

Vivian said...

Looks like I was bothered after all =P

Ang said...

Poor Viv. It's probably not as bad as it seems like it was. Everyone has difficulty in these subjects, right? So it'll probably be scaled mercifully.

I'm blithely confident that everything will be fine.(Here's my reasoning: we're all alive and reasonably well, despite the HUGE numbers of potential disasters in our lives, so everything's more or less fine now, right? So; 100% of the time so far, things have turned out non-catastrophically, so any statistician will tell you that these are outstanding odds for everything being fine in the future.)

Yep, my mind is a simple, happy place to be. ;)

Catie said...

that's kinda confusing. but both posts are now here, so it all makes sense again...

too much computer kiiiiills the mind