OSCE JUNE 2014

MBBS FINALS JUNE 2014

 STATION 1
• 1. Describe the findings
on this picture
• 2. List 5(five)
predisposing conditions
for this condition
• 3. What is the preferred
treatment?

MBBS SURGERY FINALS 2014

 STATION 2
1. What is the diagnosis?
2. List the different types
of this lesion
3. State the best treatment
for this condition
4. What is the feared
complication that may
follow delayed or none
treatment for this
condition?

MBBS SURGERY FINALS 2014

 Station 3
1. What is the diagnosis?
2. List 3 features on the
left breast
3. List 3 features on the
right breast
4. Outline the T stage of
this disease
5. List 3 treatment
modalities of this
disease

MBBS SURGERY FINALS 2014

 Station 4
1. Identify this device?
2. What is it used for?
3. What is the feared
complication
necessitating its use?
4. List 3 alternatives to
the use of this device

MBBS SURGERY FINALS 2014

 Station 5
1. What surgery did this
patient have?
2. What is the indication
for surgery?
3. List two complications
of this procedure.
4. List one alternative to
this procedure.

MBBS SURGERY FINALS 2014

 Station 6
1. Describe the findings
on this clinical picture
2. List 4 surgical causes of
this phenomenon
3. State the grading of
this condition

MBBS SURGERY FINALS 2014

 Station 7
1. Identify this Monye Douglas
investigation Ward B4
2. Interpret this result. 58yr Male
3. How would you Na + 122mmol/L
correct the changes K+ 2.2mmol/L
here?
Cl - 123mmol/L
4. List 4 clinical surgical
conditions that could HCO3 - 20mmol/L
result in these changes

MBBS SURGERY FINALS 2014

 Station 8
1. Describe the findings
on this radiograph
2. What is the diagnosis?
3. List 3 possible causes
4. What would confirm
the diagnosis?

MBBS SURGERY FINALS 2014

 Station 9
1. What modality of
investigation is this?
2. How may this modality
of investigation aide
tissue diagnosis?
3. List 3 indications for
this modality of
investigation

MBBS SURGERY FINALS 2014

 Station 10
1. Describe the lesion on
this picture
2. List 3 likely causes
3. List 3 common
solutions for cleaning
this wound
4. What is the definitive
surgical treatment?

MBBS SURGERY FINALS 2014

 Station 11
1. Describe the lesion on
this picture
2. What is the diagnosis?
3. What 2 long term
morbidities may
require attention?
4. What is the treatment
for this condition?

MBBS SURGERY FINALS 2014

 Station 12
1. This patient with
Grave’s disease has
some visible eye signs,
what are they?
2. What 3 other signs
may be present in this
patient?
3. List three drugs, and
their classes (used for
treatment of this
disease)
MBBS SURGERY FINALS 2014
 Station 13
1. Describe your findings
2. List 3 clinical signs you
would expect in this
baby
3. What is the most likely
diagnosis?
4. What is the
treatment?

MBBS SURGERY FINALS 2014

 Station 14
OMWHOKA MERCY
FEMALE/31YRS A4
HAEMATOLOGY DEPARTMENT UBTH
1. Interpret this NO: 00012114
2012/11/30 10:30AM

investigation WBC 4.7 X 108/uL

LY 1.0 X 108/Ul
0.4 X 108/uL
2. List 4 surgical MO
GR 3.3 X 108/uL
LYM% 20.3 %
conditions that MO%
GR%
9.2 %
70.5 %
RBC 3.65 X 108/uL
can give rise to Hgb
HCT
8.9 g/dl
29.8 %
this result MCV
MCH 24.3pg
81.6 fl

MCHC 29.8 g/dl

3. How would you RDW

PLT
16.3 %
349 X 108/uL
PCT 0.382 %
treat this MPV
PDW 14.8 fl
10.4 fl

patient? MBBS SURGERY FINALS 2014

 Station 15
1. What is the most likely • Ainto 36-year old motor cyclist fell
a ditch while riding and
diagnosis? sustained some injuries. He
was carried into the Accident
2. Where is he bleeding and Emergency Unit where he
was found to be in respiratory
from or into? distress, markedly pale with
3. List 5 likely associated bruises on the trunk and head
but no bleeding from any
injuries laceration. His pulse rate was
135 beats/minute, small
4. List 3 immediate volume; blood pressure was
70/30 mmHg. There was
resuscitative reduced chest excursion and
emergency measures absent breath sounds on the
right hemithorax.
you would institute at
presentation MBBS SURGERY FINALS 2014
 Station 16
1. What is the most likely
diagnosis?
2. What bedside test can
confirm your diagnosis?
3. What 3 resuscitative
measures would you
immediately take?
4. What is the definitive
treatment?
5. What 2 objective means
will help you assess the
state of shock in this
patient?
MBBS SURGERY FINALS 2014
• A 35year old man was
brought into the accident
and emergency center from
the scene of a RTA. At
presentation he was in
marked respiratory distress,
markedly pale, with trunk
bruises and abrasions. The
pulse was 125beats/min, BP
70/30mmHg, chest was
clinically clear but the
abdomen was tender, with
demonstrable ascitis and
bruises around the upper
abdomen.
 Station 17
1. Identify this lesion
2. What is the cause of this
lesion?
3. List 3 important
differential diagnosis of
this lesion
4. What is the main
symptom these patients
complain of?
5. What is the definitive
treatment for this
condition?

MBBS SURGERY FINALS 2014

 Station 18
1. Identify this lesion
2. List 4 treatment
modalities for this
condition
3. List 4 common sites
(location) of this lesion
4. Why are Africans
prone to this
condition?

MBBS SURGERY FINALS 2014

 Station 19
1. Describe what is being
done here
2. What is the diagnosis?
3. What is the definitive
treatment for this
condition?

MBBS SURGERY FINALS 2014

 Station 20
1. Name the procedure
shown in this picture
2. List the salient
features of the
procedure as shown in
the picture
3. List 5(five) methods of
haemostasis employed
during this procedure

MBBS SURGERY FINALS 2014

Station 21
1. Identify this Investigation
and make a spot
diagnosis.

2. List 3 features to
support your diagnosis.

3. State one differential

diagnosis

4. State 2 conditions that

may complicate this
lesion

MBBS SURGERY FINALS 2014

 Station 22
1. What is this
radiological
investigation?
2. List 4 radiological
features in this
radiograph
3. What is the diagnosis?
4. List 4 other
investigations for this
condition

MBBS SURGERY FINALS 2014

 Station 23
1. List 6 causes of the painful red
eye?
2 a. Which of this conditions is
associated with very high
intraocular pressures
2 b. How would you treat this
condition?

3a. Which of these conditions

presents with keratic precipitates
on slit lamp examination?
3b. How would you treat this
condition?

MBBS SURGERY FINALS 2014

 Station 24
1. Describe the findings
on this radiograph
2. Identify this lesion
3. List 3 complications of
late presentation
4. What is the important
finding on chest x-ray?

MBBS SURGERY FINALS 2014

 STATION 25
1. What is the most
likely diagnosis of this
lesion?
2. Give one major
reason why Burkitt’s
tumour is not a likely
differential diagnosis
of this particular
lesion.
3. Why must you
examine this patients
mouth?
4. State (a) types of
Surgical treatment
that may be offered

MBBS SURGERY FINALS 2014

 Station 26
1. Identify this
instrument
2. List 5 uses of the
instrument
3. List 4 complications
that can occur with its
use
4. List other types of this
item

MBBS SURGERY FINALS 2014

 Station 27
1. Identify this item
2. List the different types
of the item
3. What are their
maximum safe doses
4. List 3 uses of the item

MBBS SURGERY FINALS 2014

 Station 28
1. What is this device
called?

2. List two indications for

its use

3. List three
complications of its
use.

MBBS SURGERY FINALS 2014

 STATION 29
1. Identify this
instrument or item
2. List 5 complications
that can occur from its
use
3. Which local
anaesthetic is
commonly used with it
4. List 3 indications for its
use

MBBS SURGERY FINALS 2014

 Station 30
1. What is this deformity
called?
2. List two possible
aetiological factors.
3. List three components
of this deformity.
4. What is the
management of this
condition?

MBBS SURGERY FINALS 2014