Examination Of A Swelling

Abdominal swelling (Umbilical hernia)

Swelling:

Any enlargement or protuberance in the body is called swelling. It may be congenital, traumatic, inflammatory, neoplastic or miscellaneous.

Examination:

General Survey:

Patient with swelling should be looked at as a whole. Observe the patient for cachexia or malnutrition and his/her attitude.This general survey is important and may lead to the diagnosis.

Inspection:

Following points should be preciselt noriced:

1- Site: (dermoid cyst commonly seen in midline of the body, pre or post auricular areas)

2- Size: (vertical and horizontal dimensions)

3- Shape: (ovoid, spherical or pear-shaped --- never say circular swelling)

4- Surface: (cauliflower surface in squamous cell carcinoma, irregular numerous branched surface of a papilloma)

5- colour: black(benign nevus, melanoma), red or purple(arterial hemangioma), bluish(ranula)

6- Number: solitary(lipoma, dermoid cyst), multiple(neurofibromatosis, diaphyseal aclasis)

7- Edge: (clearly defined or indistinct, pedunculated or sessile)

8- Pulsation: (vascular swelling)

9- Impulse on coughing: (the swellings which are in continuity with the abdominal, pleural, cranial cavity or spinal canal show positive cough impulse)

10- Peristalsis: (congenital hypertrophic pyloric stenosis)

11- Movement with respiration: (swelling arising from liver, spleen, stomach, gallbladder, hepatic and splenic flexures of colon move with respiration)

12- Movement with deglutition: (thyroid swelling, thyroglossal cysts, subhyoid bursitis, pre or paratracheal lymph node enlagement)

13- Movement with protrusion of tongue: (thyroglossal cyst)

14- Skin over the swelling: red and oedematous(inflammatory), tense glossy with venous prominence(sarcoma), black punctum( sebaceous cyst), pigmentation(moles, naevi), scar(previous operation, injury or suppuration), peau d' orange(CA beast)

15- Any pressure effect: (axillary swelling may cause oedema of upper limb, venous engorgement in neck due to retrostrnal prolongation of swelling.

UHS OSPE PAEDIATRICS 2010 Supplementary

‎

‎1) Newborn baby with neonatal jaundice a few hours after birth, Hb:12---- 

(i) diagnosis?(Rh incompatibility)

(ii) important investigations (blood groups of mother and baby, direct coomb's test in the infant)

(iii) management (photo-therapy, exchange transfusion, pharmacologic therapy)

2) Picture of child with Down's syndrome

(i) diagnosis?

(ii) enlist clinical features seen in the picture?

(iii) type of defect? (trisomy 21)

3) ECG findings given---

(i) diagnosis? (Rheumatic fever with carditis)

(ii) ecg findings? (first degree heart block, PR interval prolonged)

4) Blood film picture showing infected RBCs----

(i) diagnosis? (cerebral malaria)

(ii) name of investigation?(thick and thin blood films)

(iii) management?

5) Picture of vesicular rash in specific skin area only---

(i) diagnosis: (herpes zoster infection)

(ii) treatment ?

6) Patient with relative on anti tb drugs---

(i) imp investigations? 

(ii) (don't remember the other 2 questions sorry)

7) X-ray of wrists---

(i) diagnosis? (rickets)

(ii) x-ray findings? (cupping fraying flaring osteopenia)

(iii) important investigations?

8) X-ray with collapsed lung ---

(i) diagnosis? (pneumothorax)

(ii) xray findings?

(iii) emergency treatment?

What are Varicose Veins

Abnormally long, swollen and twisted veins, especially in the lower limbs are called varicose veins.

Tags: Varicose veins, swellin

Abdominal Aortic Aneurysm (AAA)

When abdominal aorta becomes abnormally enlarge or balloons outward the condition is called Abdominal Aortic Aneurysm(AAA). It is a common form of aortic aneurysm. It can occur infrarenally, pararenally or suprarenally. About ninety percent of aortic aneurysm occur infrarenally. It is more common in men and occurs most commonly in individuals between 65 and 75 years old. Smokers are at stake and after 60 they must go for screening ultrasound. Life-threatening complication of aortic aneurysm is rupture of the aneurysm which can lead to death within minutes.

Causes or risk factors of aortic aneurysm include smoking, hypertension, hypercholestrolemia, male gender, emphysema, genetic factors and obesity. Abdominal aortic aneurysm may present with the symptoms of severe, sudden, persistent in abdomen or back, clammy skin, nausea, vomiting, tachycardia and shock. On examination examiner may find abdominal mass, stiff or rigid abdomen and pulsating sensations in the abdomen.

Abdominal aortic aneurysm can be asymptomatic or symptomatic. In asymptomatic AAA, surgery is indicated if the diameter of aneurysm is more than 5.4cm as there is high risk of its rupture. If it is symptomatic(pain, pressure, thromboembolic accidents), surgery is mandatory as mortality is 80% without surgery in one year. Ruptured abdominal aortic aneurysm can be managed by graft(Dacron) or endovascular stent grafting.

UHS-OSPE- MEDICINE-2010 Supplementary

A) Static Stations:
1- Solucortef: 2 indications? 2 adverse effects?
2- Picture acanthosis nigricans: identify? and write down causes?
3- Picture endotracheal tube: identify? indications? complications?
4- Write down positive and negative signs of schizophrenia? What are 3 drugs of its management?
5- ECG given (St elevation in v2-v5): diagnose? 3 steps of management?
6- Ct scan brain given (intracerebral hemorrhage): causes? management?
7- X-ray pleural effusion & cardiac tamponade...causes?
8- Anti Tuberculous drugs n their side effects.
B) Interactive Stations:
1- Scenario given(diabetic ketoacidosis): investigation? management?
2- 25 year old male with B.P 160/100mmHg and headache: diagnosis? investigations? management? (this is a tender age for presentation of secondary hypertension so investigate and manage)
3- HCV counselling
4- Scenario given (Anxiety): diagnosis? management? (medical and psychotherapies)

DATE SHEETS-2011 UHS Lahore

Click On The Picture To Enlarge It!

First Professional MBBS(Part-1)

First Professional MBBS(Part-2)

Second Professional MBBS

Third Professional MBBS

Final Professional MBBS

UHS-SUGERY-OSPE 2010-(Supplementary)

Inertactiv Stations:

1- Inguinoscrotal Swelling(photo given)

    (a) What is this swelling called?

    (b) What are THREE differential diagnosis?

    (c) What are FOUR tests used to reach the diagnosis?

2- Two-way Folley's catheter(photo given)

    (a) What is the specimen?

    (b) What are the steps of insertion of this object?

Static Station:

3- Air under diaphragm ( X-ray given)

    (a) What is the probable diagnosis?[Typhoid perforation]

    (b) Name THREE definitive procedures which can be done on this patient during surgery?

    (c) Which antibiotic should be started post operatively?

4- I.V cannula ( photo given)

   (a) Identify this item?

   (b) Name TWO sites at which it is commonly used.

   (c) Name TWO indications for changing its site.

   (d) Name ONE complication of its use.

5- Proctoscope (photo given)

   (a) What is this instrument?

   (b) For what procedure is it used?

   (c) Write down ONE therapeutic indication for its use?

   (d) Write down ONE diagnostic indication for its use?

   (e) What should be the position of the patient during the procedure?

6- Three way Folley's catheter (photo given)

   (a) What is this instrument?

   (b) Name ONE emergency situation where it can be used?

   (c) Give TWO post-operative indications for its usage?

7-  X-ray of intestinal obstruction

   (a) Name TWO initial steps in the management.

   (b) What abdominal sign will warrant an immediate laprotomy?

   (c) What clinical parameter can be observed to know the adequacy of fluid resuscitation?

   (d) If at laprotomy there is a hard fixed ileocecal mass, name the surgical procedure which should be done?

8- A 25 years old male is brought to the emergency depatment because of unresponsiveness, somnolence and respiratory depression. His pupils are constricted bilaterally. A narcotic overdose is suspected. Arterial blood gases(ABGs) on room air are: pH= 7.25, PCO2=60 mmHg, HCO3= 26 mmol/litre

   (a) What is the acid base diagnosis?

   (b) How would you manage this patient?

9- A youg footballer sustained an injury to his knee. An X-ray was done showing the knee joint( Transverse fracture of patella)

   (a) What injury has the patient sustained?

   (b) What should be the appropriate definitive treatment?

   (c) Name THREE post-operative complications that may occur.

10- An 18 year old motocyclist struck his head against an electric pole. He drove to a hospital emergency. Later on he became unconscious. The X-ray has been shown above(X-ray was given)

    (a) What is the probable diagnosis?

    (b) What clinical scoring should be done?

    (c) What another important investigation shoulde be done?

    (d) What definitive treatment should be done?

11-  ?

Kaplan Lectures

 All the lectures are available on this site below!

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Smoking is Terrible!

All most all diseases are linked to smoking in some way! Most of the cancers are the fruit of smoking! Smoking causes impotence and kills men with letdowns and embarrassment. So, go ahead and quit smoking right now otherwise you'll have to repent for this bullshit!

Types Of I.V Cannula/Catheter

Can you tell the types of IV cannula with their gauges and numbers?

UHS OSPE Paediatrics Annual 2009

Club foot

VWB disease
Pneumothorax
Foley`s
X-ray rickets
GCS and management of trauma
ABd paracentisis and comlications
EPI chart
...............................

Tuberculoma .. t/m

Ascitic tab procedure

Enteric fever d/d?

Diarrhea plan C

Rickets

Phototherapy machine 3 complications

Clubbing causes

Fe def anemia

pleural effusion

............................

Hemolytic anemia

Glycogen storage diseases

Meningiomyelocele

Chest tube

Splinter Hemorrhage

...Infantometer

Renal stone

Xray B/L consolidation with lyphadenopathy

Hepatomegaly

ARI

pic of face with sunken eyes

...................

1st day peads ospe : haemolytic anemia,its diagnosis? treatment?  1 complication?  / glycogen storage disease, other signs & investigations? / meningomyelocoele,identify picture? complications?what 2 give the mother 2 prevent further children? / chest tube drainage & its complications? / vsd presenting with complications of infective endocarditis? pic, investigate to confirm? / infantometer, its use n how 2 use it / kidney stone xray, findings, symptoms of dis / T.b xray findings n investigatnz.

2nd day peads ospe:

1.Clubing,other site,causes.2.Richeti rosary (pic),tel abnormality nd diagnosis.3.Tuberculoma,ct scan findng,management.4.Shock scenario,investigation,management.5.Hair on end apearance,diagnosis,investigation.6.Photother...apy machine,purpose of it,complications.7.Abd paracentesis,identify,procedure.8.Typhoid scenario,diagnosis, D/D,indication of steroid in it.

3rd day peads ospe:

1- head injry pt.count gcs n mangmnt

2-foly catheter..Indic nd cmplic

3-von willibrnd disease. Diagns tst, patrn of inherit

4-tension pnemo findings nd emrgncy treatmnt

...5-rckts findings nd diagnsis

6-vacc accordin to epi at brth,10 weeks,14 weeks,6 mnth & 15 mnth

7-abd paracentesis pic.Diag & cmplic

8-talipes equinvarus..Diag nd treatmnt

4th day peadz ospe:

1.weight machine....idntify n growth parametrz of newborm,1yr n 2yr.

2.pulse oxymetr....idntify,wat measurez

3.down synd pic....idntify,featurz n cmplicationz

4.term baby wid meconium...senerio....neonatal sepsis,specific in...vst.n managment

5.vomiting wid ph 7.4 Hco3 38...senerio....pyloric stenosis,mangment

6.x.ray wid plural efusion n cnsolidation...pneumonia,causz

7.x.ray of kidney wid uti infectionz history...findingz(dilatd pelvis n stonez),causez

8.peripheral blood film pic...idntify cellz(sickle cellz),featurz of it

UHS OSPE OF MEDICINE Annual 2010

LMDC(8feb)

1.Cheyne stroke breathing picture d/d

2. consolidation xray

3.Haliotrope Rash picture d/d?

4.Xanthoma picture d/d

5.squint picture cause

6.microcytic hypochromic picture d/d

7.erythema nodusum picture d/d

8.Herpes zoster picture treatment

9.Jvp raised picture d/d

10.Observed Laryngosocpe usage

11.IHD cousnel

12.Type 1 DM counseling

13.Alcoholic pt counseling

PMC 8th Feb :

1.Laryngoscope(parts....indications....method of insertion)

2.MI complications and t/m – interactive-

3.Anxiety councelling

4.DM councelling

5.Exopthalmos(give 2 clinical signs....disease....treatment)

6.Calculate HR on ECG, causes of tachycardia,(....4 etiologies....heart rate calculation)

7.Metabolic Alkalosis with ABG findings(Type 2 resp failure...tell the abnormality from ABGs)

8.MRI – SOL=>findings?

9.Malar flush(SLE)(diagnostic test of this disease....4 complications from 4 different systems)

10.Digoxin(clinical signs of toxicity....Antidote)

11.Matching(like epigastric pain (pancreatitis), shifted trachea (effusion)

12. Kyphoscoliosis(.etiology....complications)

13. X ray pneumothorax(4 causes....treatment options)

OSPE NMC 8th feb

1. Anti-HCV counseling?

2. CT-interaventricular hemorrage(modality? what do u see? causes? diagnosis?)

3. Sinus bradycardia(ECG was given... is the rhythm regular or irregular?(regular) causes? calculate HR?

4. DM(3 graphs of s...ugar were given... 150gm, 170gm, bove 200 gm) what it shows?

5. X-ray(hyper-inflated lungs, cadiomegaly) findings? causes of cardiomegaly? further investigations?

6. Bell's palsy(diagnosis? if rashes are on ear then what is it called?(Ramsay hunt synd.)

7. Shingles(herpes zoster) diagnosis? long standing symptom(pain)? most specific therapt?(acyclovir)? if it is widely spread then what is the cause?(immunization)

8. Left heart failure- diagnosis? management?

9. Heparin(2 indications? 2 contraindications? name the antidote?)

10. ETT(parts? indications? how to insert?)

11. Post-partum psychosis( diagnosis? discuss treatment?)

12. Clubbing(what is shown in picture? give 4 possible diagnosis? name 3 investigations?

13. Matching (left parasternal heave=right ventriculat hypertrophy, pusating liver=right heart failure, tenderness in RIF= appendicitis, bronchial breath sounds= consolidation, periorbital puffiness= nephrotic syndrome.)

OSPE SIMS 8th feb

1.hemaccel coposition(what type of solution? 3 indications? contraindications?

2. 22 gauge branula(uses? complications?

3. Marfan's(picute of hyper-extended thumb)=> d/d? common at what age?

4. CT Scan Brain showing Intrace...rebral Haemorrhage with Ventricular Extension (What is this modality? findings? diagnosis?

5.ECG showing inferior wall MI(Findings? Diagnosis? 3 steps of management?

6.strawberry tounge(Identify? D/D? Common in what age?(childhood))

7. pleural effusion(What investigation is this? finding? likely diagnosis?)

8. malarial parasite( diagnosis? should we treat urgently this condition? prognosis?

9.hep b counselling(a man who has hepB is about to get married after 2 months afraid that his wife will contract HepB from him)

10. Ptosis (unilateral) (Finding? why this drooping has occurred? Causes?)

11. Counselling Hyperlipidemia (Dietary)

12. ECG with examine

OSPE of FMC...08-02-11

1.Neurofibromatosis(identify picture? management? neurological signs?)

2. CSF picture of bacterial meningitis(diagnosis of CSF findngs? treatment? pick abnormal findings in the report?

3. Hep B counseling(counsel a preg woman regrding antenatal risk,breastfeding, preventive measures for her married life..<intractive station> )

4. Folley's catheter(dentify? name parts?...complications?..<inttractive station>

5.antipsychotic(psychiatry...scenerio..a 17 yr old boy came with sudden onset of rigidity n protruding tongue...

answr<ask relvant questns in history><sugst Rx><prog n counsel>????

6.lobar pneumonia-x-ray (2caustve organisms? 4 physical sign??

7.acanthosis nigricans(idntify? etiolgy?)

8.spider nevi

9.subarachnoid haemorrhage....idntify the picture?..mangement? abnormality in the picture?

10.dobutamin(indications?contraindications? substitute??

11.MI(ecg-- st elevation) =>2 blood tests? mangement?

12. Matching(match the follwing

spleen- myelofibrosis

murmur -thyrotoxicosis

etc)

13. tension pneumothorax(....a man develops suddn dysnea and high grde fever..is a chronic smoker; other chest findings are norml.<spntaneous pneumothorax> management?

HFH RMC 8th feb

1. scenario of hepatic encaph: dx? 3 steps of management?

2. ETT picture: identify? give 3 complications?

3. butterfly rash picture: dx SLE?, write 5 signs?

4. scenario of metabolic acidosis: give 2 d/d (dka,salicylate poisoning), give 1 test to differentiate between ur d/d (urine test)

5. X-ray of pneumothorax: tell 3 findings on xray? write dx?

6. pic of RHD(swollen knee joints): dx (rheumatic heart disease)? give 3 major criteria?

7. hydrocortisone: identify? 3 uses?

8. scenario of anxiety disorder: tell dx? 3 drugs for Rx?

9. picture of hypothyroidism: tell dx? 3 tests?

10. interactive: management of hemetemesis?

11. interactive: MI ECG: dx? management?

12. interactive: prevention of spread of active TB?

13. interactive: diabetes counselling?

AIMC OSPE(8-2-11)

1-laryngoscope(observed)

2-endotracheal tube

3-schizophrenia counselling

4-erythema mutform

5-hep B counseling(observed)

6-meningits D/D(observed)

7-inferior wall MI

8-DVT and drugs used to treat it

9-extra dural hemorrage

10-enlaged heart x-ray

11.Tophaceous gout

12. Phenytoin

13. metabolic acidosis

WMC:8th feb:

1.Pulmonary edeme

2. DM

3. vent. tachycardia

4.ct infarct

5. xray opacity

6. acute gout

7. bromchiectasis----treatment? d/d?

8. meningitis

9. ureamia physical signs

10.herpes zoster

11.PCO management

12. h.pylori management n tests.

SZMC ospe....

1.ECG of MI... findings? diagnosis? imediate managment?

2.exophthalmos, hand clubbing wd resp.snerio,diagnosis? d/d? investigations?

3. LP nedl,nam,uses,

4.metabolc acidosis scnerio wd biochem,diag.causes,invst.

5 snerio of scurvy n pic of bledng gum.caus n odr featurs.

6 ivu,findngs n causes.

7.hydrocortison.ind.side effects?

8,intrctive,counslng of DVT.

9.Depression question? cause? management? duration of treatment?

10. Dcmpnstd Liver with hmatemsis in emrgncy, management?

11. Counslng hep.b (immunization)

12. CT Brain... infrction.

OSPE fsd medical university

1-NG tube indications and side effects

2-lasix

3-psoriasis picture and treatment

4-depression treatment

...5-x-ray copd findings

6-CT cereberal infarct and its cause which is atrial fibrillation in this scenario

7-infective endocarditis,pic of nail and eye

8-rheumatoid pic give 2 findings

9-bronchogenic carcinoma,causing laryngeal nerve palsy

10-CLD,hematemasis,HCV +ve give treatment

11-ETT

12-laryngoscope

13-diabetes complications and name hypoglycemc agents

qamc oscpe(8th feb)

larngoscpoe uses? complication ov use?

fever graph swinging fever condition? causes ov relative bradycardia?

hypertensive retinopathy investigation? instrument? finding?

zolmitrptan category? uses? complication?

typhoid fever scenario will hav it if visit that area again? preventive measures? vaccination available or nt? schedule ov vaccination?

pulse graph pulse bisferians causes?

metabolic acidosis findings? causes?

xray abdomen gall stone carrier state? operation? if chemotheraphy effective? name investigation?

xray chest bullae findings? disease?

picture plus scenario wegener granulomatosis wat lesion? diagnosis? wat drug modify it?

ecg ventricular tachycardia finding? diagnosis?

interactive tb councelling hw to protect family?

interactive depression diagnosis? treatment? duration of treatment?

WMC 9th feb OSPE

Autosomal recessive (identify, diseases), paraoxysmal nocturnal haemoglobinuria(dx,features),multiple myeloma(lesion,dx,investigations),atenolol(group,indications,contra),ecg(MI,rx,complications),graves (identify,rx), liver biopsy(needle identify,complications),mediastinal shift(dx,findings),ehler...s danlos syndrome (findings,dx,features),interactive: lp needle, hbsAg positive male,NG tube insertion.Hep A - transmission, precautions, carrier state?

sims 03/02/2011

1. Lp needle (indication, contra. Ind.)

2. Heparin (indicatn. , toxic eff.)

3. Erythema nodosum (finding, causes)

4. Wernicke's (clinical feat. 3, trea‎5. Scenario of AR (diag. 3 other physcl fndngs)

6. Scenario of lower lobe pneumonia(physical findings, empirical treatment)

7. Picture of inflammed, red, swollen joint (findings, 3 causes)

8. Scenario of addison's wth pic. Of hypopigmentation

(diag.,2 tests)

9. Interactive (diag. &trtmnt. Of pulmonary edema)

10. Interactive (folley's , parts, technique)

11. Interactive (pulm. Edema, diag. N trtmnt.)

12. Interactive (trtmnt. Of ulcerative colitis )

13. Scenario of dilutional hyponatremia , ccf(type of hyponatremia, other causes of ths type )

we had 2 interactive statns. Of pulm. Edema (diff. Scenario)

Fmh 09

Chest xray with opacity and history of painless hematuria(52 year old man, weighloss, fever, and painless hematuria. With the opacity shown. Left lung. It wasn't a proper so called coin lesion. Fluffly thi thori. I did TB. Though I thought of Ca also..but I moved to tb. I also had ...Goodpastuer Syndrome in mind!),

ct brain with hypodense region

vitiligo and associated diseases

gentamicin drug

ecg with scenario man presented with black out ecg showing v.tchycrdia

oxygen mask

management of mi

anxiety/panic counselling

tongue candidiasis

acute git bleed management

anemic mother pregnant cause, investigation and counselling.

Matching

Ulcerative colitis...pyoderma gangreonosum

Simian crease...trisomy 21

OSPE wah medical college 9-2-2011

Interactive stations

1.Hep B coucelling abt diet,Rx n tests fr diagnosis.

2.NG tube.. n C/I(c/I in corrosive acid/alkali poisoning fr lavage)

...3.LP needle method lumbar puncture method n C/I

4. Hep A councelling fr precautions n carrier state.

STATIC

1. Inheritance flow sheet.. Mode of inheritance: autosomal recessive

gve examples.

2. A pic of urine samples in test tube wd diff. colours diag.. paroxysmal nocturnal haemoglobinuria

other features?

3.graves pic.. Dx n Rx

4. Right sided colapse on x-ray diag? Features?

5. Liver biopsy needle indication n hazards

6.multiple myeloma x-ray name lesions dx n invest?

7.MI , Complications

8.marfan synd pic associated features?

AIMC OSPE 9.02.11

Scabies

Depression

A/E of digoxin

Folleys

...MI

Parkinsonism

XRAY Consolidation+Bronchogram

Intracerebral hematoma

Nephrotic syndrome(Interactive)

Pericardial effusion cardiac temponade

Hypoglycemia

Viral hep

Obesity counseling

qmc 9.2.11

exoph

constrictive pericarditis ecg

tb counsling

laryngoscope

...hydrocephalous

pulmonary hypertension x ray

metabolic acidosis

dka

h.zoster rash pic from davidson

lmdc

1.ptosis pic,2 causes,why drooping eyelid,

2.ecg Mi,clinical symtoms,3 steps for emergncy treatment

3.ett,indications

4.malaria pic of bld smear,symts,drugs

5.eryethema nodosom pic,causes,is it painful or no?

6.multiple sclerosis ct,invstigatins

7.obstrutv jaundice,causes,1invstigation

8.sle butrflyrash pic,diagnostic tests,2 systemic manisfestins

9.ulnar deviation xray,rheumtd arthritis,diagnostic criteria

4 interactive-DM lifestyle modification,DM diet counselling,dka managment,hep b counselling for other home members,will hep b transmit to baby?cn she breast feed?wat to do for baby if mother is hep b postive?

Nmc ospe..

1 leg ulcer pic..dia wagnr grnulomatosis treament

2..ptosis pic,causes

3..multple sclrosis scenrio wid mri.. Invstgn

4 match box

...5 livr biopsy nedle,complctns

6 hepts b pregncy couseling

7 foley cather,indctn

8 ett,larygoscope

9 dopler,echocardio

indictnz

10 cardiac asthma,mangment

11 x ray emphsma complctn

12 fundoscopy,htn retinopathy.

RMC OSPE

ADRENALINE identify and 3 uses

LP needle identify 3 uses

scenario diag... schicoph 3 drugs

rash pic... herpes zoster... 3 drugs used

...d/d of ant chst pain nt relivd by nitrats... and 2 investig

xray... b/l hilar lymphadenopathy or mediastinal widen... not sure... d/d

exophthalmos... signs and diag

scenrio....diag bact meningitis and d/d

rash daig...sle 2 diag tests

ccf or left ventr faliure 3 drugs

OBS

TB counselling

hepatocellular ca counselling

acute sever astma managment

UMDC

1.hypothyroidism...clinical signs...relevant questions to ask...

2.tension pneumothorax...signs nd treatment...

3.respiratory acidosis wid compensatory alkalosis...causes

4.multiple sclerosis...investigation nd eye defect...

5.acute severe ast...hma...management

6.depressio counselling...

7.respiratory acidosis...

8.hepatits C investigatn nd treatment...

9.foleyz catheter...indicatn nd side effects..

10.pneumothorax...treatment..

11.subdural haematoma...treatment..

12.insulin...indications nd side effects...

13.pulmonary edema...treatment..

OSPE 10TH FEB

10-2011 NMC Ospe

1.Porphyria(color bottles ..with urine samples and hx of thrombosis)

2.hep B counciling

3.counciling regarding Rheumatic heart disease.

4.councling schizophrenia

5.glargine

6.terphine biopsy needle.biopsy aspirate needle

7.murmurs (diagramatic representation..Murmur graphs .. MS, MR , AS, AR PDA)

8.fundoscopy...dx..D.retionopathy

9.chart of intermittent fever(pattern? causes?)

10.CXR..hydropneumothorax(findings? dx? rx)

11.MRI brain(hydrocephalus)

12.autosomal recessive diseases(pattern of transmition? examples?)

13.ambubag and op airway.(interactive)

RMC (Bbh) OSPE

 1 . Counselling regarding hep b risk after a needle prick from hep b positive individual. 2. Counselling a patient regarding hypertension. INTERACTIVE STATIONS 3.identify the x ray pneumothorax and treatment.4. Scenario of DKA and treatment .5. Identify the lesion in nails of a patients having RA (splin...ter haemrrohages) what complication has occured and name drug for its prevention. 6. Picture of acromegaly explain loss of visual actuy in this case and name visual field defect(bitemporal hemianopia)7. Picture of ring worm lesion and its treatment 8. Depression scenario and its treatment 9. Menigitis scenario and its D/D and investigation 10. Drugs Calcium gluconate and its uses 11.laryngoscope

AIMC

Acne picture from internet, treatment

Collapse right sided XRay, causes

Horner syndrom, causes, what signs evident

Match columns

...Amiodarone drug, indication, complication

Heberdon node, underlying pathology, What found on its x ray

Anterior wall MI EKG

CT Abdomen, hypodense areas, differentials.

Metabolic acidosis, Partial pressure with ph and HCO3 given, diagnosis, treatment

interactive stations:

1 NG Tube, proceudre demo, indications, contraindications, complications

2 Inferior wall MI, drugs, complications, management lifestyle

3 Pos Myocardial case, your suggestions

4 . Depression lady with management, your advi...

‎10-02-11 LMDC ospe

UNOBSERVED SPOTS:

1)- Iron deficiency anemia (identification, sign/ symptoms, confirmatory test)

...2)- Fundoscopic picture of diabetic retinopathy (treatment, name of hemorrhages)

3)- Metabolic acidosis (causes, investigations)

4)- SLE (systemic manifestations, investigations)

5)- Scleroderma (types

6)- Pulses paradoxis (seen in which diseases)

7)- Abraham's pleural biopsy needle (uses, drawbacks)

8)- Hypothyroidism (treatment, investigations, features)

9)- Estelopram (contraindications, side effects, group)

OBSERVED SPOTS:

10, 11)- Counceing of a diabetic patient 2 spots

12)- Ambu bag and oro pharyngial air way (indications, demenstrate the use)

13)- Counceling differential diagnosis and treatment of an anxious patient

PMC(10-2-11)

*dermatitis herpetiformis......pic given......associated dis...and treatment.

*right bundle branch block......RSR(M) pattern on ECG.....causes.

*pitting of nails......diagnosis......other nail problems in same dis.

*CT abdomen......Cart wheel... app in the liver......diag(hydatid cyst)...treatment.

*CXR....straightning of left border of heart...MS.....other findings on auscultation.

*matching column....it was easy(no need to panic)

*frusemide....side effects.

*concelling.....1. senile dementia.

2.LP procedure

3.person taking steroid....councell reagrdin side effects....and how to stop drug.

4.pneumothorax...treatment.

10th feb(college?)

calcium gluconate idetify and uses

lyrngoscope uses

scenario of depression drugs used in it

councelling of a doctor who got pricked by a needle contaminated by hep b

photo of acromegaly, y she is getting eye prob, wat eye prob

xray of pleural effusion, diagnostic test

x ray of pneumothorax management

scenario of DKA management

councelling of a patient to quit smoking

tinea corporis, drugs used

UHS OSPE Gynecology and Obstetric 2010 Annual

UHS OSPE Gynecology and Obstetric 2010 Annual

Gynae & Obs

Twin pregnancy

APH maternal and fetal complications feature on abd examination

Fetal skull diameters

Ventoz delivery indication prerequisite

CTG fetal distress decelerations

...B/L ovarian CA risk factors 3 , Screening , T/M

2 cytotoxic drugs

Incomplete abortion t/m and complications of procedure done

.........................................

Auscultation fetal heart

Counsel HIV pregnant , how `ll u treat the baby if transfered ,, can she breastfeed the baby

Wrigley`s forceps, procedure

Fibroids , prevalence , presenting symptoms

Cervical cerclage , mcdonald stitch

...Symptoms of cervical incompetence , how to diagnose it

...............................................

Imperforate hymen - how to diagnose ?

Hysterocope - indications , complications

Molar pregnancy - t/m , risk , diagnosis , followup

PCO , Usg findings T/m of menstrual irregularity

Normal menstrual cycle - pitutary hormones in secretory phase

...........................................

USG of Ancephaly type of congenital malformation, recur rate, how risk is reduced

CTG components with normal values

maternal DM 4 complications, 3 neonatal complications

PROM, 2 complications 3 investigations 2 drugs used

Observed stations: is ...vaginal delivery of extended breech is possible? 3 factors to take care of before delivery, 3 complictions/.

......................................................

Observed st: Turnur syndrome, treatmen invest; cuscos speculum, uses, wat to do if suspicious areas seen, treatment of cerviacl CA at stage 3a.

placental abruption with concealed hematoma, signs and symptoms,3 factors to consider before embarking on treatment

..........................................

UHS-OSPE-Surgery2009

SURGERY

Surgry;

1.ETT parts 3indication sterilize(gamma rays)

2.Plain Xray abdomen erect posture wid multiple air fluid level showing small intestinal obstruction it 2causes

3.Plastic tracheostomy tube wid cuff its parts 2indicationz 3points of after ...care 3 complicationz

Surgery;

Interactive

Thyroid ca t/m in high risk pt complication t/m 4 bony mets

Suction bottle drain its uses its insertion 2cmplications it prevent

Dever retractor parts uses and sterilization

X-ray of fracture of radius ulna t/m

X-ray pelvis PRI SEC blader stone

t/m

Cholelithiasis 4complicaton t/m

Surgery;

MNG invst t/m cmpliction of surgery

Mammary fistula presentation of periductal mastitis t/m and its association(smoking)

Proctoscope its parts uses contraindcation and how sterilized(autoclav)

Ct of depres skul frcture clinical feature... t/m

3way foley's parts 3indication 2complication.

Surgery;

ETT 2uses anesthesia used cmplicationz

T-tube where&when used on which it iz remove&removal of distal cbd stone

Interactive station of grave disease

Interactive gas undr diaphragm 3cause 3finding

...Trucut biopsy nedle parts 2indication 3pre-requisities for liver biopsy 2cmplicationz

Surgry;

Foley right inguinoscrotal swelling gas under diaphragm(on 2stationz) ct of parietal bone proctoscope iv canula foley on interactive station and cmplication of patelar fracture

Surgery;

Oxalate stone cmplcation t/m hormone respnsble 4 r...ecur

Bulldog clamps indication

NG tube 2diagnostc 3therapeutic indication&resp cmplction

Pic of breast ca wid nipple retraction peau de orange appearance due2 blckage of s/c lymphatic chanel by tumor and stage 4

Surgery;

Intrctiv station

Mark deep inguinal ring incision 4 hrnial rpair wht is herniotomy&tnsion free repair

Incised wound type of healing 4fctor increase&decrease healing

Burn rule of 9 initial t/m 2late cmplication

...Ct brain extradural hematoma vessel injured(middle meningeal artery) lucid interval t/m

Last yr Ospe,Surgry(2009);

1thyroid substernal

,2 cholangitis,

3.percutaneous colageogarm,

4.ng tub,

...5.submandibular sweling,

6.fract tibia,

7.paraumblicl hernia,

‎8.cervicl spin xry.injury ,

9.ivu,

10.pneumthorax

11.Pelvic fracture crushing forcep

12.vicryl suture

...13.MNG breast ca

14.acute pancreatitis ERCP.