Chitika

Sunday 19 February 2012

Paediatrics Ospe ( UHS Feb 2012)

Sargodha Medical College ( UHS Pediatrics Ospe Feb 16, 2012)
1. ITP and its treatmnt
2. Signs of meningial irritation and complications of the disease
3.Bitot spot vitamin deficiency?
WHO XEROPTHALMIA CLASSIFICATION
? and treatment?
4.Chicken pox. incubation period? Its complications?
5. Meningitis/encephalitis and investigations and complications
6. Mitral regurgitation, causes and treatment
7. NEC radiological signs? treatment?
8. RDS treatment and risk factors
 PMC ( UHS Paediatrics Ospe Feb 17, 2012)
1. Bitot spots, vitamin A deficiency. WHO Classification of vitamin A and treatment.
2.x X-ray of pleural effusion pneumonia in 5 year child, two causative agents in this age group and two steps for management.
3. Picture showing marasmus and treatment?
4. Autosomal recessive disorder percentage in next offspring sex ratio of this disease
5.DIC, Investigations and result of investigations
6. Meningitis, complications
7. PDA and treatment
8. TOF, two findings on x-ray and treatment?
 LMDC ( UHS Paediatrics Ospe Feb 18 2012)
1. DIC scenario and four invest
2. ABO incompatibility scenario and four invest
3. Five differences between kwashiorkor and marasmus
4. Hypothyroidism 12 features drug two investigations
5. Spacer device commenest use in asthma and treatment of asthma
6. Hair on end appearance thalassemia and its cardiac complications
7. Down syndrome pic features most common chromosomal abnormality
8. X-ray chest boot shaped heart TOF treatment?
 AIMC ( UHS Paediatrics Ospe Feb 19, 2012)
1. Picture Down syndrome, features? defect?
2. Picture Marasmus, features
3. Scenerio, calculate APGAR Score, how to counsel the parents?
4. X-ray pleural effusion, management?
5. Scenario Rheumatic fever, diagnostic criteria
6. Scenario ITP, investigations, management
7. Scenario Pyloric Stenosis, investigations, management?
8. Scenario VSD, Investigations, complications?
 Tags: Pediatric Ospe, UHS,  SMC, PMC, AIMC
 

Tuesday 14 February 2012

Gynecology and Obstetrics Ospe ( UHS Lahore Feb 2012)

SMC Gynae/Obs Ospe (UHS Feb, 2012)
1. Ectopic pregnancy
2.Bilateral ovarian serous cyst adenoma
3. Spina bifida

4. OUTLET forceps
5. injection contraceptive
6.Endometrial carcinoma
7. APH
8. Pre-eclampsia
9.vaccuum delivery
10. Treat of infected episiotmy
INTERACTIVE STATIONS
11. Epilepsy
12. tubal ligation
13. Cord prolapse
14. PPH
15. Steps of D&C.
 LMDC Gynae/Obs Ospe (UHS Feb, 2012)
Static: Milk letdown reflex, Antenatal care aims booking visit classification parental craft, Labour 2nd stage duration management , PPROM due to chorioamnionitis, Heart failure in pregnancy..causes? Fetal complications, Labour management and examination, Laproscopy indications complications how to perform, UV prolapse: Types...investigations...treatment,  Menopause: HRT hormones of HRT...complications, Hysterectomy: abdominal and vaginal indications pedicles ligated,
Interactive:
Ovarian cyst counseling, vaginal pessary counseling, shoulder dystocia drill, counseling vaginal delievery of a women with previous c-section, counseling of patient with previous preterm labor and perinatal mortality
Tags: Gyne Ospe, Obs, UHS, LMDC, SMC

Friday 10 February 2012

UHS OSPE Surgery February 2012


UHS OSPE Surgery (LMC Feb 09, 2012)

In growing nail, Foley’s catheter, Deaver’s retractor, subdural hematoma, Hydrocele, Lumber puncture technique
Interactive stations: Carbuncle, Incis
ional hernia. Cullens sign, Pleural effusion /pneumoheamthorax, Colle's fracture
For Photos  of OSPE stations please refer to Redgage

 UHS OSPE Surgery (SMC Feb 10, 2012)

1. Colles fracture 2.Extra dural hematoma CT scan 3. DVT 4. T-tube cholangiogram 5. ETT 6.Pneumothorax x-ray 7. IVP 8. Lipoma 9.Meckels diverticulum
Interactive stations: Hydatid cyst CT scan, Non c
rushing intestinal clamp

UHS OSPE Surgery (LMDC Feb 10, 2012)

Tracheostomy complications and uses, Proline suture non-absorbable synthetic uses, Cullen’s sign, Infected sebaceous cyst, Perforated intestine (picture), Cause gall stone, Ganglion, Haemorrhoids, Laryngoscope, Extradural hematoma, Valgus deformity of big toe, Kidney and gall bladder stone on x-ray.

 UHS OSPE Surgery (PMC Feb 10, 2012)

Observed STATIONS: picture of exophthalmos , picture and x-ray of road traffic injury resulting in diapHgragmatic rupture. Unobserved : Sundural hematoma , knee fracture , ways for artificial respiration , Courvoiser's law , Intermittent claudication , Hemorroids , Thyroid nodule , Inguinal hernia , Urinary bladder carcinoma

UHS OSPE Surgery (PMC Feb 11, 2012)

1. Graves disease picture (Exophthalmos and diffusely enlarged thyroid) diagnosis? Management options? Complications of thyroidectomy?
2. Hard nodule in breast 2x2cm with two axillary nodes, diagnosis? Staging? Triple assessment? Treatment?
3. Scenario of head trauma and unconsciousness, diagnosis? Investigations? Treatment?
4. ETT, Complications, Mode of sterilization
5. Picture of ulcer on foot and history of diabetes, diagnosis? Cause? Types of amputation?
6. ERCP showing dilated common bile duct with stones, Treatment options? Complications of ERCP?
7. Six months child with projectile vomiting and palpable epigastric mass, what is the diagnosis? Metabolic abnormality? Treatment?
8. Haematuria and suprapubic pain, diagnosis? Investigations? Treatment options for bladder stones? Causes of painless hematuria?
9. X-ray of 60 years old female showing nof, complications, treatment?
10. Smoker with progressive dysphagia, barium swallow showing shouldering defect with narrowing of esophagus.diagnosis? How will you confirm? Investigations to assess the spread?

 UHS OSPE Surgery (NMC Feb 11, 2012)

Observe stations:

Renal ca x-ray mets.atypical feature,why hb raised?
Cystic hygroma material treatment complication
Seventy year old, fracture femur neck,cause, treatment?
Esopageal cancer on barium swallow (stricture)
Mesenteric cyst
Extradural hematoma on CTt scan
Vaporizer instrument, 2 drugs for gas inhalation,complications of halothane
X-ray chest (gas under diaphragm) cause ? what other causes? Emergency management?

Interctive stations:

Nipple eroded 2 lesion (Eczema, Paget's disease), treatment?
Hyperthyroidism (MNG)  Symptioms treatment?

.UHS OSPE Surgery (RMC Feb 12, 2012)

Interactive:

Breast CA
Cholecystectomy specimen , gall stones

Static:

1- SUPRAPUBIC CYSTOSTOMY TUBE/CATHETER (used in uretheral injury , stenosis)
Indications: uretheral injury , stenosis , blood at meatus
 Diagnosis: UTI , hemorrhage , Bladder injury
2- X-Ray NECK lateral view C2 cervical spine fracture
Complications: quadriplegia ,respiratory failure
Management?
3- PAROTID ABSCESS
Management: ( incision and drainage , analgesic , antibiotic)
Prevention: (oral hygiene , stop smokeless tobacco ( naswar, bettlenut ) and smoking
4- HYDROPNEMOTHORAX
Steps at reception : ABCD of ATLS , resuscitation
Definite Treatment: chest tube intubation with underwater seal
5- ANESTHESIA MACHINE for monitoring general anesthesia
Any 2 parts?
Monitor: care at end user : check all parts after usage , do not put with on machine, clean after usage
6-TOWEL CLIP : Uses:  holding drapes , draping, drain in drapes
Emergency usage :same
Sterilization : autoclave
7-?
8-?
9-?
Tags: UHS Surgery Ospe , LMC, SMC, LMDC, NMC, RMC

Tuesday 7 February 2012

UHS OSPE MEDICINE 2012

MEDICINE (UMDC Feb 07, 2012)

Static Stations:

1. LP needle and its uses
2. Sodium bicarbonate and its Indications
3. Psoriasis lesions and joint deformity...Psoriatic Arthritis
4. Cushing syndrome due to corticosteroid use for asthma and a photo shown with sign seen on face (moon face)
5. Infective endocarditis and investigations
6. Schizophrenia and two drugs that are used for it
7. Pericardial effusion, don't remember the questions... :P
8. Bilateral hilar lymph adenopathy and differential diagnosis of it
9. Rhematiod arthritis and its deformities shown in a photo (It was a hand with ulnar deviation, button hole deformity)
10. ?

Interactive:

1. Tetunus immunization in a 30 year old man with road side accidental wound
2. Diabetes in an obese person recently diagnosed...counsel the patient.
3. Cerebral infarct and management
4. Pulmonary embolism and its management 

MEDICINE ( SIMS Feb 07, 2012)

Interactive:

 (1) Hepatitis B counseling, (ii) Salbutamol, (iii) NG tube , (iv) Status epilepticus 

Static: 

ECG atrial flutter, Plantar reflex, vitiligo (identify the picture, diseases associated with it and most common areas of involvement) , Anxiety disorder, CLD , Metabolic acidosis, X-ray showing aortic arch, 1st rib, manubrium, right and left pulmonary artery & vein , right and left bronchus,trachea, Pyogenic meningitis.

 MEDICINE OSPE ( AIMC Feb 07, 2012 )

Interactive: 

Acne vulgaris, Depression, X-ray pneumothorax 

Statics:

 1) ETT and its uses 2) SLE picture, 3) Meningitis diagnosis, d/d and one specific test, 4) ECG anterior wall MI and its investigations, 5) Parkinsonism diagnose and 3 drugs for it 6) Acromegaly diagnosis and two tests 7) Digoxin its use and Contraindications 8) X-ray of lung collapse 9) Picture of spider navi.

MEDICINE OSPE ( QAMC Feb 07, 2012 )

1. EcG MI
2. Atrial flutter
3. CPR perform
4. CPR just examine
5.Folleys catheter
6. Scleroderma
7. Counseling of depression
8. Counseling upper GI bleed
9.
You found a person unconscious at roadside, how will you procede?
10. CA lung X-ray...What is the cause of hyponatremia and hypercalcemia.
11. X-ray chest for TB with ghon's complex.name 6 anti tb drugs.
12. CT scan (hematoma of brain) 

 MEDICINE OSPE ( PMC Feb 07, 2012 )

Static:

1. LP Needle and indications
2. Grave's disease (2 eye signs and 2 drugs
3. DKA and its management
4. Thrombocytopenia and measure to stop blood before surgery
5. Poststreptococcus glomerulonephritis
6. X-ray pleural effusion and 4 causes
7. Cavitating lesion of lung and its 4 causes
8. Psoriasis and psoriatic arthritis (joint disease)
9. Infective endocarditis and management.

Interactive:

1. Status epilepticus and treatment
2. Pulmonary edema and management
3. Depression and drugs
4. DM, and life style and diet modifications

MEDICINE OSPE ( LMDC Feb 07, 2012 )

Unobserved:

1. Rhuematoid arthritis and causes
2. Erythema nodusum and treatment
3. Brain abcess on CT scan called ring enhancement lesion and tretment
4. CCF/pericarditis on x-ray
5.Dengue
6. Bipolar disorder
7.
CT sacn bronchiectatsis

Observed:

1. HIV counseling
2. Postpartum psycoisis conseling
3. Resusuitation with ambu bag and cardiac thumb, resusutation of uncouncious pateint
4. Atrial fibrllation

 MEDICINE OSPE ( UMDC Feb 08, 2012 )

STATIC:
1. Herpes zoster, treatmnt and complications

2. Obsessive compulsive disorder, diagnosis, treatment
3. X-ray chest showing opacity, findings and THREE differential diagnoses
4. Cerebral infarction, diagnosis and THREE causes
5. Ventricular tachycardia , diagnosis, immediate steps of management, TWO causes
6. Bronchiactesis, FIVE causes and FOUR investigations
7. Acute gout, THREE drugs for treatment,
8. Uremic encephalopathy, TWO physical sign, management
9. Meningitis, investigations, drugs
INTERACTIVE
10. MI with DM
11. Pulmonary edema,
12. H.pylori
13.Diabetes Melitis

 MEDICINE OSPE ( LMDC Feb 08, 2012 )

Interactive:

1. Atropine uses and contraindications
2. Tetanus
3. Acute exacerbation of COPD/ (Pulsus paradosus...?)
4. Oropharyngeal airway, uses and how to use,

Static:

1. ST elevation (MI/Pericarditis)
2. Percussion(picture with percussing hands) types and findings in respiratory system
4. RA.. FOUR radiological findings, FOUR drugs
5. x-ray chest of TB other radiological findings, abnormality in x-ray
6. Cerebral infarction frontal lobe =>causes, how the patient will present
7. Acidosis
8. Schizoprenia, drugs, extra-pyramidal syndrome
9. Sting bite => urticaria, types, anaphylactoid shock
10. Matching-- Biting nails anxiety, Vasculitis Splinter hemorrhages, Koilonychia Iron deficiency, Psoriasis Pitting nails, Half and half nails CRF.
MEDICINE OSPE ( AIMC Feb 08, 2012 )
 Interactive stations: 
1. A pillow was placed on a bed with sternum drawn on the paper and the paper placed on the pillow. The command was patient is BP less pulse-less now proceed.We were suppose to perform CPR.
2. Patient is depressed, counsel him. Will you give SSRIs in morning or at night?
3. The patient is unconscious. Now proceed...we were suppose to do BLS.
4. The patient is HBV possitive.counsel him. What is the duration of interferon therapy and followup?(interferone 1 year followup 3 monthly). How to protect other house mates (vaccination).

Non interactive station:

1. Acute coronary syndrome and management
2. Thalasaemia
3. SLE (butterfly rash was shown, H/O small joint pain)
4. Intracranial hemorrhage and its management
5. LP needle and its diagnostic indications.
6.
TOF and its management,esophageal varices (endoscopic pic was shown)
7. Bell's palsy

 MEDICINE OSPE ( PMC Feb 08, 2012 )

Interactive:

1. Pulmonary edema due to cardiogenic shock, what is the treatment?
2. Pulmonary edema due to accelerated hypertension. What is the treatment?
3. Foley's catheter, how to insert it?
4. Acute Fulminant Ulcerative Colitis, emergency management?

Static:

1. LP needle
2. Heparin
3. Adison's disease
4. Erythema nodosum (picture shown), causes and investigations?
5. Aortic regurgitation scenario, diagnosis? physical signs?
6. Swollen knee joint (picture shown), differential diagnosis?
7. Pneumonia scenario, physical signs?
8. Hyponatremia... causes in CCF and other causes?
 
Tags: Medicine Ospe 2012,