REVIEW ARTICLE – Intravenous paracetamol in pediatrics: A global perspective

REVIEW ARTICLE – Intravenous paracetamol in pediatrics: A global perspective

Chest X-ray after the Insertion of CVP Line

The commonest complication of subclavian central line (central CVP line) is pneumothorax. During CVP line insertion, there are most likely the chances of puncturing the pleura and subsequent pneumothorax. That's why, getting chest x-ray after CVP line insertion is inevitable.

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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 treatment8. 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

 

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

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, Incisional hernia. Cullen’s 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 crushing 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

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, 

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