Showing posts with label UHS OSPE Surgery. Show all posts
Showing posts with label UHS OSPE Surgery. Show all posts
Friday, 10 February 2012
UHS OSPE Surgery February 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
1. Graves disease picture (Exophthalmos and diffusely enlarged thyroid) diagnosis? Management options? Complications of thyroidectomy?
Wednesday, 25 May 2011
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- ?
Monday, 23 May 2011
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.
UHS-OSPE of Surgery (Annual 2010)
NMC ospe 1.3.11
1. Ett
2. Tracheostmy tube
3. Suprapubic cystostomy
4. Diabetic ulcer
5. Extradural hematoma
6. Clavical fracture
7. Interctive: inguinal hernia
8. Intrctiv abd incisions
9. Aud
10. X-ray abdomen showing ureteric stent
11. Plain forceps
SIMS OSPE 1/3/11
Folley's catheter, tru-cut needle, redivac suction drain, laryngeal mask, x-ray fracture radius ulna, thyroid cancers name, xray abdomen,erect, multiple air fluid levels,deaver's retractor
LMDC.
1.deavers retractor and morris retractor
2.picture of t.tube
3.cholangiogram of t tube
4.chest drain with under water seal
5.breast specimen findings
6.staghorn stone xray
7.safety triangle n chest tube
8.gastric outlet obstruction , x-ray
9.disposable syringe
10.shock(interactive)
11.intestinal obstruction x-ray(interactive)
UMDC 1/3/11
1) x.ray pyloric stenosis............... metabolic derrangements..... plus next investigation
2) x. ray chest........ puemothorax plus rib fracture...... type ov breathing. plus treatment
3) peri-umblical hernia........ abdomen diagram.... posit...ive finding???? striae due 2 multiparity nd obesity? treatment
4) ETT with telescope.......indication........ complications?
5) x. ray ( retrosternal goiter)
x. ray finding......... diagnosis? frther investigation
6) scenario....... strangulated volvulus......... plus treatmnt......
7) x.ray ......... vertebral fracture, x ray findng? treatment? findngz in x ray
8) femur fracture........... treatment.
9) ivu.......... finding........... diagnosis( renal carcinoma)....... further investigations?
OBSERVED............ proctoscope....... indications... parts.... contraindications........ how to sterilize it and y
OBSERVED........scenario............. appendicular mass...... d/d.? complications? treatmn
Qmc Ospe 02-03-11
1.Babcock: identify, indications, how sterilized?
2.foley's 2 way catheter: identify, indications, complications?, how sterilized?
3.Oropharyngeal airway? Identify, when is it use?(in an unconscious pt), how sterilized, other methods of maintaining airway?
4.Interactive: CT abdomen showing cyst in liver, most likely diag(hydatid cyst), other serological investigations, organism causing it?
5.(Interac) Colostomy bag: identify, indications? complications
6.CT scan skull showing extradural hematoma: name investigations, clinical features, management
7.Barium Swallow: name investigations, positive findings, wen this investigations indicated? what are complications of diverticulae coli?
8. X-ray showing fracture of mid-shaft of femur: what investigations? positive findings? clinical features? wat are the principles of fracture management?
9.X-ray chest: name investigations? positive findings?management?
RMC SURGERY OSPE 1.3.11:
1. vericose veins pic:dx,complications,clinical tests,treatment
2.bladder stones xray:dx,investigations,cause in 70yr man[bph],operative rx
3.direct laryngoscope pic:identify,in which procedure its used,at wot stage its used,wot precautions u will take 4 reuse
4.gall stone specimen pic:dx,short term complications,...types of operations for it,1serious complication
5.xray patella fracture:dx,immediate rx, specific rx.
6.peau-d orange pic:dx,how wud u do clinical confirmation,which imaging is helpful,management
7.extradural hematoma ct scan:name investigation and finding,immediate management,specific steps of rx
8.interactive venous ulcer examination and management
9.interactive pic of thyroidectomy scar:name the incision,which op is done,what r pre-operative preparation steps,name structures u will take care of during surgery,postop complicatns,post op drugs,immediate postoperative complication,cause of resp distress postop
10. ganglion pic on dorsum of hand:dx, 2imp clinical tests,treatment,complication of procedure
11. umblical hernia,imaging investigation,management
PMC 1/3/11
1.X.ray Retrostrnal thyroid. Diagnosis?, cmplication, physical sign, treatment.
2.. Obstrctive jaundice LFTs values, investigation, non operative management..
3.. PTC..name inves, findings, diag, other investgatn.
4.. NG tube.. Name uses diag and therapeutc. Cmplicatns
5.. Cervical spine injury. X.ray. Diag? Cmplication, treatment.
6.. Urethrogram. Diag of urethral stricture, late cmplication, treatment..
7.. Oropharyngeal airway, name, indication, when to rmov.
8.. Frctr tibia fibula.. Early cmplcatn, managment ov opn wound.
9.. Swelling neck d/d.. Parotid tumor surgery cmplcation, investgation.
AIMC ospe 1.3.11
1.Lipoma photo, Dx, how to confirm dx, Rx
2.Meckle's diverculum photo, Dx, Rx, complications
3.T tube cholangiogram photo, name, findings, why done, Rx options
4.Tension pneumothorax x-ray, Rx
...5.ETT photo, define definitive airway
6.Colle's fracture x-ray, which deformity, management
7.IVU photo with dilated renal pelvis n calyxes, radiological findings, x-ray timings, long term complications
Observed:
1.Intestinal clamp, uses, types, sterilization.
2.CT abdomen, dx. Hydatid cyst/disease of liver, medical Rx,which next organ is involved, causative organism, human which host.
WMC, Surgery Ospe, 2nd March:
1. Tracheostomy tube set: identify, indications for tracheostomy, care of tracheostomy?
2. Burns: identify, rule of nine, management, late complications?
3. Incised wound: identify, types of healing, factors responsible for healing, complications?
4. Gridiron incision: identify, procedure, complications of di...sease?
5. Proctoscope: identify, parts, indications, sterilize?
6. X-ray, Condylar Fracture humerus: identify, complications?
7. X-ray IVU: identify, dilated calyces, causes, management?
8. CT scan skull/brain: identify, depressed fracture skull, patient complaints, management?
9. ETT: identify, parts, indications, sterilize?
Interactive:
1. Picture: removed appendix: identify,types of incisions, complications?
2. Barrium swallow: stricture oesophagus?
AIMC 2 march
-patellar fracture n mech. of injury,direct hernia,airway secure-methods,solitary nodule,ivu-ca bladder,prolapsed heamorroids,intermittent claudication,courviser's law n obstructive jaundice,
obs:2nd thyrotoxicosis and xray diaphragm rupture, subdural haematoma-ct scan
LMDC 2nd march
t.tube cholangiogram,findings
t.tube.indications.what investigation before removing it
proctoscope,parts 2 diagnostic 2 thrapeutic indications
what is graft? what is a flap? 3 grafts name 3 flaps name
...multiple air fluid level,cause,further investigations
pelvis fracture,findings on an x-ray and complications
shoulder dislocation xray.type t/m complications
tracheostomy tube uses
AMPLE stands for?? (allergy,medications,previous medical history,last meal taken and events of trauma..it is done in trauma or something
interactive?
breast Ca counseling
below knee amputation krniii..counsel the patient
short cases
lipoma,MNG,paraumblical hernia and submandibular swelling
ospe SZMC..2march..
1.kuncher i.m nail, external fixator,wigly saw wire(uses),method of sterilization.
2.oxalate stone
3.multi-nodoular goiter
4.breast lump diagram(interactive)
...5.rodent ulcer photo (interactive)
6.L.P needle
7.goiter
8.gall bladder diag
9.proctoscope
10.n.g tube
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