OSCE Station No1



OSCE Station No1

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO: A medical device is shown

[pic]

QUESTION

1. What is the Name of this device 1

2. What is the indication for its use 1

3. Name two common problems in its use 0.5+0.5

OSCE Station 2

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIOU: An x-ray examination of abdomen is shown

[pic]

Questions

1-Name of the X-ray (1)

2-What are the findings (1)

3-What is the diagnosis (1)

OSCE Station 3

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO: Case report of a trauma victim

A 30 year old man sustained blunt injuries to his right Thoraco- abdominal region, right gluteal area and multiple abrasions over the limbs in a road side accident .His conscious level is altered. His pulse is thready and BP is not recordable. There is no external bleeding.

QUESTIONS

1-What is the most probable cause of this shock (1)

2-What is the next line of action (1)

3-What is the definitive treatment? (1)

OSCE Station 4

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO : An imaging study is shown

[pic]

QUESTION

1-Name of the imaging study (1)

2-What do the multiple hypo-dense areas indicate? (1)

3-Name two conditions causing these lesions (1)

OSCE Station 5

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO: X-ray examination of an accident victim

[pic]

Questions

1. Name of the imaging study ? (1)

2. What are your findings ? (1+1)

OSCE Station 6

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO: Case report: Middle aged man with urinary problem

A 60 years old man has presented with H/O dull pain Lt lumbar region. He has also noticed red discoloration of his urine. Urine R/E examination shows haematuria. Plain X-ray abdomen examination shows radio opaque shadow in is left renal area.

Questions

1.What is the likely diagnosis (1)

2.Name one investigation for a conclusive diagnosis (1)

3.Write two treatment options (1)

OSCE Station 7

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO: Picture of a lady in her mid-forties

[pic]

Questions

1. Name two important findings in this patient (1)

2. What is the diagnosis ? (1)

3. Name two treatment options (1)

OSCE Station 8

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO: Case history of an early teen-age boy

A twelve year old boy has presented with H/O severe pain in his right testis for last 02 hours. O/E his right testis is tender and appears to be lying at a higher level in scrotum.

Questions

1. What is the diagnosis (1)

2. How will you confirm the diagnosis (1)

3. What is the treatment (1)

OSCE Station 9

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO : Picture of a child is shown

[pic]

Questions

1-What is the diagnosis? (1)

2-What is the immediate post partum nursing problem in

this child ? (1)

3.Which part of problem should be surgically treated first? (1)

OSCE Station 10

FINAL YEAR MBBS 2009-BATCH D Marks 03

SCENARIO:– Post operative clinical care

A 65 years old lady has undergone total hip replacement

surgery .

QUESTION

1. Name two important post op complications expected in

this patient 0.5+0.5

2. On 5th. Post op. day she developed fever, breathlessness

and a fall in oxygen saturation. What do you suspect? (1)

3.How would you prevent these complications ? (1)

Key -OSCE

FINAL YEAR MBBS 2009-BATCH D

Keys:1-D

1- Oro-pharyngeal air way

2-Keep air ways open

3-Blockage and dislodgement

Keys:2-D

1. Plain x-ray abdomen

2. Multiple air fluid levels

3. Intestinal obstruction

Keys:3-D

1. Intra – Thoraco + abdominal bleeding

2. IV line + blood transfusion

3. Exploratory surgery – Lapratomy

Keys:st4D

1.CT Scan abdomen

2. Multiple mets

3.Ca – colon, Ca stomach

Keys:st5D

1. X-ray pelvis

2. Fracture Pelvis + acetabulum

Keys:st6D

1. Left renal calculus

2. IVU

3. ESWL + Open pyelolithotomy

Keys:st7D

1. Thyroid enlargement +Exophthalmos

2. Graves disease

3. Radio – Iodine surgery

Keys:st8D

1. Torsion of testis

2. Doppler USG exam

3. Urgent Surgical exploration ,reduction and fixation of testis

Keys:9-D

1. Cleft lip + Plate

2. Feeding

3. Lip

Keys-10-D:

1. a-Wound infection , b-D V T with pulmonary

2. Pulmonary embolism

3. Prophylactic heparin + antibiotics

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