University of sulaimany
University of sulaymany
OSCE exam
For sixth stage , college of medicine
Including theory exam and some important subjects that you have to know before the exam
Prepared by:
Dr.soran Mohamad Gharib
OSCE exam in surgery
FINAL 2006-2007
Room1:
Slides:
- encephalocele
- hydrocephalus( sunsetting eye)
- carcinoma of RENAL tubule
- meningocele
- meningomyelocele
- racon eye
Room2:
Slides:
-bells palsy
-flial chest
-Inguinasl hernia
-external fixator
Room3:
readiology :
- tension pneumothprax
- fracture of radius
- achlasia
- stag horn
Room4:
Recognition and Uses:
chest tube underwater seal , suture material,nilon, folly catheter
Room5:
short case :
apatient with colostomy ,abd examination( inspection)
Room6:
short case:
there is apatient who is postoperative patient who had pulmonary hydatid cyst, the senior ask u about treatment of this case postoperatively
Room7:
History taking : on a patient
Room8:
there is apatient who has been injured by knife in his abdomen and the senior ask u ( which structure is more liable and which structure is more dangerous to be injured in this case?)
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in surgery
Assessment 2007-2008
Room1:
-arterial forceps( recognize it and one indication)
-T tube (recognize it and one indication)
-normal saline (recognize it , does it contain energy ?does it cause extravasation ?)
- folleys cathetre (indication intraoperatively and complication )
Room2:
Inspection of apatient who had jaundise , some question on jaundice loke types of jaundice ?difference between types of jaundice ?complication of operation in this patnt?
Preoperative preaparation of jaundiced patient ?
Room3:
Just inspection of abdomen of afemale patient who has dressing on abdomen vertically . and she had RIF scar
Room4:
inspection of ajaudised face of apatient and inspection of his abdomen ( in abdomen he had umblical stitch till RL region _ kucher _)and what do u do for him preoperatively?
Room5:ortho
Zhnek dasty rasty post slaby habu wty inspect bka tab3an dressing y post slab habu wty lakwewa bo kweya ?harwaha qachy chapy lai hip joint dresing y habu wty an dwana bochy bayakawa ( walam : falling to ground)
wa hardu qachy hata knee expose krabu wa xrya radius u ulna danrabu lasary
Room6:
Inspection of genitalia of aman who had inguinal swelling ( scrotal swelling)
Treatment and DDx of inguinal hernia
Room7:
Examine thyroid for anirmal woman
Room8:slides:
- protrude of anus: DDx ? and how do u diffrentiate them clinically ?
- rasmy zhnek bu 3amaliaty thyroidy bo krawa w sphygmomanometer ek badasty rastyawa bu ka la elbow daflexion y krdbu
wty ama chya ?( carpopedal spasm
- komalek bardy rashy gawra danrabu wty ama la gall bladder da haya chand present haya ?
Room9:
N . surgery :
Mnalek 13 sala dressing lai rasty haya wty ama chya :shunt . bochy ?hydrocephalus,wty ama ventr—peritonem , wty chand jory try haya wtm pleura .
Harwaha jga la head bo vertebrash abet
Room10
xray:
- radioisotp indication
- multiple opacity _hydsatid cyst, 2ndary
- pnemothorax
- air fluid level _intest obs
- exostoses
Room11:
Cardiothorax’
Chest tube ( recognize it and indications)
Underwater seal ( recognize it and why we use it in chest tube )
Sag sig
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in surgery
Room1:
Dr abas &dr ali
1-Jaundice patient and investigation for jaundice
2- difference between obst &non obst T tube
Room2:
dr aso & dr ali kamal
-Git operation
-esophagectomy
-tube abdomen ( question about it)
Room3:
Slides: neurisyrgery:
- encephalocele
- hydrocephalus( sunsetting eye)
- meningocele
- meningomyelocele
- racon eye
- battle sign
Room4:
Dr sirwan
Slides:
- imp anus
- herpes zoster ( ddx :apendicitis surgery)
- hemorrohoid
- pead orange of breast cancer
Room5:
readiology :
- tension pneumothprax
- fracture of scaphoid
- esophageal atresia ( child )
- achlasia
- stag horn
- exostosis
- diaphragmatioc hernia
Room6:
Mnalek lazga drawa la dasty , du se jar xweny tekrawa: splenectomy , hypersplenectomy
Complication:nj -gastric dilatation
Room7:
Orthopedics:snake bite,
Pulse site,fasciotomy(indication)
Room8:
Recognition and Uses:
chest tube underwater seal , suture material,nilon, artery , ETT
Room9 :dr ary zangana : burn ,treat ment and stages( tetracyclen)
Room10:abd examination , surgical sites
Room11:
-D.V.T patient exam and some questions after operation
- goitre
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in surgery
Assessment 2007-2008
Room1: renal dr aso + dr sarwar
2 x ray of the same patient . plain KUB (show small ureteric stone) by IVU show left side hydronephrosis. How do u treat hydronephrosis?
Room2: vascular dr nzar + dr rzgar
Chest tube:1-Dx it?answer : chest tube underwater seal contain blood
2-Indications?
3-how do u put chest tube?by steps
4-if u put chest tube but tube underwater seal is not present what do u do?answer: Atwanyn lastiki pewa bkain
Room3:dr amir radiology
- bilateral stag horn stone
- ERCP , indications?
- pnemothorax
- air fluid level _intest obstruction
Room4:dr hiwa + dr jalal
Do general examination ?
Do thyroid examination?
Where is the duct of mandibular gland?drain to where?
Room5:
Dr abdulwahid
On the lastik cadaver(doll):
Suspect this is the trauma patient ,unconscious 1-how do u manage him?
Answer:
By primary survey ABC
2- how do u treat airway obstruction:?answer: by clearing mouth secretion (sucker), withdraw tongue .
Oropharyngeal airway: put endotracheal tube ( the senior ask u to put endotracheal tube on that doll ( jusa lastikaka )
Room6: dr xalid+ dr luaee neurosurgery
1- depreassed skull fracture: Rx it? Answer: craniotomy
2- if you have atumur of left pareital lobe what neurological defecit do u get by it?answer: aphasia, convulsion
3- if u have acase of breast carcinoma with supraclavicular LN and axilary LN , determine TNM ?and if on medial side of breast which LN will be affected?
Room7: dr muhamad kamil instruments
1- T tube indications?
2- Tracheostomy , indications?
3- Nylon , describe it ?suture material , nylon, synthetic, nonabsorbabale
4- Manitol , uses?
Room8: orthopedic dr baxtyar + dr hamid
1- apatient whose hand is normal , the senior will ask you :by inspection how do you know that median nerve is intact ?
answer: pointing sign , wasting
2-you have apatient with fracturein leg and they put skeletal traction , the senior will ask you :describe this ?
Answer: you have to say that this is skeletal traction and describe its parts: skinmanpin , itscomplication ?and the senior will ask you : how do u know that this patinet didn’t get (UMNL )?
Room9:dr abas + dr ibtisam
A 19 year old lady who is aknowun case of DM presented with multiple lesion in both leg : the senior will ask u describe these lesions:
Answer: multiple red papule in both leg : whats the casue of it?
_ there is one large purple patch on big toe :
- how do u examine all pulses in lower limb and its surfae landmark?
Room10 dr abdusalam cardiothorax
Aman presented with swelling of both leg for longtime duration whats this?
Answer: chronicDVT
- how do u mnage chronic DVT?
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in surgery
Surgery clinical examination for repeaters student in 2008
1- dr abas+ dr nzar dawd:
patient with intermittent claudication what do you do , how do u examine him?
2- Dr abdulsalam + dr aram
patient had operation yesterday the stich was at his forearm whats the operation ,he has atrial fibrillation
answer: thrombectomy a axillary artery using f.catheter
3- dr sarwar :
swelling in the left side of scrotum ? examin him and differential diagnosis?
4- dr luaee+ dr ibtisam:
patient with jaundice , examine. Type obstructive , what do u do in investigationand management ? why do u give vit K ? why do u give iv fluid ?
5- dr ali abdulnaby + dr baxtyar:
patient with back slab ,what is it?is it a POP or back slab? Why u do abackslab?look at the cannula what is it?is it in its proper position , where is the proper position?, why? If apatient with hypovolemic shock u cant find veins what u do?answer :venous cutdown
where do u do venous cutdown show me?
6- dr ismaeel:
history:female patient right hypochondrial pain radiate to the right soulder and weight loss 5 kgm no vomiting and fever .
ask this patient is the pain refered pain or radiated pain? Whats important question in systemicreview u like to ask?whats ur diagnosis? How do u exclude ur DDx?
Answer; dxgallstone , cholycystitis .if u hadPU how do u exclude ur diagnosis? Answer:
By endoscopy
7- instruments:all are forceps and needle holder (11 instruments)
8- pictures( 8 pictures):dr sirwan
1- patient with panda eyes
2- mamometry: is it malignant or benign tumor?
3- Hydrocephalus(congenital)?
4- CT scan of brain showing atumur at one side of the brain ? what sign will happen?
5- Meningomyelocele(whats contain)?
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in surgery
FINAL 2007-2008
Room1:
Surgical emergency:
Aman with sudden onset of severe epigastric pain ask:
1-DDx?(perforated pu, cholangitis)
2- how do u manage him?history , exam, invest
3-are u going to decide immidiate operation?
4-preopration and postoperative management ?
Room2:
Do abdominal examination on a patient with iv fluid +chest tube +midline laparatomy + tube drain( I examine for PR and genitalia )
Room3:
History :
Patient with bite
The patient said that something bitten him he doesn’t know what thing bitten him .
Ask about abdominal pain
And any rash, dypnoea, colur of urine, stool,ask about animal history at home
Room4:
1-Ct scan, is it normal or not?
2-fracture lower end of radius
3- popcorn calcification , uterine fibroid . KUB
4- chest xray with pulm hydatid cyst
Instruments:
1- intestinal clump ( uses)
2- T tube ( clinical uses )
3-differnece between vicryle and nylone?
4- endotracheal tube , indication?
Room5:
Slides :
1-thrombectomy by fogartey catheter
2- hydatid cyst , common sites?
3-paronychia , Rx
4-hydrocephalus , 4 clinical signs
5-skull fixation by instrument uses ( cervical spine fracture )
6-segment of bowel wich is become dark colur is it viable or not?why?
7-venous ulcer, varicose vein
8-breast cancer and he will ask u to which bone t metastasis first( vertebra) and by which route spread to bone ?( by blood)
Room6:
Uro-Foleys catheter ( types, indication , complication , how do u remove it)
ortho-
*examine all nerves of the hand
*examine knee joint
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in surgery
FINAL 2007-2008
Room1:
Surgical emergency:
Aman with snake bit come to u . ask:
1- how do u manage him?history , exam, invest
2-preopration and postoperative management ?
Room2:
Do abdominal examination on a patient –
Do general examination (there was alarge scar fro previous apendicictomy he asked why this scar is large?
Room3:
History :
Patient with hydrocephalus
(Vomiting, vaccination)
Room4
1-T tube indication?
2-esophageal fistula
3- stag horn stone. KUB
4- fracture of calcaneus :
1- intestinal clump ( uses)
2- NG tube ( how u clinically know tha it is not in its place )
3-differnece between PDA and polyglycone?
Room5:
Slides :
1-apendicitis
2- breast mass ?
3-goitre, complication if its retrosternal
4-CT acan , subarachnoid hemorrhage
5-diabetec fot., Mx
6-wt loss, weakness, abnormal xray , DDx?( TB, ca)
Room6:
Uro-Foleys catheter ( types, indication , complication , how do u remove it)
-
ortho-
*examine radial nerve
*examine knee joint
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in medicine
FINAL 2006-2007
History taking : on a patient and the senior will ask u some question ( investigation and management ) of that case
Room2
Halbzhardny zarfaka :emergensy
- Hypoglycemia
- Diabetic ketoacidosis
- Pulmonary edema (cause and treatment)
- Nephrptic syndrome (cause and treatment)
Room3:
Slides:
- cushing syndrome
- scleroderma
- ECG of MI
- Hand of rheumatoid arthritis patient ( swan neck)
Room4:: short case
-Examine abdomine
-Examine chest posteriorly
- general examination
Room5:
Short case on apatient , the senior ask u to examine radial pulse and he will ask u some question on pulse
Room6:
Halbzhardny zarfaka :neuropsychiatry
-subarachnoid hemorhage
- pontime hemorhhage
- guelian barre syndrome
- shchizophrenia ( positive and negative sypmtoms)
-feature of mania
- depression and antidepresant drugs
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in medicine
Assessment 2007-2008
Room1:
dr dler and dr taha karbuly
Slides:
- cushing syndrome( Dx , cl feature, Tretment medically and surgically)
- obstetrician hand (causes , treatment)
- ECG of VT ( diagnoses and treatmnet )
- chest x ray , pulm oedema ( read it? Diagnoseit and treatmnet)
- chest x ray , pulm mass ( hydatid cyst )
Room2::
Dr abubakr and dr omed oral
1-talk about clinical fetaure and management of addisons disease
2- talk about clinical fetaure and management of ventricular tachycardia VT ?
3-talk about esopageal motility disorder?
4-talk about hepatic encepahlopathy ?
Room3:
dr akram and dr nzar
Halbzhardny zarfaka :neuropsychiatry
-treatment of status epilepticus
- assess suisidal risk?
- risk factors of shchizophrenia?
-difference between typical and atypical antipsychotic drugs?
- enumerate and talk shotly about types of tremor ?
Room4:
Dr bilal and dr taha mahwy examination
There are 2 patient :
1- pateint with tender hepaticand spleen area and hepatosplenomegaly ( DDx of it?)
2- patient with asthma?
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in medicine
24-1--2007
History taking : on a patient with loin pain and the senior will ask u some question ( DDx ) of that case
Room2
Examine facial nerve( the patient had facial palsy)
Room3:
Slides:
- Iv abuse in forearm ,cause what?
- leg edema9ddx and dx)
- ECG of LBBB(dx and causes)
- RA (extra articular feature in eye(dx and treatment)?
Room4:: short case
- Short case on apatient , the senior ask u to examine chest posteriorly and he will ask u some question onit ? the case was pneumothorax as acomplication of asthma and senior ask u what are the complications of asthma?
Room5:
Short case on apatient , the senior ask u to examine chest posteriorly and he will ask u some question onit ? the case was pleral effusion, causes , treatment?
Room6:
oral
-diffrentiation between real epilepsy and pseudoepilepsy
- substance abuse
- avian flue
- vibrio cholera
-RX of SVT?
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in medicine
Final 2008
Room1:
1-hepatic encephalopathy , precipitating factors and management
2 DKA ,Mx?
Room2:
Examine chest posteriorly( patient with asthma)
Examine only radial pulse (rate, rhythm , delay)
Examine hand of RA?
Examine leg for DVT?
Room3:
1-Patient with ptosis of right eye and fixed dilated pupil of right eye only and when I examined she got diplopia ( 3rd nerve pulsy)
2-examine tone of upper limb
Room 4:
General examination of aboy have mild jaundice and pallor , extensive dental carries , pigmentation on cheek, on abdominal examination there was large midline scar and umbilical hernia (everted)(DDX) : thalasemia
Room5:
Chest xray and Ecg
You answer them by T or F
: XRAY:
1- criteria for right hemidiaphragmis normal?T
2-this is anodule in left segment ?F
3- can be diagnosed histologicaly by bronchoscopy?F
4-in full inspiratory film we can assess cardiac enlargement? T
ECG:
1- have second degree heart block and evidence of previous MI and abnormal rhythm
Room6:
Neuropsichiatery:
1-Causes and ddx of ptosis?
2- difference between real epilepsy and pseudoepilepsy?
What are the causes of pseudoepilipsy?
Answer : causes of pseudoepilipsy:
-Conversional disorder
-Trauma to head
-Any psychological fit
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in medicine
Final 2008
Room1: neurology:
Examine lower limb ( inspect, tone . power .reflex)
Room2:
Examine chest posteriorly( patient with asthma( decrease breath sound, , wheeze , crepitation,decreased vocal fremitus and vocal resonance)
Room3:
Examine face of this patient ( had hypothyroidism face) and tell me the neurological feature of hypothyroidism
Room 4:
Neuropsychiatry :
- suisdal risk
Clinical feature of panic attack-
Autism-
-TIA ,
-guillian barre syndrome,
-investigation of myasthenia gravis
Room5:
Chest xray and Ecg
You answer them by T or F
: XRAY:
1-is this PA or AP ?
2-this is anodule in left segment, s it benign ?
3- need CT or not?
4is it aortic aneurysm?
ECG:
1- is this right axis?
2-is this inferior MI?
3- is this heart block?
4-is v1 indicate anterior MI?
Room6:
Oral:
Causes and treatment of AF
Statatus asthmaticus
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in pediatrics
Room1:
cases :
1-Ten month child have diarrhoea , vomiting , fever fpr 3 days ,write 3 most important point in history taking for assessing dehyadration state?
Answer::
- frequency
- amount
-consistency
- wt loss
-urine out put
3 most important point in examination for asessing hydration state:
Answer::
- conscious ness
- drinking
- skin turgor
2- Ten month child have anemia Hg = 6gm /dl ,pcv=19,(mcv ,MCH ,MCHC ) are below normal
Serum feriitin above normal
1- whats the dx?
Answer: thalasemia
2- give another two investigation:
answer: blood film ”(target cell)
hb electrophoresis
3- ten month infant come to emergency department with convulsion , the mother says that the baby had fever last night whats ur response in step wise?
Answer:
1-ABC
2-diazepam + antipyretic
3- blood for electrolyte and sugar
4-LP and treatment accordingly.
Room2:
x ray :
-cardionegally( give 2 cause of it) ( very important )
-air fluid level
-renal atresia
-pneumonia
-mass
- rickets rossary
- marble bone disease
- rickets
- pulm collapse
Room3:
Slides ‘
1- chiken pox ( mention 2 complica tion)
2- apicture of a child with protruded tongue:
give 2 finding :(flat nasal bridge , protruded tongue)
give 2 DDx : down syndrome , hypothyroidism
3-cephalhematoma ,give 2 DDx cephalhematoma, caput succidanum
3- apicture of child of old face and muscle wasting: marasmus( (very important )
4- cafeaulet
5-Hydrocephalus( very important )
6- vitiligo
Room4:
cases:
1-Pneumonia :auscultate chest , DDx , common cause , Rx,
2 -Jaudice :general exam
3- Down syndrome
4- assess dehydration level of this patint ?
Room5:
case on paper
- celiac disease
- typhoid : compication , Rx
-pyloric stenosis
- management of emergency respiratory problem
- pyloric stenosis
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in pediatrics
6-3-2008
Room1:
cases :
- 1-infant with diffuse wheezy chest on auscultation there is rhonchi this is the first time get this problem
- Gve 2 DDx?bronchioloitis , asthma
- Give 4thong which support you to definite diagnosis or which differntial is most likely? Why?
( ,most likely is brochioloitis because it is the first atack , age less than one year , and by CBP if there is lymphocytosis it is viral bronchiolitis . if by PFT if normal so it is not asthma
2- Ten month child have hypochromic microcytic anemia
3- whats the dx?
Answer: thalasemia
4- give another two investigation:
answer: blood film ”(target cell)
hb electrophoresis
3- newborn babay with diabetic mother after 3 days of birth come to emergency department with convulsion , whats ur response in step wise?
Answer:
1-ABC
2- iv diazepam + antipyretic
3- blood for electrolyte and blood sugarand give glucose because of hypoglycemia
4-LP and treatment accordingly .
Room2:
Slides ‘
1- rash of chiken pox ( mention 2 complica tion)
2-ashleaf patch ( feature )
3- cutis laxa
4-rikets ( treatment)
5-marasmus ( 2 findings)
6- rash of measles
7- subconjuctival hemorrhage
8- xrya ( pneumonia) RX?
9- herpetic stomatitis( 2 line of treatment)
Room4:
cases:
oral examination : general examination :signs and symptoms of heart failure?
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in pediatrics
PEDIATRIC : practice:
Clinical examination for repeaters student in 2008: 2 sheets:
1st sheet question on the picture , on each picture there was 2 questions:
1- hydrocephalus( Dx and Mx)?
2- Down syndrome(Dx and Ix)?
3- Baby with malnutrition(Dx and other feature)
4- Abdomen with patches of hypopigmentation (Dx )?
5- Abdomen with red spot(Dx )?
6- Baby with cephalhematoma?
7- Describe xray ( unilateral pleural effusion)?
8- Describe xray?
Xray:
Xray one only newborn xray showing barium study , stomach and duodenum is the only part of GIT seen , the questions are:
Ahistory of newborn babay complaining of vomiting for 6 hours , vomitus contain bile stain:
1- describe the xray?
2- Give the diagnosis?
3- Whast the management?
Answer: small IO?
2nd sheet : case or data question
Case 1: ECG :
1- whst the rhythm ?
2- what maneuver u should do?
3- What first drug of choice?
Answer : SVT
Case 2:ababy with history of vomiting and no feeding for 2 days , his weight is ..kgm?:
1- what iv fluid u give?
2- How u will calculate the fluid according to weght in the first line of treatment :1- 2- 3- ( multiple number u should chose appropriate one)
3- What’s the number of fluid in ml u give the baby in the first 24 hour ?1- 2- 3-( multiple number u should chose appropriate one)
Case 3: newborn baby has history of vomiting after breast feeding , every thing is normal?
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in pediatrics
Final 2008
Room1:
-Examinefor knee jerk , what are the causes of hyperreflexia?(UMNL)
- Type of ABO groups , ask about infection transmitted by blood transfusion ?( HBV, HIV , TYPHOID, IMN)
Room2:
7 year old child come with red urine howdo u manage him?
By history: drug history , abdominal pain ,diarrhea, vomiting , rash
Room3:
xray
-( pneumonia)
Barium meal show pyloric stenosis-
Hyperdense bone marble bone disease(osteoptrosis)
Double buble sign
- cardiomegally-
Achild with jaundice , ask 4 questions to reach the possible diagnosis?
Dx(Gilbert syndrome)
-
Room4:
Slides:
Chiken pox( write its complication )
Henoch scholen purpura ( write 2 comlpication)
Abdominal distention +arm wasting(rickets)
Microcephaly,write 2 causes
Nephritic syndrome , 3 investigation
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in pediatrics
Final 2008
Room1:
Examine abdomen ( has hepatosplenomegally)he will ask u some question about typhoid and meningitis, complication of meningitis ?
Room2:
Assess dehydration level of 5 year old child? Howdo u treat him? By (ORS)
Room3:
xray
-GOO, investigation
Multiple air fluid level. (IO)-
Hyperdense bone marble bone disease(osteoptrosis)-
Achild with non bilios projectile vomiting , ask 4 questions to reach the possible diagnosis?
Dx(hypertrophicpyloric stenosis)
-
Room4:
Slides:
Herpes zoster( write its complication )
thalasemia ( write 2 comlpication lead to death)
2sign ( hypothyroidism)
Nephritic syndrome ,2 investigation
Comjuctivitis (pertusis), complication
Sternomastoid tumur ( Rx)
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in gynecology
Assessment 2007-2008
Room1:
Slides:
-amniocentesis , indication?
-placenta previa , method of delivery ?
-turner syndrome
-forceps delivery indication ?
-thretened abortion , causes ?
- Weeks of gestation
-vulval carcinoma
-ectopic pregnancy , causes
-Uterine fibroid and polyp
-pap smear
Room2:
instrumenys
-vollecelum (indication)
-Uterine sound(indication and complication )
-Higar dilator, uses ?
- xray of pelvis IUCD , do u need another investigation ? answer :yes ( us )
- ergometrin (indication and contraindication)
- what do u see in this xray ? answer : HSG show block falopian tube , indication of HCG ?
Room3:
HISORY (twin preagnanacy , polyhydramnios)
Room4: ABDOMINAL EXAMINATION: of preagnanat lady
Room5
Examination of first postoperative patient(inspection , palpation. Auscultation for bowel sound)
Room6
Cases:
1- theye give you a HB 7.5, ESR 10 in 3o years old preagnanat woman, whats this case ? HOW U MANAGE ?
answer: IDA
2-A 32 YEARS OLD WOMAN PRESENTED WITH MENORHHAGIA FOR 3 YEARS AND U/S SHOW ECHOGENIC MASS IN MYOMETRIUN SIZE 7,8,9 CM ? whats the diagnosis ? management?
Answer: fibroid , adenomyosis
3- G7P6A0 woman presented with excessive bleeding after delivery whats the diagnosis ? management?
Answer:PPH
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in gynecology
Fianal 2007
Room1:
Slides:
-bartholine cyst
-Ovarian carcinoma
-Loveset manueover
- brow presentation
- abdominal examniation of fetus which lie Transverse ly , method of delivery ?
- mersilene tape
- multiple genital wart
-seperation and desend of placenta
-Delivery of placenta by cord traction
Room2:
instrumenys
- wringleys Forceps (indication and complication )
-Uterine sound(indication and complication )
-Higar dilator
- xray of pelvis IUCD , do u need another investigation ? answer :yes ( us )
- featal head craniotomy
-- HSG( name the image)
- one end curette
- sponge holding forceps
- cusco speculum
- sims speculum
Room3:
HISORY
Room4: obstetrical EXAMINATION: of preagnanat lady?
Risk of transverse lie ?DDx of large fordate ?
Room5
Examination of first postoperative patient
Room6
Cases:
1-acase of endometrial hyperplasia , what other investigation u need to confirm the diagnosis in addition of endometrial sampling which was done for this patient ?management?
2-they give u U/S which show absent
fetal heart ? whats the diagnosis ? management?
Answer: missed abortion
3- pre eclampsia , management ?
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in gynecology
Assessment 2007-2008
Room1:
Slides:
-bartholine cyst
-Ovarian carcinoma ( distended abdomen)
-Types of prolapseur(urethrocele, rectocele m cyctoocele)
-Loveset manueover
-Laparoscopy
- Weeks of gestation
-Twin( breach / cephalic)
-Transverse lie
-Uterine fibroid
-Delivery of placenta by cord traction
Room2:
instrumenys
-Forceps (indication and complication )
-Uterine sound(indication and complication )
-Higar dilator
- xray of pelvis IUCD , do u need another investigation ? answer :yes ( us )
- oxytocine (indication and complication )
-Cusco speculum( indication)
Room3:
HISORY
Room4: ABDOMINAL EXAMINATION: of preagnanat lady
Room5
Examination of first postoperative patient
Room6
Cases:
1-theye give you a GUE WHICH show turbid , yellow , acididty whats this case ? HOW U MANAGE ?
answer : UTI
2-they give u U/S which show absent
fetal heart ? whats the diagnosis ? management?
Answer: missed abortion
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in gynecology
Assessment 2007-2008
Room1:
Slides:
-abdominal swelling?ovarian carcinoma
-controlled cord traction
-twin pregnancy
-laparoscopy
-lovesets maneuver
- gestational week:certain level marked in the abdomen , identify the gestational week which belong to each level?
- bartholin cyst
-transverse lie
- uterine fibroid
- rectocele, enterocele, cystocele
Room2:
instrumenys
-vollecelum (indication)
-forceps(2indications)
- cuscos speculum. Where do we use it?
- ergometrin (2 contraindication)
- what Is this xray ? answer : HSG ( HYSTEROSALPINGIOGRAPHY ), indication of HSG ?
Room3:
history taking from apatient with (UTI)
Room4: obstetrical examination of preagnanat lady
Room5
Examination of first postoperative patient(inspection , palpation. Auscultation for bowel sound)
Room6
Cases:
2- theye give you a US (show adnexial mass) of 30 years old woman with vaginal bleeding and pregnancy test positive, whats this case ? HOW U MANAGE ?
answer: ectopic pregnancy
3- theye give you acase: 30 years old woman with frequency, dysurea, pass cell in GUE , whats this case ? HOW U MANAGE ?
answer: UTI
4- 34 week gestational week developed vaginal bleeding whats this case? Management?
answer: APH
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in gynecology
Assessment 2007-2008
Room1:
Slides:
-partogram ( 2 indications)
-twin cephalic breech abnormalities; placetal bleeding
-laparoscopic veiw of hydrosalpinx
- prolapse
- bartholin cyst
- fibroid(Cx)
- pap smear
Room2:
instrumenys
-curatte (complications )
-uterine sound (2indications)
- cuscos speculum. uses?
- oxytocine ampule (2 contraindication)
- what Is this xray ? answer : HSG ( HYSTEROSALPINGIOGRAPHY ), finding ?
Room3:
history taking from apatient ( LMP , EDD,GPA)
Room4: obstetrical examination of preagnanat lady( fundal hight?
Room5
1- in 37 weeks pregnant lady PCV is normal , HB normal ,liver enzymes elevated , GUE revealed protenurea, high blood pressure: Whats this case ? management?
Answer : PE , MANAGEMENT : lower BP or terminae pregnanacy
2- menorhhagia in 17 years old female
3- treatment of a case of fibroid:
if complete her family do hysterectomy , if not myomectomy
Room6
Cases:
Obstetrical emertgency:
Apregnanat lady delivered a fetus vaginally there was no any bleeding outside but suddenly she became colapsed?whats this case? Manage it?
Answer:amniotic fluid embolism
Mx : ABC
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in gynecology
Final 2007-2008
Room1:
Abdominal examination of pregnant lady 31 wks gestation
Room2:
obstetrical emergency
37 wk s primigravida lady with blod pressure (190/110)now got convulsion manage her?Dx( Preeclampsic fit or eclampsia as acomplication of preeclampsia )
Rx( hydralazine , methyldopa +diazepam ,Mgso4)
Best treatment is termination of pregnancy
Room3:
Instruments and radiology:
-HSG bicornate uterus ( write 2 complication)
-wrigley forceps (write 2 indication)
-Combined oral contraceptive pill( write 2 side effects)
-oxytocine ampule (write 2 indication)
-case:apregnant lady come with vaginal discharge her ultrasound show non viable fetus , Dx , Rx?
Dx : missed miscarriage
Rx:D and C and oxytocine
Room4;
Slides
1- delivery after coming head of breech with forceps
2-ectopic pregnancy
3-gestational age ,36 wk
4-ambigous genitalia(investigation:karyotyping)
5-60 year old female with abdominal distension (ovarian tumure)
6-amniocentesi(write 3indication)s
7- cystourethrocele ,rectocele, enterocele
8-placental abraptio
9-cardiotopography(write3 uses)
10-breech baby.
Prepared by:
Dr.soran Mohamad Gharib
2008
OSCE exam in gynecology
Final 2007-2008
Room1:
Obstetrical examination of pregnant lady, tell me gravida, para, EDD, gestational age
Room2:
obstetrical emergency
-PPH ( causes . Mx)
Room3:
Instruments and radiology:
-HSG ( write indication. Finding( hydrosalpinx)
-IUCD(write complication )
-sims speculum ( write 2 indication)
- higar dilator ( uses)
- vollecellum( indication)
-ergometrine ampule (write 2comlpication)
-case:apregnant lady come with placenta previa, Dx , Rx?
Room4;
Slides
1- controlled cord traction
2-ectopic pregnancy, risk factor
3-fibroid , types
4-episiotomy , indications
5-which hormone secreted by follicles
6-pap smear , sims spatula (write indication)s
7- diameter of post-ant , transverse, of pelvis
8-genetal wart
9-turner syndrome
10-16 year old female with amenorrhea , pain, tell the causes?.
Prepared by:
Dr.soran Mohamad Gharib
2008
Theory
Pediatric theory:
theory examination for repeaters student in 2008
Part1: 4 cases:
Case 1:
Questions for XLR there was agenetic graph and the question :
1- if the baby of third generation might have the disease?
2- Give example of the disease?
3- Type
Case 2:one and half year old girl aby has palor , anemia, bleeding tendency , factor Vlll normal:
1- whats the diagnosis?
2- Investigation?
3- Management?
Case 3: table put increase or decrease or normal:
| |Bleeding time |PT |PTT |
| Thalassemia | | | |
|V.W.D | | | |
|Vit, K difficiency | | | |
Case 4:
CSF taken from achild bac .2, everything else were normal, glucose8 mg/dl:
4- whats the diagnosis?
5- Investigation?
6- Management?
Part 2: essay :
1- complications of measle?
2- Complications of meningitis?
3- Immunization sqedual in iraq?
4- Write shortly about bone age?
5- Write some characteristic feature of kwashiorkor?
6- Clinical feature of IMN?
7- Criteria of rheumatic fever?
8- Difference between croups and epiglotitis?
9- Factors that precipitate hemolytic jaundice?
10- Hemolytic disease in new born?
11- Thalassemia?
12- Down syndrome?
13- DM?
14- Hypoglycemia?
Part 3 : MCQ
Surgery:Theory:
theory examination for repeaters student in 2008:
1- long case 10 marks: presentation and management of hydatid cyst?
2- Short case :
1- postoperative fluid management for apatient of age .. in the first 24 hour?
2- Signs of basal skull fracture ?
3- Diagnosis of intussception of anew born babay ?
4- Management of aburn patient ,second degree, 30% , 70 kg
5- Anti tetanus prophylaxis ?
6- Acute scrotum?
7- Carple tunnel syndrome?
8- Perforated PU ,presentation and management?
3- blanks:fill in the blanks:
1- A, C precaution -------
--------
--------
--------
2- Degree of snake bite: -------
--------
--------
--------
3- Chest trauma life threatening in : -------
--------
--------
--------
4- Risk factors of AIDS : -------
--------
--------
--------
4-match
5- MCQ
Medicine:theory
theory for repeater students in 2008
Cases:
1- diabetic ketoacidosis ?
2-bronchogenic carcinoma?
3- Alzhimer disease
Essay : megaloblastic anemia
Gynecology:theory
theory for repeater students in 2008
- Infertility( investigations)
- Cervical arcinoma
- Complications of twin
- Preeclampsia
- Side effects of oral contraceptive pills
Radiology :
Prepared by : Soran Mohamad Gharib
Sixth stage 2007-2008
1- PTC : indications( obtructive jaundice)
2- secondary metastasis:( ca prostate, ca breast)
3- achalasia (dilated esophagus)
4- hysterosalpingiography( indications: infertility and patency of fallopian tube )
5- right side pneumo thorax
6- right upper zone opacity( secondary or hydatidcyst)
7- hair on head in thalasemia major
8- MRI contraindications:
-Intraocular forign body
-Pace maker
-Cocclear implant
9- vesical stone:
10-bone scan:it is very sensitive
indications:
- secondary ca
- early oseomyelitis
- occult fracture
- TB
11-ERCP
12- antegrade pyelography
13-congenital digphragmatic hernia
14- mamography(indications)
15-exostosis in knee joint
16-esophageal atresia with fistula
Prepared by:
Dr.soran Mohamad Gharib
2008
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- university of minnesota college of education
- university of minnesota school of social work
- wharton school of the university of pennsylvania
- cost of university of scranton
- university of minnesota school of education
- university of scranton cost of attendance
- university of south florida college of medicine
- university of minnesota masters of social work
- ecampus of university of phoenix
- university of minnesota college of continuing education
- university of illinois college of nursing
- university of north texas college of nursing