OSCE Questions Feb 2017 POH.

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Presentation transcript:

OSCE Questions Feb 2017 POH

Case 1 49/F Good past health. Not on medication C/O Epigastric pain for 2 hours BP 210/90 SpO2 100% on room air Abdomen soft Q1 Name 3 life threatening ddx 2

3

Q3 What are the worrisome features? Q2 Describe the ECG Q3 What are the worrisome features? While taking the CXR, she was found unresponsive Q4 What is this? Q5 What is the treatment? 4

Q6 What are the causes of early mortality in acute coronary syndrome? Q7 What are the high risks group for early mortality? 5

Case 2 56/M Hypertension on Atenolol/ Norvasc/ Acertil C/O chest pain radiated to back BP 96/53 P72 RR20 SpO2 96% on room air ECG normal Hb 12.8 6

Q1 Comment on the vital signs Q2 Name 2 important physical signs Q3 Suggest a Point-of-care investigation 7

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Q4 Describe the abnormal CXR Q5 Name 3 other CXR signs 9

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Q8 Name the disease spectrum. Q9 What is the classification? Q6 Describe the CT Q7 What is the diagnosis? Q8 Name the disease spectrum. Q9 What is the classification? Q10 What is the treatment? Q11 What are the indications for operation? 12

Case 3 46/M fell while climbing down from lorry driver seat C/O left ankle pain Difficult to walk 13

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Q2 Name 2 Classification systems Q3 Is the ankle stable? Q1 Describe the X-ray Q2 Name 2 Classification systems Q3 Is the ankle stable? Q4 What is the diagnosis? Q5 What is the mechanism of injury? Q6 What is the treatment? Q7 Name 1 similar condition in upper limb 15

Case 4 M/51 Good past health. No recent travel Chills for 1 week Hiccup and abdominal bloating discomfort 2 days Temp 37 Q1 What is hiccup? Q2 What is the reflex arc? Q3 Name 2 drugs for symptomatic relief of hiccup 16

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Q4 What are the 2 alarming features? Q5 What are the causes? Give 2 in each feature

19 19

Q6 Describe the CT Q7 What is the diagnosis? Q8 Name 3 risk factors? Q9 What to examine if culprit was isolated a. Klebsiella pneumoniae? b. Entamoeba histolytica?

Case 5 Afebrile. BP 120/80 P72 GCS 15. 4 limbs Power full 65/F ADL-I Known HT, poor memory await psy Noted disoriented to time, place, person for 2 days Afebrile. BP 120/80 P72 GCS 15. 4 limbs Power full 21

Q1 Give 2 point-of-care investigations Q2 What is delirium? Q3 How to differentiate from dementia? Q4 Name 4 components of mental state exam Q5 Name 2 assessment tools Q6 Suggest 3 red-flag signs in a confused patient Q7 Name 3 types of dementia Q8 Suggest one reversible cause of dementia 22

CT Brain 23 23

Q10 Give 3 common causes of non-traumatic Intracerebral hemorrhage Q9 Describe the CT Q10 Give 3 common causes of non-traumatic Intracerebral hemorrhage Q11 Give 3 common locations of bleeding in hemorrhagic stroke 24 24