1. JCM OSCE
YCH 3/7/2013

2. Question 1 F/57, slip and fell land sustained left wrist injury
What are the x-ray findings & diagnosis?
What is the treatment?
What complication is expected if she was put on short arm dynacast?

4. Question 2 M/80 History of recurrent AROU
Presented with right hip pain
1. What is the x-ray finding?
2. What is the diagnosis?
3. What other malignant tumor would present with similar x-ray finding?

6. Question 3
A boy presented with slip and fell landed on outstretched hand
1. What are the x-ray findings?
2. What is the diagnosis?
3. What is the most common associated injury?
4. What is the treatment?

9. Question 4
20-year-old man presented with recurrent episodes of palpitation.
1. Describe the ECG.
2. What is the diagnosis?
3. What are the 2 common arrhythmias associated with this condition?

11. Question 5
70 year-old-man presented with left upper abdominal discomfort for months.
Recent weight loss x 5kg/several months
P/E:
Splenomegaly, tip 8cm below left costal margin

12. COMPLETE BLOOD COUNT
WBC H x10^9/L
RBC L x10^12/L
HGB L g/dL
HCT L L/L
MCV fL
MCH pg
MCHC g/dL
RDW H %
PLT L x10^9/L
WBC DIFFERENTIAL
Neutrophil H x10^9/L
NEU % H % Lymphocyte x10^9/L
LYM % L %
Monocyte H x10^9/L
MON % L %
Eosinophil H x10^9/L
EOS % %

13. Question 5 1. Name 4 differential diagnosis?
2. What is the most likely diagnosis?
3. Name 2 further investigations?