FCPS-II TOACS ( SEPT 2012)

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[Picture] of swollen and reddened breast (not whole breast is involved, in picture there was not even nipple
showing)
(scenario: a middle aged woman who is currently breast feeding what three questions you will ask
Key: it was inflammatory CA not breast abscess
[Scenario] a man presented after road traffic accident had swollen leg, what is the diagnosis, investigation and
treatment
Key: compartment leg syndrome (not DVT)
[Emergency log book]
Procedure of my choice, its steps
[Scenario] after trauma a woman is being operated emergency colostomy was carried out , per operatively
ureter was found to be damaged, post operatively , this is the lab report
What is the metabolic derangements,
How to reverse those
How to treat
key: hyperchloremeic metabolic acidosis scenario (of ureterosigmoidostomy)
[Chest x-ray] showing CVP and effusion on the right side, scenario included the onset of difficulty in respiration
in a patient with ca oesophagus ,
Q-what are x-ray findings, what is its cause, how to treat it
Key: right sided effusion, cvp on x-ray, cause= oesophago-pleural fistula, dislodged CVP(confusion)
[Elective log book]
your most performed surgery
Hernia, laparoscopic cholecystectomy, thyroid, varicose veins, hyrdrocele, breast
[Angiography] of right common iliac stenosis
Findings, treatment
[MRI] of CA rectum
Q-what is the investigation (CT scan or MRI)
Q- what is the investigations and treatment
[INTERACTIVE, counseling OBSERVED WITH SAMPLE PERSON]
a person living in Dubai , unmarried , had perineal warts, ask about pertinent history
key: ask about homosexuality, I/V abuse, AIDS etc
[Picture] strawberry nevus and malignant melanoma
What are these, and treatment,
[surgical skills] , repair of tendon
which suture, assistance, which needle, what this repair is known as , single layered or double layered, what will
you do later on , how to immobilize etc
[Scenario] Triage scenario of a bomb blast scenario
Whom to evacuate first , write in sequence
A lawyer shouting , treat him other wise he will sue you
A person whole humerus is fractured and blood is oozing out
A person who is lying prone and not breathing
A person who is stable but with swollen and deformed thigh
[scenario] a woman had birth , after delivery had fever and difficulty in breathing, no urinary out put
KEY: what is SIRS MODS and the treatment of anuria is Dialysis
[Scenario] a person after blunt trauma was managed in the primary care centre, he developed difficulty in
breathing and operated in tertiary care center, he was found to have duodenal injury
Q- what surgery
[INTERACTIVE, counseling OBSERVED WITH SAMPLE PERSON]
a courier person, after RTA, had to go for above knee amputation , so counseling for AKA
Key: dont forget in counseling that a letter for static job to company will be written as he is unable to do the
Job on motorbike