Beruflich Dokumente
Kultur Dokumente
1.MEDICINE
a. MEQ
SEQ
- Fundoscopy picture-patient obese, decrease visual acquity, loss of weight, thirst (Qs:
describe fundoscopy picture, diagnosis, tests, management) (Q1, OSCE 2013)
- Sexually active men, 30years old, presented with ulcer (Qs: diagnosis, name of organism,
differential diagnosis, tests,...) (Q2, OSCE 2013)
- Blood Smear (Qs: Abnormal finding in blood smear, type of blood smear, diagnosis, signs &
symptoms, management) (Q3, OSCE 2013)
- Diplopia, bilateral weakness, difficulty swallowing, no respiratory distress (Qs: diagnosis,
pathophysiology, tests, treatment) (Q4, OSCE 2013)
- Chest X-ray (Qs: describe findings, diagnosis) (Q5, OSCE 2013)
- ECG
- SPIROMETRY
ROT 1- oct
- RASHES
2015 MM
- Hep B serology interpretation
- Insulin type,dosage
MEQ 1
2. TUBERCULOSIS
OSCE
3. - ECG interpretation :Rate, rythm, deviation, abnormalities, diff dx based on ecg, management outline
-Decompensated ccf
Seq-Pulmonary embolism
MEQ:
1) decomp ccf - 2ry to anemia, uncontrolled HT .... Diagnosis, Management, Causes of decomp
SEQ:
1) approach to chronic diarrhea .... Mechanism for different type, Approach in history, examination,
investigation
2) approach to SOB .... 6 ddx, Give history, examination, inv findings for each 6 ddx
3) Spirometry graph
4) Images:
2)pt presented w fever, clubbing, - image of rashes over palm and soles
Give yr diagnosis? IE
5) Image 2:
Diagnosis - hyperthyroidism
-Histopathology,Complication
2.ecg
4. Two pictures of skin lesion -name the skin lesion and the dx ROT 1- apr
2016
i) janeway lesion-IE
5. Two pictures of skin lesion (name the skin lesion and dx ) pretibial myxedema-grave's disease -superficial
dilated vein-superior vena cava obstruction ?
MEQ 1 and 2
Seq 1
1.bulky pale stool with unpleasant smell (malnutrition) pathophysiology, Clinical features , Investigation
MEQ
1.Coeliac disease -ddx for hard to flush stool, pale but no jaundice, Ix, expected sign ,complications, causes
of villlous atrophy, Mx
2. Meningitis -ddx for fever, low grade fever and headache -Hx to ask?, expected signs,2 Bed side test,
investigation, principle of mx
SEQ 1. TB -Dx, Ddx hemoptysis, drug duration n s/e, complications tb ROT 4- oct
2015
2. Aortic regurgitation -Symptoms ,signs, causes magnus
OSCE
4. Hep B interpretation
1. DKA
1. Pulmonary embolism
2. CCF
OSCE
1. meningococcemia
2. CN 3 palsy
3. ABG
SEQ : malabsorption syndrome (definition, pathophysiology, Ix, sequence), DKA (principle management)
OSCE : ECG, malaria, thyrotoxicosis, facial nerve disorder - cranial nerve num VI , Lumbar puncture,
hyperthyroidism
MCQ
Pt U/L DM, HTN, have CP 30m(probably), ECG all lead shown w/ST-elevated on Lead aVF, Lead II, Lead III.
Serum electrolyte normal.
- Interpret ECG (inferior MI) + give 1 most important diagnostic Ix w/expected findings
- Cardiac biomarkers shown high CK-MB and Troponin T, give your p/dx + Mx
- Complication
for example:
- Acute Exacerbation of COPD secondary to URTI complicated with Respiratory Failure type 2.
SEQ
- give Hx, P/E, Ix to do to pt with PUO with justification to your answer. (8m)
2 - Approach to Jaundice
OSCE
- give p/dx
- Mx + dose + duration
- 2 Ix + expected findings
2 - Left Lower motor neuron lesion of facial nerve palsy, picture of middle age man with half face problem
- give p/dx
- give 3 Clinical signs (loss of nasolabial fold on affected site, loss of forehead wrinkle on affected site, mouth
deviated on opposite side as loss of muscle control on affected site)
- Mx + duration
- *give investigation w/expected findings (not sure this question ask or not)
a. MEQ
b. SEQ
- Scenario pt comes with DFU(diabetic foot ulcer); Causes of foot ulcers, pathophysiology of DFU,4
Investigation to support the diagnosis,Management of DFU (SEQ2013)
- Acute cholecystitis - diagnosis, points supporting (SEQ 2014, ROT 1 OCT 2015)
c. OSCE
- Breast carcinoma, diagnosis, sign & symptoms, investigation (Q3, OSCE 2013)
Meq
Seq
3) proctoscope
4) hydrocele
MEQ
1: Esophageal ca -ddx dysphagia, possible findings during PE, prov.dx, investigation, management
SEQ
1 : Acute cholecystitis -prov.dx, what given hx that help dx ,possible findings during clinical exam, 2
imp investigation to confirm, treatment
2 : Breast ca -ddx , prov dx, examination of other anatomical region, 2 confirmative investigation,
treatment plan
ROT 3 0CT 2015
OSCE: magnus
1. Skin lesion -clinical findings, ddx, other possible clinical findings , complication, management MAGNUS
2. Hydrocele -prov dx, explain hydrocele, name of test shown in pic, ddx, name of surgical procedure
for hydrocele
3. Appendix -name of organ, anatomical position, disease common due to the organ, probable
findings in PE, complication
2. breast ca (important hx to rule out malignancy, ddx, dx, ix & finding, curative treatment)
SEQ
MAGNUS
OSCE
2. nasogastric tube (apa 3 region marking 40cm,50cm,60cm? 2 Theraupeutic fxn? 2 diagnostic fxn?
Complication?
4. Moles & melanoma ( identify pic, histological classification of moles, ix tx for melanoma)
5. Sutures ( absorbable, non absorbable, which utk gut, which biggest diameter according to size in
picture & state size)
MEQ
1. SCC
2. Esophageal ca
SEQ
1. Haemorrhoids
2. Varicocele
Meq
1) fistula in ano
2)ac appendicitis
Seq: 1) breast ca
2) hydrocele(not sure the dx, but abt scrotum swelling) ROT 2 APRIL
2016
Osce:
3)incentive spirometry
MEQ 1
MEQ 2
SEQ 1
60 y/o alcoholic lady admit to hospital with hematemesis. Bp 100/60 mmHg. On physical
examination, found splenomegaly & ascites. Initial hematocrit was 25%. NG tube yielded 300ml of
fresh blood. Then, the pt is rescucitated.
i) diagnosis
SEQ 2
25 y/o lady complain pain and swelling over lateral aspect of right great toe. Both gradual onset
history of trauma or insect bite. Local examination reveal tenderness over nail, sprout granulation
tissue & no foul smelling discharge.
i) Dx
ii) Causes
iii) Process
iv) Other name
v) Method treatment
OSCE
Osce 2 - keloid
Osce 4 - thyroid
a. MEQ
- PPH (MEQ2012)
- endometriosis
b. SEQ
c. OSCE
-Partogram: components (maternal, fetal, labor progression) & interpretation (OSCE 2012)
- CTG: speed of paper flow in CTG, interpret (BHR, variability, acceleration, deceleration), treatment
options (OSCE 2013/A)
-Picture of teratoma/dermoid cyst: list clinical presentation in the picture, differences btwn ovarian
mass and fibroid mass, features in malignancy (OSCE 2013/A)
Foley catheter: gyne procedure indication,obs indication,usage of parts ROT 1 0CT 2015
MM
-ctg: interpretation of ctg,types deceleration,what show fetal distress
MEQ 1 - GDM
SEQ 2 - miscarriage
Meq2- endometriosis
Meq2 - PID
1 : Threatened miscarriage ( diff diagnosis, investigation, expected finding in pelvic and bimanual
examination, management)
Osce
MEQ
1.ENDOMETRIOSIS
2.multiple pregnancy
SEQ
OSCE
1.hegars dilators
2.molar pregnancy
4.cephalopelvic disproportion
5. Induction of Ovulation
MEQ
1. Iron deficiency anemia - diet hx, family hx, investigations, clinical signs, treatments
2. Uterine fibroid complicated with anemia - Points to ask in hx, investigations, immediate
treatments, what to discuss with patient if planning for surgery
SEQ
1) Missed miscarriage- points supporting dx, differential dx, treatment, complications ROT 4 0CT 2015
2) Puerperal pyrexia - findings in examination, investigations, risk factors MM
OSCE
1) Obstructed labour (Bandl's line) - in what conditions this can happen, complications,
management
5) Teratoma - clinical findings, differentiate ovarian mass from uterine mass, features of malignant
tumour
Meq
1. Endometriotic cyst
2. Placenta previa
Seq
Osce
3. Fibroid
4. Forceps delivery
5. LSCS
ROT 1 OCTOBER 2016
Meq 1 - Miscarriage
SEQ :
MEQ
1-gdm
2-missed miscarriage
MCQ
-trichomonas
-Rh incompatibility
-uterine fibroid
-pprom
-mechanism of labor
-contraindication HRT
2. Pipelle-
3. Placenta previa
4. Teratome
5. TAHBSO
PAEDS
4.PAEDS
a. MEQ
- AGE with bacillary dysentry-presented with bloody diarrhea - signs of dehydration, investigations,
management (MEQ 2014)
-AEBA
ROT 1 0CT 2015
- GENERALIZE tonic clonic epilepsy MM
b.SEQ
-nephritic syndrome
- Picture of intensive phototherapy (blue light, blanket): name it, used for, mechanism of action, side
effects. (OSCE 2013/A)
-Picture of pedigree chart: identify the inheritance, reason, list 4 diseases/disorder, chances of
children to get the disease. (OSCE 2013/A)
-Leg swelling of a boy with multiple hospital admission, diagnosis (hemophilia), investigation,
expected result (OSCE 2013/2)
- differential diagnosis
-
Seq
Meq 2 - bronchopneumonia
-bacterial meningitis
-dengue rash
-tetralogy of fallot
MEQ
SEQ
MEQ
1. AEBA -List 3 differentials, 4 questions to ask mother regarding the patient, Likely provisional
diagnosis, Management for AEBA
2. Beta Thalassemia major- List 2 differentials, 2 investigations with interpretation, Likely provisional
diagnosis, 4 supportive treatment, 1 curative treatment, 4 complications of beta thalassemia major
SEQ
1.UTI -Definition and classification, Clinical features, Parameters in urine dipstick, Comfirmatory
investigation for UTI, 2 prophylaxis drugs for UTI
2.Diarrhoea -Definition and classification, Sign and treatment ROT 1 april 2016
OSCE
1. Metabolic acidosis with hyperkalaemia -Normal parameters and interpretation, list 3 treatment,
list 2complications
2. Down Syndrome -What is seen in picture, state 2, Other clinical features, List 2 complications,
Comfirmatory investigation, list 1
3. TOF -Chest x ray findings, list 2, 2 complication, structural anomalies of tetralogy of Fallot
1. Acute bacillary dysentery with moderate dehydration - questions to ask, WHO criteria
dehydration, diagnosis, management
SEQ
Part 1
OSCE
MEQ
SEQ
1. Rheumatic fever
Diagnostic cirteria
Treatment and prophylaxis ROT 2 April
2. Ddx of gum bleeding 2016
Investigation & management plan of dengue fever w/o warning signs
OSCE
1. TOF
2. Downs syndrome
3. Measles
4. Nephrotic syndrome
5. Metabolic acidosis with hyperkalemia
ROT 1 OCTOBER 2016
MEQ 1
MEQ 2
UTI
SEQ
OSCE
1. kernig sign- describe positive finding, state condition positive this test. significant for this
2. hemophilia- x-linked recessive, other example, comment if this patient asymptomatic mother with
normal man
5. short stature- interpret graf, management for kids 10years 120cm (advices)