ARMED FORCES MEDICAL COLLEGE

FINAL Prof MBBS EXAM, October- 2020

Department of Medicine
OSPE

OSPE-1

During evening round at ICU, you found a patient with following report-
S Electrolytes-Na- 138 mmol/l
K-7 mmol/l
Cl-95 mmol/l
HCO3-25 mmol/l
(a) Mention 04 important causes of above findings. 1.5
(b) Write down treatment plan of above condition. 2
(c) Mention 04 complications of this condition. 1.5

OSPE-2

(a) Mention the abnormalities of this ECG with diagnosis. 1

(b) Write 04 common causes of such ECG. 2
(c) Mention 04 complications of this condition. 2

OSPE-3

(a) What is your clinical diagnosis? 1

(b) Mention 04 investigations you want to suggest. 2
(c) Mention 06 extra articular manifestation of the patient 2

OSPE-4 Thyroid function test of a 30-year-old female shows the following result:

(a) TSH-80mu/L (Normal 0.4-4mu/L)

(b) FT4-3.5pmol/L (Normal 9-25pmol/L)
(c) FT3-1.5pmol/L (Normal 3.5-7.8pmol/L)

(i) What is the diagnosis? 1

(ii) What other investigations will you suggest for her? 3
(iii) How will you treat her? 1

OSPE-5

(a) Mention the name of the instrument. 1

(b) What are its parts? 2
(c) Mention 04 indications of this instrument. 2

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OSPE-6

(a) What is the radiological diagnosis? 1

(b) Write down 4 important causes of this condition. 2
(c) How will you investigate him to find out the causes? 2

OSPE-7

(a) Mention the abnormalities of this ECG with diagnosis. 1

(b) What are the probable complications in this case? 2
(c) What are the treatment modalities? 2

OSPE-8
(a) What is your clinical diagnosis? 1
(b) Write 04 important case of this condition. 2
(c) How will you treat the patient? 2

OSPE-9

(a) Name the instrument with its parts? 1

(b) Write down 05 important indications of its use. 2
(c) Mention the complications of its use? 2

OSPE-10

(a) Describe the X-ray findings with diagnosis. 2

(b) What will be the percussion and auscultatory findings of chest in
such patient? 1
(c) Write 04 important complication of this condition. 2

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