5 YEAR MEDICINE OSPE 

8 FEB 2012

SARGOHDA MEDICAL COLLEGE OSPE

1-figure of hand, scnario of itchng wid many family membrs involved,

diagnsis n drugs.(scabies)

2.scnario of depression , diagnsis n drugs

3.digoxin n its 3 sid effects

4.folleys catheter 2 way,

Indicatnz of its use

5.scnariao of chest pain radiatng to jaw n hand, ecg nrmal,diagnsis

stable angina n its 2 d.d

6. Parkinsonism n its 2 drugs

7. Uper lobe opacity on xray ,cnsolidatn or colape

Wht is da abnrmaliy, n its 2 causes

8. Ct scan of intracerebral haemorrhage .

Gv 2 findngs (hyperdense area n shftng or cmpresion of ventricles)
2 cnditnz dat cause dis

9. 20 yr male wid whole body edema urine report

RBCs, few pus cels
Protein less dan 1g/24 hrz
Diagnosis? N its causes

10. Pericardial temponade

Xay n explan da procedr of treatment(observ)

11. Patient on oral hypoglycemic ,n starving n anorexic, glucose 50 gm%

creatinine 2 gm% ,diagnsis n managment ( observe)

12. Patient wid HBsAg postiv.

At what stage its present(acute hepatits) cmplictnz(observe)

13. Hyperlipedemia with IHD ,diatry couclng n tel hm da rish of othr

disease dat wl dvelop if not cntroled.

SIMS OSPE

1.ehler danlos synd features

2.autosomal recessive inheritance flow diagram
Diseases
3.multiple myeloma investigations
4.PNH
5.MI ECG treatment complications
6.graves treatment features
7.true cut biopsy complications
8.collapse xray clinical findings
9.9.atenolol
Group
Indications contraindication

Interactive:
LP indications n technique
NG technique indications
Hep A
Hep B

NMC OSPE
1. LP needle, idntify, 4 diagnostic indications.
2. creatinism, identify n treatmnt, how to prevent?? (28 yr old puffy
lady vd delayed milstones n umbilical hernia)
3.ECG showin extensive anterior wall infart, idntify, emergncy
treatmnt?
4. pictr ov eye vd haliotropic rash on lateral canthus n lid, symptoms ov
proximal myopathy, rash on the back as well... idntify
(dermatomyositis), finding (haliotropic rash), treatmnt (steroids)
5. pic ov back vd vesicles, idntify (shingles), complications, treatmnt?
6. xray showin STRAIGHTENIN ov lft border ov heart,,,, pt cmplains ov
shortness ov breath n hv diastolic murmer. diagnose(mitral stenosis),
common cause (RHD), complications??
7. ECG ov a PULSELESS PATIENT,identift d rythm (VENTRICULAR
TACHYCARDIA....), EMERGNCY treatmnt??
8. scenario ov PHOBIC PANIC DISORDER, idntify n treat??
INTERACTIVE....
1. pt vd cardiogenic shock, show CARDIAC THUMB N RESUSCITATE D PT
2. PT COLLAPSED WHILE GIVIN U D HISTORY, MANAGE, POSIBL CAUSES
3. diagnose OCD N MANAGMNT....

UMDC OSPE
1.herpes zoster, treatmnt n complication
2.obcssive cmplsive disorder, diagnosis, treatmnt
3.Xray chest showing opacity, findings n 3 d/d
4.cerebral infarction, diagnosis n 3 causes
5.ventricular tachycardia , diagnosis, immediate stp of managmnt, 2
causes
6.bronchiatesis, 5 causes, 4 investigations
7.acute gout, 3 drugs fr treatment,
8.uremic encaphlopaty, 2 physical sign, managmnt
9.meningitis, investigation, drugs
INTERACTIVE
10.MI with DM
11.pulmonary edema,
12. h.pylori
13.DM

WAH MEDICAL COLLEGE OSPE

Cmplete heart block

match column
3rd nerve palsy
subacute bacterial peritnitis,
subarachnoid haemrage,
pneumnia,
dka, anorexia nervosa,
scabies,
interaktiv:

M.B.B.S Study Stuff All Prof 

pmc med ospe (8.2.12)
cystals pic.diag gout.drugs?cmlications
wart...rx option
dka.wat metabolic derangment? Rx
counselling hw to use insulin in dm pt
ecg changs.risk factors.findings
counselling...needl prick frm hcv pt
counsellin to HBsag positv pt bou d dis n blood donation
ett.ind.comlicatn
cushing.sign.invstigatn

Wmc
 Cmplete heart block
match column
3rd nerve palsy
subacute bacterial peritnitis,
subarachnoid haemrage,
pneumnia,
dka, anorexia nervosa,
scabies,
interaktiv:
dopamine, reactiv arthritis,
hep c, hypovolemic shok

ALL UHS- OSPE of Medicine 2009

Medicine(OSPE)
1. Rh.Arthritis, name the deformity? diagnostic criteria?
2. picture showing facial and neck congestion, d/d?
3. investigations treatment plan of acute severe asthma
4. TB... investigations and treatment?
5. causes of facial palsy? treatment?
6.megaloblastic anemia, causes investigations treatment?
7. myasthenia gravis, investigations & treatment?
8. SLE, treatment plan for mild, moderate and severe?
lytic lesions of bone....d/d? investigations?
9. Drugs: beta blocker, ACE inhibitor, furosemide, nitrates adrenaline..
their mech of action and uses
10. Xrays: pulm. edema, cardiomegaly, effusion, pneumothorax,
pneumonia.
..............................................................
OSPE[i](2009.....NMC)
1. Unilateral ptosis---------> (i) identify? (ii) causes?
2. ETT-------------> (i) identify? (ii) uses? (iii) complications?
3. Steroid injection----------> (i) identify? (ii) emergency uses? (iii) long
term complications
4. Picture of neck(looks like scratchings and scales formed.... Acanthosis
Nigricans)---------> (i) identify? (ii) causes?
5. 39 yrs old gynaecologist with psychiatric disorder, she used lithium,
now presented with weight gain. laziness and cold intolerance(drug
induced hypothyroidism)----->(i) diagnosis? (ii) other signs?
6. X-ray chest(opacity on right side)-------> (i) findings? (ii) D/D?
7. CT scan brain(hyperdense area)------> (i) findings? (ii) causes?
8. MI(ECG)----------> (i) findings? (ii) diagnosis? (iii) management?
9. Name ATT 1st line drugs with 2 complications of each
10. SLE(Picture of butterfly rash)---------> (i)finding? (ii)diagnosis? (iii)
complications?
11. Young patient with DM + HTN---------> (i) investigations? (ii) Drug of
choice(ACE inhibitors)?
12. Interactive station: Scenario=> Young female with abdominal
pain(cardinal feature of DKA), vomiting and RBS 465mg/dl..........>(i)
diagnosis? (ii) further investigations? (iii) management?
13. Interactive station: Scenario=> Young patient of 22 yrs old, smoker
obese, B.P 160/100--------> (i) diagnosis(sec. HTN)? (ii) further
investigations? (iii) management?
-----------
OSPE[ii](2009...NMC)
1. MI(ECG)------->(i) findings?(ST segment elevation and T-wave
inversion (ii) treatment?
2. A patient with history of illness and malarial parasites in peripheral
blood film--------> identify?(cerebral malaria) (ii) caus...e? (iii)
prognosis?
3. Picture(thumb touches forearm... Marfan's synd.)------------> (i)
diagnosis? (ii) associated disorder showing same sign?(Ehler danlos
synd.) (iii) age of appearance?
4. Picture showing strawberry tongue-------------> (i) causative agent? (ii)
Treatment?
5. X-ray chest(costophrenic angle is absent cardiophrenic angle is
obliterated)---------------> (i) findins? (ii)diagnosis? (iii) causes?
6. IV line-------> (i) identify? (ii) indications? (iii) complications?
7. CT scan(white ventricles)----------> (i) findings? (ii) diagnosis? (iii)
treatment?
8. Picture(Haemaccel)----------->(i) identify type of fluid(colloid)? (ii)
indications? (iii) contraindications?
9. Picture of pemphigus vulgaris ---------> (i) level of bullae? (ii)
treatment?
10. Picture (bilateral... myasthenia gravis)---------> (i) D/D? (ii) causes?
11. 18 yrs old boy with H/O social withdrawl for two yrs, depressed
mood, anxietyand weeping habits---------> (i) D/D? (ii) diagnosis?
(iii) 4 pharmacological drugs?
12. Interactive station(ECG given): Scenario=> A female developed
quadripresis with 5% D/W infusion with same history. ECG was
done----------> (i) finding?(hypocalcemia) (ii) diagnosis?(hypokalemic
periodic paralysis) (iii) precautions?
13. Interactive station: Scenario=> A boy with Hepatitis B and HBsAg
positive -------->(i) counsel about marriage?(ii) how will you check th
status of disease?(iii)treatment?
...............................................................................
1.Scenario= diagnosis=haemophilia...defect=factorVIII
deficiency....treatment=factor VIII concentrates
2.Picture crystals...diagnosis=gout...complications=uric acid renal
calculi, tophi, arthropathy....drugs=NSAIDs,allopurinol,colchicine
3.1...8 years girl 1 day history of fever wid chills nd
rigors,headache,vomiting,photophobia...CSF examination cells28/cubic
mm, polys 250/cubic mm, protein 1.8g/L,glucose 98mg/dl
Diagnosis=pyogenic meningitis... treatment=antibiotics...
complications=seizures,hydrocephalus,cranial nerve palsies..
4.29 years female present wid low grade fever,anorexia,chest pain for 3
weeks, on examination pulse 130/min, B.P 90/60, JVP raised, edema
both legs, heart sounds soft ,no murmur....Diagnosis=pericardial
effusion...investigation of
choice=echocardiography...treatment=pericardiocentesis
5.Diagram of endoscopy+Scenario...Diagnosis=duodenal ulcer...2
investigations= barium meal nd endoscopy....treatment=triple therapy
6.Scenario+ X ray...Diagnosis=Sarcoidosis...write X ray finding=bilateral
hilar enlargement...whts rash called=erythema nodosum....treatment=
steroids nd immunosuppresants
7.Scenario....Diagnosis=acute excerbation of COPD wid typeII
respira...tory failure...Significance of ABGs=respiratory acidosis wid
compensatory metabolic alkalosis...Treatment=BiPAP
8.Scenario...Diagnosis=DKA...Metablic abnormality=metabolic
acidosis...Treatment=fluids nd insulin infusion
9.Scenario...Multiple sclerosis...whts CT shows=demylinating lesions...
investigations= CSF examination,visual evoked potentials
10.Scenario+picture...Diagnosis=Addison's disease...whts shown in
picture=pigmentation...Treatment=fluids nd hydrocortisone.
(2009) medicine OSPE:
1. instruments(Lp needle, ETT , NG , IV canula.... Indications
Contraindications) 2. ECGs( Atrial flutter, MI , AV block) 3. X-
rays(Pneumonia, Pneumothorx, TB, IVU)
......................................................................
OSPE Medicine(2009)
1. Patient with PCO2=27, HCO3=14, pH=7.1(Metabolic acidosis)--------->
derangements? causes? investigations?
2. LP needle-------> identify? contraindications?
3. Photo( digital clubbing)-------------> diagnosis? causes?
4. Photo(Scurvy)--------------> diagnosis? causes? signs?
5. Photo(Xanthomas)-----------> diagnosis? investigations? associated
abnormality?
6. Photo(peri-inguinal swelling+pitting of nails)---------> diagnosis? two
causes?
7.X-ray KUB-------------> diagnosis? findings? disease?
8. Hydrocortisone-----------> identify? side-effects?
9. CT scan---------> identify? management?
10. Ant. wall MI-------> dianosis? management?
11. Enlarged thyroid--------> diagnosis? management?
12. Interactive station:=> side-effects of warfarin
13. Neuroleptic malignant syndrome=> fluphenazine and haloperidol
induced pyrexia and catatonic posture.
UHS-OSPE 2009
1. A married male tortures his wife and denies his illness infront of
doctor----> D/D? precautions at home for attendant?
2. X-ray(Emphysema)-----> findings on x-ray? clinical findings?
3. CT scan brain(infarct)-------> identify? caus...es?
4.Picture(infective endocarditis+Roth's spots+splinter
haemorrhage)----->investigate?
5. Rheumatoid hand-----> findings? drugs?
6. Lasix----> identify? complications?
7. NG tube----> identify? complications?
8. Picture(Psoriasis)------> identify? Rx?
9. Diabetic counseling?
10. hematemesis in CLD------> emergency treatment?
11. CA lung-------> investigate?
12. Acute post streptococcus GN-----> investigate?
13. GBS--------> investigate?
UHS OSPE OF MEDICINE Annual 2010

LMDC(8feb)
1.Cheyne stroke breathing picture d/d
2. consolidation xray
3.Haliotrope Rash picture d/d?
4.Xanthoma picture d/d
5.squint picture cause
6.microcytic hypochromic picture d/d
7.erythema nodusum picture d/d
8.Herpes zoster picture treatment
9.Jvp raised picture d/d
10.Observed Laryngosocpe usage
11.IHD cousnel
12.Type 1 DM counseling
13.Alcoholic pt counseling

PMC 8th Feb :

1.Laryngoscope(parts....indications....method of insertion)
2.MI complications and t/m – interactive-
3.Anxiety councelling
4.DM councelling
5.Exopthalmos(give 2 clinical signs....disease....treatment)
6.Calculate HR on ECG, causes of tachycardia,(....4 etiologies....heart
rate calculation)
7.Metabolic Alkalosis with ABG findings(Type 2 resp failure...tell the
abnormality from ABGs)
8.MRI – SOL=>findings?
9.Malar flush(SLE)(diagnostic test of this disease....4 complications from
4 different systems)
10.Digoxin(clinical signs of toxicity....Antidote)
11.Matching(like epigastric pain (pancreatitis), shifted trachea
(effusion)
12. Kyphoscoliosis(.etiology....complications)
13. X ray pneumothorax(4 causes....treatment options)
OSPE NMC 8th feb
1. Anti-HCV counseling?
2. CT-interaventricular hemorrage(modality? what do u see? causes?
diagnosis?)
3. Sinus bradycardia(ECG was given... is the rhythm regular or irregular?
(regular) causes? calculate HR?
4. DM(3 graphs of s...ugar were given... 150gm, 170gm, bove 200 gm)
what it shows?
5. X-ray(hyper-inflated lungs, cadiomegaly) findings? causes of
cardiomegaly? further investigations?
6. Bell's palsy(diagnosis? if rashes are on ear then what is it called?
(Ramsay hunt synd.)
7. Shingles(herpes zoster) diagnosis? long standing symptom(pain)?
most specific therapt?(acyclovir)? if it is widely spread then what is the
cause?(immunization)
8. Left heart failure- diagnosis? management?
9. Heparin(2 indications? 2 contraindications? name the antidote?)
10. ETT(parts? indications? how to insert?)
11. Post-partum psychosis( diagnosis? discuss treatment?)
12. Clubbing(what is shown in picture? give 4 possible diagnosis? name
3 investigations?
13. Matching (left parasternal heave=right ventriculat hypertrophy,
pusating liver=right heart failure, tenderness in RIF= appendicitis,
bronchial breath sounds= consolidation, periorbital puffiness=
nephrotic syndrome.)
OSPE SIMS 8th feb
1.hemaccel coposition(what type of solution? 3 indications?
contraindications?
2. 22 gauge branula(uses? complications?
3. Marfan's(picute of hyper-extended thumb)=> d/d? common at what
age?
4. CT Scan Brain showing Intrace...rebral Haemorrhage with Ventricular
Extension (What is this modality? findings? diagnosis?
5.ECG showing inferior wall MI(Findings? Diagnosis? 3 steps of
management?
6.strawberry tounge(Identify? D/D? Common in what age?(childhood))
7. pleural effusion(What investigation is this? finding? likely diagnosis?)
8. malarial parasite( diagnosis? should we treat urgently this condition?
prognosis?
9.hep b counselling(a man who has hepB is about to get married after 2
months afraid that his wife will contract HepB from him)
10. Ptosis (unilateral) (Finding? why this drooping has occurred?
Causes?)
11. Counselling Hyperlipidemia (Dietary)
12. ECG with examine
OSPE of FMC...08-02-11
1.Neurofibromatosis(identify picture? management? neurological
signs?)
2. CSF picture of bacterial meningitis(diagnosis of CSF findngs?
treatment? pick abnormal findings in the report?
3. Hep B counseling(counsel a preg woman regrding antenatal
risk,breastfeding, preventive measures for her married life..<intractive
station> )
4. Folley's catheter(dentify? name parts?...complications?..<inttractive
station>
5.antipsychotic(psychiatry...scenerio..a 17 yr old boy came with sudden
onset of rigidity n protruding tongue...
answr<ask relvant questns in history><sugst Rx><prog n counsel>????
6.lobar pneumonia-x-ray (2caustve organisms? 4 physical sign??
7.acanthosis nigricans(idntify? etiolgy?)
8.spider nevi
9.subarachnoid haemorrhage....idntify the picture?..mangement?
abnormality in the picture?
10.dobutamin(indications?contraindications? substitute??
11.MI(ecg-- st elevation) =>2 blood tests? mangement?
12. Matching(match the follwing
spleen- myelofibrosis
murmur -thyrotoxicosis
etc)
13. tension pneumothorax(....a man develops suddn dysnea and high
grde fever..is a chronic smoker; other chest findings are
norml.<spntaneous pneumothorax> management?
HFH RMC 8th feb
1. scenario of hepatic encaph: dx? 3 steps of management?
2. ETT picture: identify? give 3 complications?
3. butterfly rash picture: dx SLE?, write 5 signs?
4. scenario of metabolic acidosis: give 2 d/d (dka,salicylate poisoning),
give 1 test to differentiate between ur d/d (urine test)
5. X-ray of pneumothorax: tell 3 findings on xray? write dx?
6. pic of RHD(swollen knee joints): dx (rheumatic heart disease)? give 3
major criteria?
7. hydrocortisone: identify? 3 uses?
8. scenario of anxiety disorder: tell dx? 3 drugs for Rx?
9. picture of hypothyroidism: tell dx? 3 tests?
10. interactive: management of hemetemesis?
11. interactive: MI ECG: dx? management?
12. interactive: prevention of spread of active TB?
13. interactive: diabetes counselling?
OSPE wah medical college 9-2-2011
Interactive stations
1.Hep B coucelling abt diet,Rx n tests fr diagnosis.
2.NG tube.. n C/I(c/I in corrosive acid/alkali poisoning fr lavage)
...3.LP needle method lumbar puncture method n C/I
4. Hep A councelling fr precautions n carrier state.
STATIC
1. Inheritance flow sheet.. Mode of inheritance: autosomal recessive
gve examples.
2. A pic of urine samples in test tube wd diff. colours diag.. paroxysmal
nocturnal haemoglobinuria
other features?
3.graves pic.. Dx n Rx
4. Right sided colapse on x-ray diag? Features?
5. Liver biopsy needle indication n hazards
6.multiple myeloma x-ray name lesions dx n invest?
7.MI , Complications
8.marfan synd pic associated features?
AIMC OSPE 9.02.11
Scabies
Depression
A/E of digoxin
Folleys
...MI
Parkinsonism
XRAY Consolidation+Bronchogram
Intracerebral hematoma
Nephrotic syndrome(Interactive)
Pericardial effusion cardiac temponade
Hypoglycemia
Viral hep
Obesity counseling
qmc 9.2.11
exoph
constrictive pericarditis ecg
tb counsling
laryngoscope
...hydrocephalous
pulmonary hypertension x ray
metabolic acidosis
dka
h.zoster rash pic from davidson
lmdc
1.ptosis pic,2 causes,why drooping eyelid,
2.ecg Mi,clinical symtoms,3 steps for emergncy treatment
3.ett,indications
4.malaria pic of bld smear,symts,drugs
5.eryethema nodosom pic,causes,is it painful or no?
6.multiple sclerosis ct,invstigatins
7.obstrutv jaundice,causes,1invstigation
8.sle butrflyrash pic,diagnostic tests,2 systemic manisfestins
9.ulnar deviation xray,rheumtd arthritis,diagnostic criteria
4 interactive-DM lifestyle modification,DM diet counselling,dka
managment,hep b counselling for other home members,will hep b
transmit to baby?cn she breast feed?wat to do for baby if mother is
hep b postive?
Nmc ospe..
1 leg ulcer pic..dia wagnr grnulomatosis treament
2..ptosis pic,causes
3..multple sclrosis scenrio wid mri.. Invstgn
4 match box
...5 livr biopsy nedle,complctns
6 hepts b pregncy couseling
7 foley cather,indctn
8 ett,larygoscope
9 dopler,echocardio
indictnz
10 cardiac asthma,mangment
11 x ray emphsma complctn
12 fundoscopy,htn retinopathy.

RMC OSPE
ADRENALINE identify and 3 uses
LP needle identify 3 uses
scenario diag... schicoph 3 drugs
rash pic... herpes zoster... 3 drugs used
...d/d of ant chst pain nt relivd by nitrats... and 2 investig
xray... b/l hilar lymphadenopathy or mediastinal widen... not sure... d/d
exophthalmos... signs and diag
scenrio....diag bact meningitis and d/d
rash daig...sle 2 diag tests
ccf or left ventr faliure 3 drugs

OBS
TB counselling
hepatocellular ca counselling
acute sever astma managment

UMDC
1.hypothyroidism...clinical signs...relevant questions to ask...
2.tension pneumothorax...signs nd treatment...
3.respiratory acidosis wid compensatory alkalosis...causes
4.multiple sclerosis...investigation nd eye defect...
5.acute severe ast...hma...management
6.depressio counselling...
7.respiratory acidosis...
8.hepatits C investigatn nd treatment...
9.foleyz catheter...indicatn nd side effects..
10.pneumothorax...treatment..
11.subdural haematoma...treatment..
12.insulin...indications nd side effects...
13.pulmonary edema...treatment..
OSPE wah medical college 9-2-2011
Interactive stations
1.Hep B coucelling abt diet,Rx n tests fr diagnosis.
2.NG tube.. n C/I(c/I in corrosive acid/alkali poisoning fr lavage)
...3.LP needle method lumbar puncture method n C/I
4. Hep A councelling fr precautions n carrier state.
STATIC
1. Inheritance flow sheet.. Mode of inheritance: autosomal recessive
gve examples.
2. A pic of urine samples in test tube wd diff. colours diag.. paroxysmal
nocturnal haemoglobinuria
other features?
3.graves pic.. Dx n Rx
4. Right sided colapse on x-ray diag? Features?
5. Liver biopsy needle indication n hazards
6.multiple myeloma x-ray name lesions dx n invest?
7.MI , Complications
8.marfan synd pic associated features?
AIMC OSPE 9.02.11
Scabies
Depression
A/E of digoxin
Folleys
...MI
Parkinsonism
XRAY Consolidation+Bronchogram
Intracerebral hematoma
Nephrotic syndrome(Interactive)
Pericardial effusion cardiac temponade
Hypoglycemia
Viral hep
Obesity counseling
qmc 9.2.11
exoph
constrictive pericarditis ecg
tb counsling
laryngoscope
...hydrocephalous
pulmonary hypertension x ray
metabolic acidosis
dka
h.zoster rash pic from davidson
lmdc
1.ptosis pic,2 causes,why drooping eyelid,
2.ecg Mi,clinical symtoms,3 steps for emergncy treatment
3.ett,indications
4.malaria pic of bld smear,symts,drugs
5.eryethema nodosom pic,causes,is it painful or no?
6.multiple sclerosis ct,invstigatins
7.obstrutv jaundice,causes,1invstigation
8.sle butrflyrash pic,diagnostic tests,2 systemic manisfestins
9.ulnar deviation xray,rheumtd arthritis,diagnostic criteria
4 interactive-DM lifestyle modification,DM diet counselling,dka
managment,hep b counselling for other home members,will hep b
transmit to baby?cn she breast feed?wat to do for baby if mother is
hep b postive?
Nmc ospe..
1 leg ulcer pic..dia wagnr grnulomatosis treament
2..ptosis pic,causes
3..multple sclrosis scenrio wid mri.. Invstgn
4 match box
...5 livr biopsy nedle,complctns
6 hepts b pregncy couseling
7 foley cather,indctn
8 ett,larygoscope
9 dopler,echocardio
indictnz
10 cardiac asthma,mangment
11 x ray emphsma complctn
12 fundoscopy,htn retinopathy.
RMC OSPE
ADRENALINE identify and 3 uses
LP needle identify 3 uses
scenario diag... schicoph 3 drugs
rash pic... herpes zoster... 3 drugs used
...d/d of ant chst pain nt relivd by nitrats... and 2 investig
xray... b/l hilar lymphadenopathy or mediastinal widen... not sure... d/d
exophthalmos... signs and diag
scenrio....diag bact meningitis and d/d
rash daig...sle 2 diag tests
ccf or left ventr faliure 3 drugs

OBS
TB counselling
hepatocellular ca counselling
acute sever astma managment

UMDC
1.hypothyroidism...clinical signs...relevant questions to ask...
2.tension pneumothorax...signs nd treatment...
3.respiratory acidosis wid compensatory alkalosis...causes
4.multiple sclerosis...investigation nd eye defect...
5.acute severe ast...hma...management
6.depressio counselling...
7.respiratory acidosis...
8.hepatits C investigatn nd treatment...
9.foleyz catheter...indicatn nd side effects..
10.pneumothorax...treatment..
11.subdural haematoma...treatment..
12.insulin...indications nd side effects...
13.pulmonary edema...treatment..
WMC 9th feb OSPE
Autosomal recessive (identify, diseases), paraoxysmal nocturnal
haemoglobinuria(dx,features),multiple
myeloma(lesion,dx,investigations),atenolol(group,indications,contra),ec
g(MI,rx,complications),graves (identify,rx), liver biopsy(needle
identify,complications),mediastinal shift(dx,findings),ehler...s danlos
syndrome (findings,dx,features),interactive: lp needle, hbsAg positive
male,NG tube insertion.Hep A - transmission, precautions, carrier
state?
sims 03/02/2011
1. Lp needle (indication, contra. Ind.)
2. Heparin (indicatn. , toxic eff.)
3. Erythema nodosum (finding, causes)
4. Wernicke's (clinical feat. 3, trea5. Scenario of AR (diag. 3 other physcl
fndngs)
6. Scenario of lower lobe pneumonia(physical findings, empirical
treatment)
7. Picture of inflammed, red, swollen joint (findings, 3 causes)
8. Scenario of addison's wth pic. Of hypopigmentation
(diag.,2 tests)
9. Interactive (diag. &trtmnt. Of pulmonary edema)
10. Interactive (folley's , parts, technique)
11. Interactive (pulm. Edema, diag. N trtmnt.)
12. Interactive (trtmnt. Of ulcerative colitis )
13. Scenario of dilutional hyponatremia , ccf(type of hyponatremia,
other causes of ths type )
we had 2 interactive statns. Of pulm. Edema (diff. Scenario)
Fmh 09
Chest xray with opacity and history of painless hematuria(52 year old
man, weighloss, fever, and painless hematuria. With the opacity shown.
Left lung. It wasn't a proper so called coin lesion. Fluffly thi thori. I did
TB. Though I thought of Ca also..but I moved to tb. I also had
...Goodpastuer Syndrome in mind!),
ct brain with hypodense regionvitiligo and associated diseases
gentamicin drug
ecg with scenario man presented with black out ecg showing
v.tchycrdia
oxygen mask
management of mi
anxiety/panic counselling
tongue candidiasis
acute git bleed management
anemic mother pregnant cause, investigation and counselling.
Matching
Ulcerative colitis...pyoderma gangreonosum
Simian crease...trisomy 21
OSPE 10TH FEB
10-2011 NMC Ospe
1.Porphyria(color bottles ..with urine samples and hx of thrombosis)
2.hep B counciling
3.counciling regarding Rheumatic heart disease.
4.councling schizophrenia
5.glargine
6.terphine biopsy needle.biopsy aspirate needle
7.murmurs (diagramatic representation..Murmur graphs .. MS, MR , AS,
AR PDA)
8.fundoscopy...dx..D.retionopathy
9.chart of intermittent fever(pattern? causes?)
10.CXR..hydropneumothorax(findings? dx? rx)
11.MRI brain(hydrocephalus)
12.autosomal recessive diseases(pattern of transmition? examples?)
13.ambubag and op airway.(interactive)
RMC (Bbh) OSPE
1 . Counselling regarding hep b risk after a needle prick from hep b
positive individual. 2. Counselling a patient regarding hypertension.
INTERACTIVE STATIONS 3.identify the x ray pneumothorax and
treatment.4. Scenario of DKA and treatment .5. Identify the lesion in
nails of a patients having RA (splin...ter haemrrohages) what
complication has occured and name drug for its prevention. 6. Picture
of acromegaly explain loss of visual actuy in this case and name visual
field defect(bitemporal hemianopia)7. Picture of ring worm lesion and
its treatment 8. Depression scenario and its treatment 9. Menigitis
scenario and its D/D and investigation 10. Drugs Calcium gluconate and
its uses 11.laryngoscope

AIMC
Acne picture from internet, treatment
Collapse right sided XRay, causes
Horner syndrom, causes, what signs evident
Match columns
...Amiodarone drug, indication, complication
Heberdon node, underlying pathology, What found on its x ray
Anterior wall MI EKG
CT Abdomen, hypodense areas, differentials.
Metabolic acidosis, Partial pressure with ph and HCO3 given, diagnosis,
treatment
interactive stations:
1 NG Tube, proceudre demo, indications, contraindications,
complications
2 Inferior wall MI, drugs, complications, management lifestyle
3 Pos Myocardial case, your suggestions
4 . Depression lady with management, your advi...

10-02-11 LMDC ospe

UNOBSERVED SPOTS:
1)- Iron deficiency anemia (identification, sign/ symptoms, confirmatory
test)
...2)- Fundoscopic picture of diabetic retinopathy (treatment, name of
hemorrhages)
3)- Metabolic acidosis (causes, investigations)
4)- SLE (systemic manifestations, investigations)
5)- Scleroderma (types
6)- Pulses paradoxis (seen in which diseases)
7)- Abraham's pleural biopsy needle (uses, drawbacks)
8)- Hypothyroidism (treatment, investigations, features)
9)- Estelopram (contraindications, side effects, group)
OBSERVED SPOTS:
10, 11)- Counceing of a diabetic patient 2 spots
12)- Ambu bag and oro pharyngial air way (indications, demenstrate the
use)
13)- Counceling differential diagnosis and treatment of an anxious
patient
PMC(10-2-11)
*dermatitis herpetiformis......pic given......associated dis...and
treatment.
*right bundle branch block......RSR(M) pattern on ECG.....causes.
*pitting of nails......diagnosis......other nail problems in same dis.
*CT abdomen......Cart wheel... app in the liver......diag(hydatid
cyst)...treatment.
*CXR....straightning of left border of heart...MS.....other findings on
auscultation.
*matching column....it was easy(no need to panic)
*frusemide....side effects.
*concelling.....1. senile dementia.
2.LP procedure
3.person taking steroid....councell reagrdin side effects....and how to
stop drug.
4.pneumothorax...treatment.
10th feb(college?)
calcium gluconate idetify and uses
lyrngoscope uses
scenario of depression drugs used in it
councelling of a doctor who got pricked by a needle contaminated by
hep b
photo of acromegaly, y she is getting eye prob, wat eye prob
xray of pleural effusion, diagnostic test
x ray of pneumothorax management
scenario of DKA management
councelling of a patient to quit smoking
tinea corporis, drugs used
AIMC OSPE(8-2-11)
1-laryngoscope(observed)
2-endotracheal tube
3-schizophrenia counselling
4-erythema mutform
5-hep B counseling(observed)
6-meningits D/D(observed)
7-inferior wall MI
8-DVT and drugs used to treat it
9-extra dural hemorrage
10-enlaged heart x-ray
11.Tophaceous gout
12. Phenytoin
13. metabolic acidosis
WMC:8th feb:
1.Pulmonary edeme
2. DM
3. vent. tachycardia
4.ct infarct
5. xray opacity
6. acute gout
7. bromchiectasis----treatment? d/d?
8. meningitis
9. ureamia physical signs
10.herpes zoster
11.PCO management
12. h.pylori management n tests.
SZMC ospe....
1.ECG of MI... findings? diagnosis? imediate managment?
2.exophthalmos, hand clubbing wd resp.snerio,diagnosis? d/d?
investigations?
3. LP nedl,nam,uses,
4.metabolc acidosis scnerio wd biochem,diag.causes,invst.
5 snerio of scurvy n pic of bledng gum.caus n odr featurs.
6 ivu,findngs n causes.
7.hydrocortison.ind.side effects?
8,intrctive,counslng of DVT.
9.Depression question? cause? management? duration of treatment?
10. Dcmpnstd Liver with hmatemsis in emrgncy, management?
11. Counslng hep.b (immunization)
12. CT Brain... infrction.
OSPE fsd medical university
1-NG tube indications and side effects
2-lasix
3-psoriasis picture and treatment
4-depression treatment
...5-x-ray copd findings
6-CT cereberal infarct and its cause which is atrial fibrillation in this
scenario
7-infective endocarditis,pic of nail and eye
8-rheumatoid pic give 2 findings
9-bronchogenic carcinoma,causing laryngeal nerve palsy
10-CLD,hematemasis,HCV +ve give treatment
11-ETT
12-laryngoscope
13-diabetes complications and name hypoglycemc agents
qamc oscpe(8th feb)
larngoscpoe uses? complication ov use?
fever graph swinging fever condition? causes ov relative bradycardia?
hypertensive retinopathy investigation? instrument? finding?
zolmitrptan category? uses? complication?
typhoid fever scenario will hav it if visit that area again? preventive
measures? vaccination available or nt? schedule ov vaccination?
pulse graph pulse bisferians causes?
metabolic acidosis findings? causes?
xray abdomen gall stone carrier state? operation? if chemotheraphy
effective? name investigation?
xray chest bullae findings? disease?
picture plus scenario wegener granulomatosis wat lesion? diagnosis?
wat drug modify it?
ecg ventricular tachycardia finding? diagnosis?
interactive tb councelling hw to protect family?
interactive depression diagnosis? treatment? duration of treatment?
MBBS Final Year Ospe Medicine 2011 UHS Lahore

1. scenario of hepatic encaph: dx, 3 steps of management

2. ett pic: identify: give 3 complications
3. butterfly rash pic: dx sle, write 5 signs
4. scenario of metabolic acidosis: give 2 d/d (dka,salicylate poisoning),
give 1 test to differentiate between ur d/d (urine test)
5. x ray of pneumothorax: tell 3 findings on xray, write dx
6. pic of RHD(swollen knee joints): dx rh. heart dis, give 3 major criteria
7. hydrocortisone: identify, 3 uses
8. scenario of anxiety disorder: tell dx, 3 drugs for Rx
9. pic of hypothyroidism: tell dx, 3 tests
10. interactive: management of hemetemesis
11. interactive: MI ECG: dx, management
12. interactive: prevention of spread of active t.b
13. interactive: diabetes counselling

a. Malarial Parasite (D/X Cerebral Malaria)

i. Diagnosis
ii. Should we urgently treat this condition
iii. Prognosis
...b. Hyperextended Thumb? (Marfan’s)
i. D/D
ii. Common at what age
c. Haemaccel
i. What type of Solution
ii. 3 Indications
iii. Contraindication
d. Branula
i. Uses
ii. Complications
e. Counselling (Hep B)(a man who has hepb about to get married after 2
months afraid that his wife will contract HepB from him)
f. Counselling Hyperlipidemia (Dietary)
g. ECG with examiner
h. ECG with examiner
i. CT Scan Brain showing Intrace...rebral Haemorrhage with Ventricular
Extension
i. What is this modality
ii. What are the findings
iii. What is the diagnosis
j. Strawberry Tongue (Identify, D/D, Common in what age(childhood))
k. Pleural Effusion (What investigation is this, finding, likely diagnosis)
l. Ptosis (unilateral) (Finding, why this drooping has occurred, Causes)
m. ECG showing inferior wall MI
i. Findings
ii. Diagnosis
iii. 3 steps of management

1- herpes zoster
2-,interaventricular hemorrage
3-,sinus bradycardia,
4-GTT curve,
5-lung consolidation,
6-pusatile liver,
7-left parasternal heave,
8-pain RIF,
9-heparin dose
cardiomegaly...due to pericardial effusion
clubbing
left lmn facial palsy
Endotracheal tube
hep c counseling
ppst partum psychosis counseling
ac pulmonary edema

Laryngoscopy,
MI complications and t/m – interactive-
Anxiety councelling
DM councelling
...Exopthalmos
Calculate HR on ECG, causes of tachycardia,
Metabolic Alkalosis with ABG findings
MR – SOL-
Malar flush, SLE
Digoxin
Matching
Kyphoscoliosis
X ray pneumothorax

1.Cheyne stroke breathing picture d/d

2.consolidation xray
3.Haliotrope Rash picture d/d
4.Xanthoma picture d/d
5.squint picture cause
6.microcytic hypochromic picture d/d
7.erythema nodusum picture d/d
8.Herpes zoster picture treatment
9.Jvp raised picture d/d
10.Observed Laryngosocpe usage
11.IHD cousnel
12.Type 1 DM counsel
13.Alcoholic pt counsel

1.hypothroidism pic
2.rheumatic hd pic
3.hydrocortisone
4.anxiety disordr scenario
5.sle rash
6.pneumothorax xray
7.antroseptal infarc ecg
8.counslng tb
9.counslng DM
10.ett
11. hemetemesis management
12. hepatic encaph scenario
13. d/d of metabolic acidosis

1-laryngoscope
2-endotracheal tube
3-schizophrenia counselling
4-erythema mutform
...5-hep B counseling
6-meningits D/D
7-inferior wAll MI
8-DVT and drugs used to treat it
9-extra dural hemorrage
10-enlaged heart x-ray

1)subarach hmrage.idntify the pic..mangmnt..abnrmalty in the pic

2) xray...lobar pneumonia.2caustve org,4 physcl sign
3)dobutamne.indictns,contraind,substitute
4)acanthosis nigricans...idntify,etiolgy
5)ecg..MI st elevation...2 bldtests,mangmnt
6)hep b.counsl a preg womn regrding antenatl
risk,breastfeding,prevntive measures 4 her marrid lyf..
7)folys cathetr...identify.name parts...complts..
8)scenerio ....a man devlps suddn dysnea n high grde fevr..is a chr
smokr...othr chest findin r norml.answr....2.managmnt..
9)phyctry...scenerio..a 17 yr old boy came with sudden onset of rigidity
n protruding ...tongue...
answr
10)match the follwing
spleen- myelofibrosis
murmur -thyrotoxicosis
etc
11)neurofibromatosis:identify pic,managmnt,neurological signs
12)bacterial meningitis:diag csf findngs,treatment,pik abnormal
findings in the reprt...

1. Parkinsonism
2. splenomegaly
3. leg ulcers
4. zolmitripton
...5. graph of fever
6. cause of relative bradycardia
7. Typhoid fever( prophylaxis)
8. Metabolic acidosis
9. TB counseling
10. laryngoscope
11. X-ray(hilar opacity)
12. ECG
13. depression

1.ecg of mi. fndngs,diag.imedt managment

2.exophthalmos, hand clubng wd resp.snerio,diag.,d.d.n invs.
3 LP nedl,nam,uses,
...4,metabolc acidosis scnerio wd biochem,diag.causes,invst.
5 snerio of scurvy n pic of bledng gum.caus n odr featurs.
6 ivu,findngs n causes.
7.hydrocortison.ind.sid efct..
8,intrctv,counslng of dvt.
9.dprsion, qs, wt z, cause, mangmnt, duration ov tm
10. Dcmpnstd Livr wd hmatemsis in emrgncy, mangmnt
11. Counslng hep.b immuniztin
12. CT Brain, infrction.

1.Neurofibromatosis:
Q: Neurofibromatosis...cause, cns associations, prevention &
treatment?
2. CSF picture of bacterial meningitis:

3. Hep B counseling
Q:Hep B positive mother...effects on newborn, breast feeding allowed
and why? Counselling of husband and prevention of hep B in husband?

4. Folley's catheter:
Q:Foley's catheter...method of insertion, medical reasons for
catheterization, how long to leave it in stroke patients, other non
invasive methods-diaper, parts of catheter, function of inflated balloon
at end, how do u know its placed inside bladder?
5.antipsychotic:
Q: Antipsychotics side effects of abdominal rigidity and muscle
tension...history taking, treatment of side effects and councelling,
reassurance?

6.pneumonia:
Q: Xray finding of consolidation...2 causes, other investigations?

7.acanthosis nigricans
Q: Acanthosis nigricans...features, associated conditions?

8.spider nevi
Q: Spider nevi...most common cause, other findings in patient with
spider nevi

9.cerebral haemorrhage:
Q: Subdural hemmorrage...investigation - ct scan, immediate
treatment, other findings on ct?

10.dobutamin
Q:Dobutamin...side effects, indications, substitute?

11.MI
Q: MI...ECG findings of Anterior wall MI, Treatment?
12. Matching
Q: Matching...ptosis-myasthenia gravis, murmur-hyperthyroidism,
pulses paradoxus- cardiac tamponade, cyanosis-emphysema,
spleenomegaly-myelofibrosis?

13. tension pneumothorax:

Q: Tension pneumothorax...diagnosis and reason of diagbosis,
complications, treatment?

Rheumatide Arthritis, Name the deformity? What is its diagnostic

criteria?
Picture showing facial and neck congestion.... What is differential
diagnosis? What Investigations you would suggest?
Treatment plan of acute severe asthma?
Tuberculosis investigations and treatment?
What are Causes of facial palsy? Give treatment?
Megaloblastic anemia... What are its causes? Give investigations? Write
down its treatment?
Myasthenia gravis.... What investigations you would suggest? Give
treatment?
SLE, treatment plan for mild, moderate and severe
lytic lesions of bone, d/d. investigations
Drugs: beta blicker, ACE inhibitor, furosemide, nitrates adrenaline..
their mech of action and uses
Xrays: pulm edema, cardiomegaly, effusion, pneumothorax,pneumonia.
Last year Medicine OSPE instruments:

Indications Contraindications Of
Lp needle
ETT
NG
IV canula
ECGs
Atrial flutter
MI
AV block
X-rays
Pneumonia
Pneumothorx
TB
IVU

Wmc

Cmplete heart block

match column
3rd nerve palsy
subacute bacterial peritnitis,
subarachnoid haemrage,
pneumnia,
dka, anorexia nervosa,
scabies,
interaktiv:
dopamine, reactiv arthritis,
hep c, hypovolemic shok

NMC 8th feb 2012

1. LP needle, idntify, 4 diagnostic indications.
2. creatinism, identify n treatmnt, how to prevent?? (28 yr old puffy
lady vd delayed milstones n umbilical hernia)
3.ECG showin extensive anterior wall infart, idntify, emergncy
treatmnt?
4. pictr ov eye vd haliotropic rash on lateral canthus n lid, symptoms ov
proximal myopathy, rash on the back as well... idntify
(dermatomyositis), finding (haliotropic rash), treatmnt (steroids)
5. pic ov back vd vesicles, idntify (shingles), complications, treatmnt?
6. xray showin STRAIGHTENIN ov lft border ov heart,,,, pt cmplains ov
shortness ov breath n hv diastolic murmer. diagnose(mitral stenosis),
common cause (RHD), complications??
7. ECG ov a PULSELESS PATIENT,identift d rythm (VENTRICULAR
TACHYCARDIA....), EMERGNCY treatmnt??
8. scenario ov PHOBIC PANIC DISORDER, idntify n treat??
INTERACTIVE....
1. pt vd cardiogenic shock, show CARDIAC THUMB N RESUSCITATE D PT
2. PT COLLAPSED WHILE GIVIN U D HISTORY, MANAGE, POSIBL CAUSES
3. diagnose OCD N MANAGMNT....

NMC 8th feb 2012

1. LP needle, idntify, 4 diagnostic indications.
2. creatinism, identify n treatmnt, how to prevent?? (28 yr old puffy
lady vd delayed milstones n umbilical hernia)
3.ECG showin extensive anterior wall infart, idntify, emergncy
treatmnt?
4. pictr ov eye vd haliotropic rash on lateral canthus n lid, symptoms ov
proximal myopathy, rash on the back as well... idntify
(dermatomyositis), finding (haliotropic rash), treatmnt (steroids)
5. pic ov back vd vesicles, idntify (shingles), complications, treatmnt?
6. xray showin STRAIGHTENIN ov lft border ov heart,,,, pt cmplains ov
shortness ov breath n hv diastolic murmer. diagnose(mitral stenosis),
common cause (RHD), complications??
7. ECG ov a PULSELESS PATIENT,identift d rythm (VENTRICULAR
TACHYCARDIA....), EMERGNCY treatmnt??
8. scenario ov PHOBIC PANIC DISORDER, idntify n treat??
INTERACTIVE....
1. pt vd cardiogenic shock, show CARDIAC THUMB N RESUSCITATE D PT
2. PT COLLAPSED WHILE GIVIN U D HISTORY, MANAGE, POSIBL CAUSES
3. diagnose OCD N MANAGMNT....
 9.atenolol 
Group
Indications contraindications
RMC
1.Addison's disease..causes n investigations.
2.Aortic regurg
3.erythema nodosum
4.Lp needle
5.pneumonia
6.swollen knee joint...causes
7.hyponatremia..cause in ccf n other causes

interactive:
1.folleys cathetr
2.acute LVF
3.ccf
4.acute fulminant UC
ospe of AIMC: there was a pillow placed on a bed with sternum drawn
on the paper and placed on the pillow.command was patient is BP less
pulseless now proceed.We were suppose to perform cpr.2)patient is
depressed,counsel him.will you give SSRI's in morning or at night?
3)patient is unconscious.now proceed.we were suppose to do
BLS.4)patient is HBV possitive.counsel him.duration of interferon
therapy and followup?(interferone 1 year followup 3 monthly) how to
protect other house mates (vaccination).Non interactive station: Acute
coronary syndrome and management,Thalasaemia,SLE(butterfly rash
was shown,H/O small joint pain),intracranial hemorrhage and
management,LP needle n its diagnostic indications
RMC ospe 8/2/12

interactive: 
1.pulmonary edema due to cardiogenic shock, rx?
2.pulm edema due to accelerated htn, rx?
3.foleys's catheter, how to insert
4. UC, emergency managemant

static:
1. lp needle
2. heparin
3. addisons
4. erythema nodosum pic, causes
5. aortic regrg scenario, dx? physical signs
6.swollen knee joint pic, dd's?
7.pneumonia scenario, physical signs?

SARGODHA MEDICLE COLLEGE 1.Colles fracture 2.Extra dural

hematoma ct scan 3.DVT 4.T-tube cholangiogram 5.ETT
6.pneumothorax x-ray 7.IVP 8.Lipoma 9.Meckels diverticulum
Interactive stations; Hydatid cyst CT scan.. Non crushing intestinal
clamp

 lmdc 9th FEB surgery: ingrown nail, folley"s catheter, deavers

retractor,,subdural hematoma, hydrocele, lumber puncture,
interactive stations: carbuncle,,insicional hernia. Cullens sign,,pleural
effusion /pneumoheamthorax, Colle's fracture
LMDC ... ospe 8 feb. 2012
interactive:
atropine uses and contraindications
tetnus
acute exacerbation of COPD/ (pulsus paradosus... ??)
oropharyngeal airway, uses and how to use, 
Static:
ST elevation (MI/Pericarditis)
Percussion , picture, percussing hands called?? types and findings in
respiratory system
RA.. 4 radiological findings, 4 drugs
xray chest TB other radiological findings, abnormality in xray
cerebral infarction frontal lobe.. causes, how the patient will present
acidosis
schizoprenia, drugs, extrapyramidal syndrome
sting bite... urticaria, types, anaphylactoid shock
Matching-- bitting nails anxiety, vasculitis splinter hemorrhages,
koilonychia iron deficiency, psoriasis pitting nails, half n half nails CRF

Lmdc static ng tube and its indication and side effects, furosemide
indication and side effects, poriasis dx and t/m, copd pt chest x ray with
hyperinflation... Finding on chest x ray, cerebral infarction and cause,
inf endo with splinter hem and roth spots, ca lungs with recurrent
larengeal nerve palsy and inv, RA with ulnar deviation and swann neck
deformity, Interactive laryngoscope parts complication and uses, ett
uses and parts , counsel DM pt abt complication and drug grp used,
esophageal varices t/m