DAY 1: DATA INTERPRETATION SKILLS STATION – CHEST RADIOGRAPH

This is a chest radiograph of a 28-year-old man admitted with difficulty

in breathing.

INSTRUCTIONS

1. Describe all the findings shown on this image

2. What is the diagnosis depicted?

3. Name 5 clinical findings you would expect on the chest

examination?

4. Name 4 relevant investigations in the work up of this patient.

DAY 1: HISTORY-TAKING SKILLS STATION

This is an image of a 34-year-old male presenting with the lesion on his

abdomen.

INSTRUCTIONS

1. Describe all the findings shown on this image.

2. What is the diagnosis depicted?

3. What relevant history would you obtain from this patient?

4. Name 3 relevant investigations in the work up of this patient

5. Name 2 complications of this condition.

DAY 1: CLINICAL SKILLS STATION

INSTRUCTIONS
1. Describe all the findings shown on this image.

2. What is the diagnosis depicted?

3. What additional physical findings would you expect in the general

examination?

4. Name 3 investigations that should be carried out to establish the

diagnosis

5. Name 3 modalities of treatment of this condition

DAY 2: DATA INTERPRETATION SKILLS STATION – CHEST RADIOGRAPH

This is a chest radiograph of a 35-year-old man admitted with difficulty in

breathing.

INSTRUCTIONS

1. Describe all the findings shown on this image.

2. What is the diagnosis depicted?

3. Name 5 clinical findings you would expect in the chest examination?

4. Name 4 relevant investigations in the work up of this patient

 TASKS MARKS DONE NOT
DONE
Describe all the findings shown (5 Marks)
1. Trachea is central 1
2. Right sided extensive pneumothorax 1
3. Right sided lung collapse 1
4. Obliteration of right costophrenic angle 1
Left lower zone opacification and 1
5. obliteration of costophrenic angle
Diagnosis depicted (1 Mark)
6. Right sided pneumothorax with lung 1
collapse and right-sided pleural effusion
5 clinical findings expected on the chest
examination (Any 5 Signs for 5 Marks)
7. Trachea is central 1
8. Apex beat is not displaced 1
9. Reduced movement right hemithorax 1
10. Reduced chest expansion 1
11. Reduced tactile fremitus on the right 1
12. Hyper-resonant percussion note on the 1
right
13. Absent breath sounds on the right 1
14. Absent vocal resonance on the right 1
15. Features of a small pleural effusion on the 1
right
4 relevant investigations in the work up of this
patient. (Any 4 for 4 Marks)
16. CT Scan of the chest 1
17. Pleural fluid analysis 1
18. Sputum Gram’s stain and culture 1
19. Sputum GeneXpert 1
20. Full Blood Count (FBC) 1
TOTAL MARKS 15
DAY 2: HISTORY-TAKING SKILLS STATION

This is an image of a 45-year-old male presenting with the skin lesions.

INSTRUCTIONS

1. Describe all the findings shown on this image.

2. What is the diagnosis depicted?

3. What relevant history would you obtain from this patient?

4. Name 3 relevant investigations in the work up of this patient.

5. Name 2 drugs used in the treatment of this condition.

 TASKS MARKS DONE NOT
DONE
Describe all the findings shown (4 Marks)
1. Multiple purple nodules/ plaques on the 4
chest, upper limbs and left side of face,
neck and around the left ear
Diagnosis depicted (1 Mark)
2. Kaposi’s sarcoma of the skin 1
Relevant history obtained from this patient
(Any 5 points for 5 Marks)
3. Presenting symptoms and duration of 1
the body swellings
4. Presence or absence of oral lesions 1
5. Any difficulty swallowing 1
6. HIV status and treatment history 1
7. Any use of ART 1
8. Duration of use of ART 1
9. ART regimen used 1
10. Default from treatment 1
11. Adherence to treatment 1
12. Use of any immunosuppressive drugs 1
13. Symptoms of disseminated KS disease 1
(respiratory, GIT, skin involvement, limb
swelling)
3 relevant investigations in the work up of this
patient (Any 3 for 3 Marks)

14. HIV test 1

15. HIV viral load 1
16. CD4 count 1
17. Lesional biopsy 1
18. Chest radiograph 1
19. HIV test 1
2 drugs used in the treatment of this condition
(Any 2 for 2 Marks)
20. Vincristine/Vinblastine, Bleomycin, 2
Doxorubicin/Adriamycin, Etoposide,
Paclitaxel, Vinorelbine, Liposomal
Daunorubicin/Doxorubicin

TOTAL MARKS 15
DAY 2: CLINICAL SKILLS STATION

INSTRUCTIONS

1. Describe all the findings shown on this image.

2. What is the diagnosis depicted?

3. Name 3 causes of this presentation.

4. Name 3 investigations that should be carried out to establish the

diagnosis

5. Name 3 long-term complications of this condition that contribute to

death
 TASKS MARKS DONE NOT
DONE
Describe all the findings shown (5 Marks)
1. Moon-face 1
2. Acne on face with facial plethora/ 1
redness
3. Gynaecomastia 1
Multiple pink-purple broad stria on the 1
4. abdomen and other parts of the skin
5. Skin appears thin with multiple visible 1
vessels
Diagnosis depicted. (1 Mark)
6. Cushing’s syndrome 1
3 causes of this presentation (Any 3 for 3 Marks)
7. Pituitary microadenoma 1
8. Ectopic ACTH syndrome 1
9. Steroid therapy 1
10. Adrenal adenoma 1
11. Adrenal carcinoma 1
3 investigations that should be carried out to
establish the diagnosis (Any 3 for 3 Marks)
12. Adrenal CT/MRI – adenomas/carcinomas 1
13. Pituitary MRI – pituitary adenoma 1
14. CXR – carcinoma of the bronchus 1
15. Plasma ACTH levels – low in non-ACTH 1
dependent disease
16. High dose dexamethasone test- lack of 1
suppression occurs in ectopic ACTH
production
3 long-term complications of this condition that
contribute to death (Any 3 for 3 Marks)
17. Hypertension 1
18. Myocardial infarction 1
19. Heart failure 1
20. Infections 1
TOTAL MARKS 15