OFFTAG ASSESSMENT

Name:
Posting:

A. Basic ward work.

1. How to book minor OT from ED/Ward:

 During working hours:

 After working hours:

2. How to take consent from patient for the following procedure :

 Excision biopsy of wrist (volar) ganglion cyst

 Open reduction and plating radius and ulna

3. What must be available and ensured for patients planned for emergency surgery:
45 years old, Malay, Gentleman with underlying DM,HTN ; planned for right above knee amputation?

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B. Drug Doses.
DRUG DOSAGE MAXIMUM DOSE
Tab and IV Paracetamol
Tab Diclofenac Sodium
(Voltaren)
Tab Ibuprofen
IV and Tab Tramadol
Cap Celecoxib
Tab Arcoxia
IV Parecoxib (Dynastat)
Tab Meloxicam
Tab Apo-alendronate
(Apofosamax)
Tab Calcium Lactate
Tab Rocalcitriol / Alphacalcidol
IV Augmentin Adult :
Paeds :
Tab Augmentin
Tab Azithromycin
Tab Bromhexine
Tab Cefuroxime Adult :
Paeds :
IV Cefuroxime Adult :
Paeds :
Tab Pentoxyphylline
IV Ciprobay
S/C Clexane Prophylaxis:
Treatment:
S/C Fondaparinux Prophylaxis:
Treatment:
Tab Erythromycin
IV Flagyl
Tab Flagyl
IV Maxolon
Tab Maxolon
IV Ranitidine
Tab Ranitidine
IV Unasyn
Tab Unasyn
IV Gentamycin
IV Tazocin
Tab Bactrim
IV Cloxacillin Adult :
Paeds :
Cap Cloxacillin Adult :
Paeds :
IV Midazolam Adult :
Paeds :
IV Pethidine Adult :
Paeds :
IV Fentanyl Adult :
Paeds :

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 C. Immobilization
Explain and draw how to apply the following immobilizations:

DRAW
I. Above elbow backslab / Long arm slab
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II. Full length backslab / Long leg slab
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III. Below knee backslab / Short leg slab
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IV. Cylinder slab
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V. U-slab
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VI. Volar slab
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VII. Buddy splint
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VIII. Ulnar gutter

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IX. Collar and cuff

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 D. Local anaesthesia

Ankle Block

Wrist block

Digital Block

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 E. Sedation
50 years old Malay Gentleman (Body weight : 60kg) , alleged fall sustained closed left distal end radius
fracture. He is planned for Closed Manipulative Reduction and left above elbow cast.
Explain in detail the following ( Consent, Sedation including how would you prepare sedation,
Monitoring, Post CMR Xray, Cast advice).

6 years old Indian Boy (Body weight : 15kg), alleged fall sustained closed right distal end radius fracture
(Salter Harris II). He is planned for Closed Manipulative Reduction and above elbow cast.
Explain in detail ( Consent, Sedation including how would you prepare sedation, Monitoring, Post CMR
Xray, Cast advice)

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 F. Case scenarios.
I. You are called by your MO to see a case in Resus.
Unknown, 50 years old, Malay Gentleman, Under surgical for intracranial
haemorrhage.
Referred to Ortho team for open right tibia fracture
Patient is intubated. No family members around.
What history will you take, from whom, and how will you examine this patient?

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II. SN in ward informed you that patient with left Diabetic Foot Ulcer suddenly complains of shortness of
breath and chest pain, had a few episodes of vomiting. SpO2 under room air : 80%, patient lying down
flat on the bed. How will you attend to this patient and what is your plan of management.

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III. SN informed you , patient with femur fracture post trauma day 2, having temperature spike. What is
your differential diagnosis and next plan of management

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IV. Patient age 56 years old, with underlying diabetes mellitus. Complaints of palpitations. Vital signs -
BP Stable. What is your differential diagnosis and how will you approach this patient?

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V. SN informs you that patient, aged 65 years old with underlying diabetes mellitus, latest DXT
2.5mmol/L. How will you approach this case, what is your plan of management?

DXT after 30 minutes : 3.6 mmol/L , What is you next step?

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VI. SN informs you :
Patient, 70 years old Chinese Lady with diabetic foot ulcer.
BP : 80/40, repeated 75/45mmHg. MAP : 56-60.
What is your plan of management ?

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VII. SN informs you :
Patient, 65 years old Indian Lady with underlying hypertension planned for elective op the next day.
BP : 230/110, repeated 220/105mmHg.
How will you approach this patient and what is your plan of management ?

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