• CVS: murmurs(AR, MR, prosthetic valve, VSD) , Infective endocarditis, valvular diseases, Acute coronary syndrome. • RS: cough & SOB (Lung cancer, asthma, COPD, bronchiectasis, pneumonia) • Neurology: TIA, myasthenia graves (PC; dysphagia), Friedrich ataxia, MS, transverse myelitis • ECG: supraventricular tachycardia (list 4 abnormalities, causes, ttt) • Nephrology: PCKD, CKD, AKI, Nephrotic syndrome (Periorbital swelling) and nephritic, post-renal transplant. • GI: ascites, jaundice, GI bleeding, IBD • Endo: Cushing syndrome • Hematology: o ITP (PC: bleeding tendency). o Thalassemia (PC; hepatosplenomegaly) o DIC o Sickle cell o CBC result of 3 scenario: ▪ pt with epilepsy on phenytoin? Megaloblastic anemia (CBC show, high MCV) ▪ postnatal lady present with tiredness? Microcytic hypochromic anemia (CBC shows low Hbg, low MCV & MCHC, high Retc. (20%)) ▪ lady with h/o 3 wks SOB on excursion. CBC show pancytopenia (low Hbg, plt., WBC) o Counsel for blood transfusion. • Procedures: o IV cannulation o Insert NGT o ECG leads placement. o Pleural tab. o Foley’s catheter Pediatric (3) • Celiac • Limping: Septic arthritis, IgA nephropathy, JIA, SLE • Anaphylaxis • Cystic fibrosis: genetic counselling and drawing of Pedigree. • PC: dark urine, sore throats 3 weeks back. • Croup • 6 years old child presented with painful vesicular on the mouth and fever, he also have reduced feeding and liquid intake • Khadija brought her 2 month baby diagnosed as infantile colic, give advice to mother(medication, non medication for the child). • 2 Picture of white & red strawberry tongue: o Describe the abnormality? o What's the Dx? Scarlet fever. o What's the causative organism? o write 2 skin lesion characteristics of this disease? o 2 complication? • Developmental assessment/ assessment of growth. • Rickets • Counsel mother who refuses LP. Pt has meningitis (fever and headache). • Assessment of weakness (Gower’s sign). • Febrile sezuire. Psychiatry (3) • Generalized anxiety disorder (anxiety over 6 months). • ADHD (restlessness and hyperactivity) • Demenia (forgetfulness & agitation) • OCD • Post-partum depression • Schizophrenia; discharge on Olanzapine; give advice: tell him he is ready to go, advice on the drug side effects and how to overcome these SE, advice on how to suppress his symptoms • Depression • Only mini mental state examination. • Autism. • Patient is a dependent alcohol drinker. Take history: o Onset, type of alcohol, timing, frequency and with whom o Craving o Tolerance o Withdrawal symptoms o Forensic history o Family support o Focial life, drugs o Occupation • Delirium. FAMCO (2) • UTI • white coat HTN • Headache • Counsel pt want to quint alcohol. • Counsel pt want to quite smoking. • Counsel pt regard high random blood sugar. • Pt with rhinorrhea. • Polycystic ovary syndrome (PCOS), infertility. • Asthma: Give advice on how to use inhalers, show pt how to use MDI, management of severe asthma. • Pt come for employment, has hepatitis B positive test, advise him. HsAg +ve/ HeAg +ve/ Ant IgG +ve/ Ant IgM -ve • Counsel about IUCD. • Pt has sleeping difficulties, want sleeping pills, assess her. • Pt complain of obesity > Dx hypothyroidism. • Back pain: do physical examination (gait, neurovascular of lower limbs, to end my examination, I would like to perform PR examination to check anal sphincter tone). DX: o Lower motor neuron lesion o Sciatica (+ve SLR) – list causes o Mechanical pain with paraspinal tenderness and no focal neurological findings. • PC; palpitation and fatigue. • Dehydration due to diarrhea; counsel on ORS. • Child with paracetamol overuse. Counsel mother who refuses admission. • Diabetic foot examination and care. • Hx of vaginal discharge → Dx. trichomonas vaginalis → discuss management. • Employment; HIV positive. • Abnormal lipid profile, counsel. Surgery (3) • Acute pancreatitis Do examination • Right inguinal hernia • Mastitis • Fibroadenoma (breast pain for 1 year), must describe the mass. • Thyroid (Graves); PC (neck swelling) • Acute cholecystitis • Urology: poor urine stream, PR examination on manikin • Ulcers • Acute limb aschemia • Swelling: neck mass, lipoma, sebaceous cyst, ganglion • Stoma ? • Appendicitis. • Pt was having a wound in his arm, perform a proper wound management fully. Ortho (2) • Radial nerve injury , wrist drop. Do examination • Examine knee (ACL tear, osteoarthritis). Must know about DEXA Scan. • Car accident causing intraarticular fracture of tibia and fibula (Complication; compartment syndrome) • Carpal tunnel syndrome. • Shoulder examination. • Ankle examination: tilt test. • Rheumatoid arthritis. Ophthalmology (1) • PC (headache and vision impairment): Pituitary adenoma causing bitemporal hemianopia, examine visual field only • PC (Diplopia): use fundoscopy, DX (6th nerve palsy, stroke), advice pt whether he can drive or not. Anesthesia (1) • Maintain airway (apply bag mask and connect it to IPPV), take hx of pt with chest pain & SOB Do examination Oral (1) • Drug induced xerostomia (amitriptyline) • Aphthous ulcer with anemia. Counsell pt about management. • Child with herpes gingivostomatitis (fever, malaise, difficulty in swallowing & cervical lymphadenopathy), advice the mother; o Causes? infectious? leukemia? follow up? Serious? • Orthopantomography is showed, problems? Is valvular condition will be affected with dental exctrasion? • known case of SLE, presented with disturbed taste & tooth pain; DX (xerostomia due to 2nd Sjogren Syndrome). How to maintain oral hygiene. Derma (1) • Lichen planus. • Atopic dermatitis (redness and itchiness): There are three age-group stages of atopic dermatitis: infantile (from infancy to 2 years old), childhood (from 2 years old to 12 years old) and the adult stage for those older than 12 years. adverse effects of applying a topical corticosteroid cream? • Scabies • Urticaria • Allergic dermatitis.
Bayan Al-Harrasi Collection of all OSCEs from previous links.