Medicine

Group 1
Station 1
spinal needle viva
parts
uses
indications
contraindication
csf analysis in bacterial viral and tuberculosus meningitis differences

station 2
cxr
diagnosis ? pleural effusion
what parameters will u use to evaluate risk in this pt
specific investigation to reach diagnosis

station 3
ankylosing spondylitis
eye complications (pain and photophobia) ...why?
lung and heart complications...why?
specific investigations?

station 4
ecg findings
diagnosis
ant lat st segment elevation mi
management

station 5
butterfly rash stiffness in joints low grade fever 25 yr old girl
diagnosis ?
findings on general physical and systemic examinations ?
investigation?

station 6
75 yr old man yellow eyes and skin pleuritis low grade fever weight loss and
anorexia 1month
diagnosis hepatocellular carcinoma
specific findings on GPE and systemic examination ?
investigation ?

station 7
hb dec mcv inc platelet dec tlc dec
diagnosis ? megaloblastic or aplastic anemia
in which conditions it occurs ?
what do u see on peripheral blood film
investigation ?

station 8
prescription of 55 yr old man diagnosed with diabeties recently he has burning
sensation of foot HbA1c 8.5 bp 140 / 110 LDH inc hypoalbunemia
write prescription

station 9
schizophrenia scenario ( has started dissociation from friend and family suspicious
behaviour has been seen talking to himself and surrounding
diagnosis ?
positive and negative findings
antipsycotics names
complication of antipsychotic

station 10
ldh
proteins dec 3.9 mmol
wbc inc with leukocytosis
type of effusion ? exudative
causes
investigation to confirm

Group 2
1-Cushings
2-clubbing
3-Cardiomegaly xray causes signs waghera
4-lat inf wall mi
5-severe depression viva
6-psoriasis
7-stroke picture given of area and poocha hua kia symptoms ainge
8-Acromegaly
9-Hemolytic/megaloblastic anemia nahi pata lol
10-exudative effusion report features causes waghera
Group 3
 Group 4
1.
Diabetic Patient presented with severe dehydration. Na levels decreased, K levels
decreased. Mildly elevated urea and creatinine. BSR 640.
Diagnosis
Write its managment

2. Chest xray with multiple heterogenous opacities. History of taking anti cancer drugs
due to beningn mesothelioma.
Findings
Name pathology
Write investigations to reach diagnosis

3. Picture of white scales on knee. History of joint pains and skin changes.
Diagnosis
Write investigations
What findings will you notice on fingers
Treatment

4. ECG single lead.

Atrial fibrillation
Tell findings And pathology
What will you find on clinical examination of this patient.
Write treatment

5. Male boy getting multiple transfusions history of bleeding episodes.

Diagnosis
What will you see on joint aspiration
Write investigations
Treatment

6. Psychiatry station- panic attack counselling

7. Patient presented to ER explained that he had worst headache of his life. Signs of
meningism seen.
Diagnosis
Investigations
Treatment

8. Picture of pink hands seen in raynard. History of joint pains and dysphagia.
Diagnosis
Differentials
Investigations
Treatment

9. Patient came to pakistan. History of weight loss. Picture of white tongue.

Diagnosis
Differentials
Investigations.

10. Child presented with pedal edema and periorbital edema. Protein +++, hematuria
Diagnosis
Treatment
Investigations