OSPE

November 2018
Station 1
[Link] the X-ray?
[Link] the radiological finding.
[Link] is your diagnosis?
[Link] 3 clinical presentations
of such patient.
[Link] 5 options of treatment of
such patients.
[Link] one life threatening
complication if treatment is delayed.
[Link] X-ray abdomen on erect posture AP view.
[Link] loop large bowel obstruction.
[Link] colon volvulus.
4.i)Constipation
ii)Abdominal distention
iii)Vomiting
5.i)Hartmann’s procedure
ii)Resection of affected segment and primary
anastomosis
iii)Sigmoidopexy
iv)Colonoscopic derotation
v)Derotation & decompression by enema
[Link] of the affected segment.
Station 2
[Link] the image.
[Link] 3 radiological findings.
[Link] is your diagnosis?
[Link] is the most common cause of
such condition?
[Link] 3 indications of surgical
treatment.
[Link] the name of operation.
[Link] urography.
2.i)Bilateral dilatation of pelvi-calyceal system.
ii)Narrowing of ureteropelvic junctions.
iii)Loss of cupping of calyces.
[Link] hydronephrosis.
[Link] PUJ obstruction.
5.i)Bouts of renal pain.
ii)Increasing hydronephrosis.
iii)Evidence of parenchymal damage.
iv)Infection.
[Link]-Hynes pyeloplasty.
Station 3
[Link] the imaging.
[Link] the radiological finding.
[Link] are the common victims of the
condition?
[Link] three features with which the
patient may present.
[Link] the definitive treatment.
[Link] will happen if left untreated?
1.X-ray Right hip joint AP view.
[Link] fracture neck of right femur.
[Link] .
4.i)Pain at hip.
ii)Inability to move the limb.
iii)Shortening of affected limb with
external rotation.
[Link] Hemiarthoplasty / excision
arthoplasty (girdlestone operation).
[Link] necrosis of head of femur.
Station 4
[Link] 3 features of this picture.
[Link] is your diagnosis?
[Link] may be the cause of such
condition?
[Link] 3 common clinical features of
presentation of this patient.
[Link] next 2 steps of surgery in this
patients.
1.i)Left testis is black & tensed/black/gangrenous.
ii)Small tear/opening on the tunica albuginea.
iii)Scrotal edema.
[Link] of left testis.
[Link] of left testis.
4.i)Pain/sudden onset of pain/pain in the left
scrotum.
ii)Scrotal swelling.
iii)Nausea, vomiting.
5.i)Left sided orchidectomy.
ii)Right sided orchidopexy/ testicular fixation.
Station 5
[Link] the instrument.
[Link] 2 uses of each.
[Link] is the best method to sterilize
these? Write down the principle of this
method.
1.A-Curved haemostatic forceps.
B-Kockers forceps.
C-Moynihan forceps.
D-Swab holding forceps.
2.A-To hold bleeding vessels, tail of suture
material.
B-To hold retractile blood vessels in tough
structure,ARM.
C-To hold cystic duct/artery, used during
anterior vagotomy/lumber sympathectomy.
D-To hold swab, Caecum during appendectomy,
Fundus of gall bladder uring open
cholecystectomy.
[Link].
Boiling point of water is 100*F. Micro-organisms & their
spores are not killed at this [Link] under high
pressure boiling point of water rises. So if pressure is
raised up to 15lb/sq inch, in a closed chamber
container temp raises upto 121°[Link] it is maintained for
15-20min all micro-organisms including their spores are
killed.
In high pressure in a close chamber the boiling temp of
water can be raised in a predictable manner(121°C in
15mmHg pressure) and then steam of high temp with
its greater penetrability and power of releasing higher
latent heat,kills all the micro-organisms including
spores.
Station 6
[Link] the parts of the appliance-
A ,B ,C
[Link] 2 indications of using them.
[Link] 3 complications of the
above appliances.
[Link] 1 function of A,B,C.
[Link] it is sterilized?
1.A-Stoma bag/pouch.
B-Skin protecting wafer.
C-Clip.
2.i)colostomy. ii)ileostomy.
3.i)Social embarrassment.
ii)Skin excoriation.
iii)Leakage.
4.A-acts as reservoir.
B-adheres to the surrounding skin & gives
protection to the skin.
C-seals the reservoir & the bag can be cleared off
the effluent by opening the clip without
removing it from the wafer.
[Link] sterilization is required.
 Station 7
A 21 years old woman has undergone an
emergency splenectomy for trauma. Her pain
was poorly controlled postoperatively.
On 2nd postoperative day,
her blood gas analysis is:
pH7.32, Pa(O2) 8.4kPa, Base excess 2mmol/L
Serum electrolyte: Na+ 138mmol/L,
K+ 3mmol/L, Cl¯ 100mmol/L,
HCO3¯ 28mmol/L
Serum creatinine: 9umol/L
[Link] is the acid base imbalace?
[Link] may be the cause of this acid
base imbalance?
[Link] three positive findings in this
condition.
[Link] three measures to be taken for
this case.
[Link] two sequel of this condition if
untreated.
[Link] Acidosis.
[Link] atelectasis.
3.i)Decreased breath sound.
ii)Fine creps on lung base.
iii)Consolidation on chest X-ray.
4.i)Adequate pain control.
ii)Respiratory physiotherapy.
iii)Pulmonary toileting.
5.i)Pneumonia.
ii)Respiratory failure.
 Station 8
Preparatory station

Task:
Assume that you have already scrubbed.
[Link] on gloves.
[Link] off gloves.

Time: 5 minutes
[Link] the folded part of one glove using thumb and
index finger of opposite hand.
[Link] the fingers(Four fingers & then thumb) of the
corresponding hand into gloves & pulls the glove
proximally to slide all the fingers in keeping the fold of
the glove over the wrist unchanged, exposing the
inner surface.
[Link] the folded part of second glove using thumb &
index finger of same hand & slip the four fingers of
the partially gloved hand under the cuff of the second
glove.
[Link] fingers of the bare hand into the gloves &
pull the glove upwards over the fingers & hand to
completely cover well above the wrist of the second
hand.
[Link] the fingers of the gloved second hand
under the cuff of the partially gloved first hand
& pull the glove over the wrist.
[Link] the glove of one hand at palmer area by
another gloved hand & pull it out keeping it
hold by the gloved hand(glove-to-glove
technique)
[Link] the ungloved fingers between the
skin & glove sleeve of other hand(skin-to-skin)
& push it out of hand (inner surface out). One
soiled gloves would enter into the other taking
un-soiled out.
 Station 9
Preparatory station
Task:
Assume that you have already scrubbed
& gloved.
[Link] proper size of BP blade & BP
handle.
[Link] BP blade to handle.
[Link] BP blade from BP handle.
Time: 5 minutes
[Link] the proper size of blade & handle.
[Link] the aluminium foil of the blade from the
ends that allow easy opening.
[Link] the blade out of the aluminium foil with
a haemostat held in right hand.
[Link] a non-toothed dissecting forceps in left
hand align the blade within the grip of the
haemostat, in order to slide it on to the available
groove on the Bard-Parker handle.
[Link] the handle in left hand align the blade
into groove & slip it into place.A ‘click’ indicates
its proper fixation.
[Link] remove the blade, hold the handle in
left hand & with a haemostat held in the
right hand, disengage the articulating edge
of the blade.
[Link] the position of the haemostat on
the blade & slide it off the groove by
pulling out the handle.
[Link] tries to fix or remove the blade
with hand.
Station 10
1. Identify the objects.
[Link] 2 usages of these.
1.A-Crepe bandage.
B-Roll bandage.
C-Roll cotton.
D-Plaster of paris.
[Link] bandage-
It exerts a light to moderate compression
to reduce swelling.
Offer support following strains & sprains.
Suitable for use in wrist & ankle injuries,
knee joint pain,around the elbow & arm.
Roll bandage-
To keep dressing in place after operation in limb.
Mastoid bandage after mastoidectomy.
Coconut bandage after scrotal or testicular
operation.
T bandage after operation in anorectal region.
Collar and calf sling after fracture clavicle.

Roll cotton-
Making pads for cleaning and swabbing wounds.
Applied beneath bandage,splint or plaster of limb.
Plaster of paris-
To support fractured bones, controlling
movement of fragments and resting
the damaged tissues.
To stabilize joints in ligamentous injury.
To support and immobilize joints and
limbs post operatively until healing has
occurred.
To correct a deformity.
To ensure rest of infected tissue.
GOOD LUCK
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