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TRIAL OSCE

2005
 STATION 1
 25/m/man. Sustained MVA (mb vs mb).
Presented to A&E 1 hour after accident due to
left calf pain associated with minimal bleed.
a) Describe the finding in picture A and B (4M)
b) What classification and grading? (2m)
c) Indication of external fixation and
complication?(4M)
A B
 STATION 2
33/m/m, hx of open fracture left lower part
femur fracture a year ago. Today come to
casualty due pain full swelling at left thigh.
a) Describe the finding
b) What is the diagnosis?
c) Outline the management?
A
 STATION 3
man noted a recurrent mass coming out from
nose. Had allergic rhinitis and asthma since
child hood.

a) Describe finding?
b) Further question?
c) One investigation before surgical intervention?
d) Management?
 STATION 4
a) IDENTIFY A,B, C
b) WHAT IS THE DIAGNOSIS FOR FIG 1 AND
2?
c) OUTLINE THE MANAGEMENT FOR FIG 1
 STATION 4

B
C A
 STATION 5
Boy, itchiness
of the head a
year ago.
Only at head.
Systemic
review
unremarkable
 STATION 5
a) DESCRIBE THE FEATURE
b) WHAT IS THE DIAGNOSIS
c) NAME ONE INVESTIGATION
d) NAME 4 DRUG
STATION 6
 STATION 6
Itchiness no fever
 DESCRIBE FINDING

 DIAGNOSIS

 NAME 4 DRUG
 Station 7
Mr. H, 48 years old, presented with fever, night
sweats, weight loss and pruritus for 2 months
PTA
O/E
 Multiple cervical lymph node enlargement

Lymph node biopsy was done

1. Describe the histological finding (3m)
2. State your provisional diagnosis (1m)
3. State the histological types (4m)
4. Name the staging system (1m)
5. Outline the management (2m)
 Station 8
 Mr. R, 55 years old gentleman presented with
high grade fever , cough and shortness of
breath for 4 days PTA
1. Describe the findings (2m)
2. State your provisional diagnosis (1m)
3. State the severity score (5m)
4. List the other investigations (3m)
5. Outline the management (3m)
 Station 9
 Mr. X, 60 years old man presented with acute
central chest pain for 3 hours PTA
1. Describe the findings (3m)
2. State your provisional diagnosis (1m)
3. Outline the management (4m)
4. What the acute complications of your diagnosis
(4m)
 Station 10 (active station)
30 years old gentleman come with shortness of
breath and wheezing
Question : Describe how to prepare nebulizer
therapy (10m)
 Station 11
Mr. P, 50 years old, presented with reduce in
urination 2 days PTA.
Arterial blood gas
 Ph : 7.2
 Pco2 : 50
 Hco3 : 30
 BE : -2
BUSE
 Urea : 8
 Creatinine : 200
 K:5
 Na : 135
1. Interpret the ABG and BUSE (2m)
2. Give your provisional diagnosis (1m)
3. Outline your management for this patient (6m)
 Station 12
B/0 Madam D, pre term baby was noted to has
cyanosis
1. Describe the findings (2m)
2. Give 2 differential diagnosis (2m)
3. Outline your management (6m)
 Station 13
 A lady just delivered a baby. Counsel her
husband about method of wearing condom as
a contraception technique.
*(A 10ml syringe was given for you to demonstrate) (10)
 Station 14
 Picture of a 3-year-old child with right eye
problem
1. State the abnormalities (4)

2. Give 2 differential diagnosis (4)

3. Give 1 investigation to confirm the diagnosis

(2)
 Station 15

B
 1. Name the exhibit A and B (4)
2. Give 1 Contraindication of each one (4)

3. Most common complication of exhibit B (2)

 Station 16
 Write a post-op management of a women who
just having mid-cavity forceps delivery.
(10)
 Station 17
 A 20-year-old single
lady, nulliparous and
sexually active
 1. State the causative organism and the mode of
transmission (1)

2. State the treatment (1)

3. Advise the patient (8)

 Station 18
 Preconception counseling to a 23-year-old just
married nulliparous.
(10)