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MBBS OSCE EXAMINNATION

SET III
RULES
• Total stations : 10
• Total time : 11min
• Time per each station : 1 min
• Marks per each question :( .5x2=1)
• No negative marking
1

Shown is the diagram of


Pelvis

A : What is the line pointed


by arrow ?

B : List two conditions


where it is broken
2

A : What is probable
diagnosis?

B : What would you like to


do confirm it ?
3
Shown is the classical
deformities of fingers in
Rheumatoid Arthritis

A : What is the deformity in


index finger?

B : What is the deformity in


other fingers?
4
Shown is the deformity at right
elbow in this boy

A: What is the deformity shown?

B: It is complication of which
fracture seen in this age group?
5
a. Name the marked
condition& muscle
involved

b. Name the nerve


involved in this
condition
6

A : What is the deformity


shown in the Xray?

B: What are two the other


deformities seen in spine?
7
25 yr old male sustained
injury to rt hip when he was
struck from behind over hip.
He developed hip pain with
typical flexion, abduction &
ext rotation attitude of hip
a. Name the condition
b. Mention two possible
complication arising from
this condition
8
• 35 yr old male developed
acute swelling of 1st MTP
swelling. He gives history
of high protein diet
intake along with alcohol.
a. Name the most likely
condition
b. Name two drugs used in
this condition
9
a. Name the implant

b. Name one use


10
a. Name the splint used

b. Mention one
indication
1 minute

Revise
MBBS OSCE EXAMINNATION

SET IV
RULES
• Total stations : 10
• Total time : 11min
• Time per each station : 1 min
• Marks per each question :( .5x2=1)
• No negative marking
1

a. Name the splint child


is wearing

b. What is the indication?


2
a. Name the clinical test
being performed

b. In what condition this


test is done?
3

a. What is radiological
appearance?

b. What is most probable


diagnosis?
4

a. Identify the apparatus


used

b. Mention two uses of it


5
• 25yr old truck driver
was brought to ER .His
knee had collided in the
dash board. He had
complaint of hip pain
• Name one most likely
diagnosis
a. List two complications
6
• 25 yr old man sustained
cut injury to proximal
leg following which he
developed high
stepping gait.
a. Name the likely
structure injured
b. Name its 2 main
branches
7
25 yr old boy came to OPD
with slowly enlarging mass
over distal thigh. This was
first noticed in the teenage.
On examination mass was
bony hard attached to
underlying bone.

a. Most likely diagnosis


based on xray
b. Name one complication
8
• 8yrs old boy progressive
weakness of lower limbs and
difficulty in getting up from
squatting position
• Raised serum phosphokinase
level 2-300 times

a. Name the likely diagnosis

b. Name the diagnostic sign


mentioned on the image
9

a. What is the
radiological finding?

b. Mention one clinical


finding in this patient
10

a. What is the probable


diagnosis in this child
with H/O trauma to
elbow?

b. What is the evident


deformity?
1 minute

Revise
7
• 25 year boy sustained
cut injury to forearm
following which he
developed following
deformity

a. Name the nerve


involved
b. Name the given sign
3
• 20 yr old labourer complained
progressive back pain&
weakness of bilateral limbs
associted with evening rise of
temperature & wt loss over
the period of 5 months. His
blood examination showed
eleveted count with
lymphocytic predominence /
low hemoglobin/ elevated ESR.
a. Name the likely diagnosis
b. Earliest radilogical sign ( as
shown in xray)
6
• Name the implant given
in figure

• Name its components


9
• 19 yr old male presented
to ER with pain & unable
to use Rt arm. His arm was
supported by another a
hand & it was abducted
and externally rotated. He
had loss of sensation over
lateral aspect of deltoid
a. Name the likely injury
b. Name the neurolgical
injury
1 minute

Revise
7

a. Name the implant

b. Name one of its


indication
8
A: What is the diagnosis?

B: What is the late


complication if this fracture
is not managed properly?
1
Shown is the anterior
anatomy of Elbow region

A: Identify the structure


marked by arrow

B: What is the clinical sign if


this structure is injured
9
a. Name the congenital
deformity shown in
the figure.

b. Name the components


of the deformity
TIME OVER
• 65yr old man complains 2
of multiple bone pain ,
pallor . Xray of the
patient shows multiple
punched out lesion
a. Name the most likely
condition
b. Most diagnostic
procedure
4
• 30yr old lady sustained
cut injury over lateral
aspect of proximal elbow
following which she was
unable to extend her
wrist and fingers
• Name the most likely
nerve injured
a. Name the splint used in
this condition
5
• Name the anatomical
structures marked

a. Name the structure in


red

b. Name the structure in


blue
5 yr old boy sustained fall 6
on outstretched hand
following which he
developed pain ,swelling
around the elbow. XRAY
taken in ER is shown
a. Name the injury
b. Name one late
complication
8
• A 8 yr old boy is
brought by mother
complaining of
gradually progressive
bowing deformity of
bilateral knee.
a. Name the deformity
b. Name one nutritional
cause of such
deformity
OSCE

SET II
RULES
• Total alloted stations : 11
• Total alloted time : 12min
• Time per each station : 1 min
• Marks per each question :( .5*2=1)
• No negative marking
1
• 8 yr old boy brought to
OPD with history of
discharging wound from
leg . Parents give history 1
month prior with pain ,
fever and inability to bear
wt on the affected limb.
a. Name the likely condition
b. Name the marked object
in the figure
2
• 16 yr old male presents to
opd with history of rapidly
progressing swelling of the
distal thigh over 6mth &
associated pain .Pt has
significant wt loss during
this time.
a. Name the likely condition
based on history & xray
b. Name typical xray feature
marked
3
• 1 yr old boy brought by
mother complaining of
clicking of hip and difficulty
in applying diaper .

a. Name the likely condition


based on symptom
b. Name the provocative
test where examiner
relocates the hip
4
• 20 yr old labourer complained
progressive back pain&
weakness of bilateral limbs
associted with evening rise of
temperature & wt loss over
the period of 5 months. His
blood examination showed
eleveted count with
lymphocytic predominence /
low hemoglobin/ elevated ESR.
a. Name the likely diagnosis
b. Earliest radilogical sign ( as
shown in xray)
5
• 25yr old lady had a self
inflicted cut over volar
aspect of wrist. Following
which patient was unable
to adduct the thumb and
loss of sensation over the
radial three and half digit
a. Name the nerve involved
b. Name the deformity in
higher level injury of that
nerve(a)
6
• Given is the image of
brachial plexus.
a. Name the structure

b. Name the structure A

B
7
55yr old lady sustained
injury to lt wrist following
fall on outstretched hand.

a. Describe the typical


deformity
b. Name the nerve deficit
that can occur
following the condition
9
• An irritable infant is
brought by mother
complaining of bleeding
gums and tender joints.
a. Most likely metabolic
cause for the
complaints
b. Name the marked
radiological change
10
• 45 yr female presented to
OPD with pain , swelling of
multiple small joints of hand
and wrist for last 6 month .
She gives history of morning
stifness lasting for more than
30mins
a. Give a likely clinical
diagnosis
b. Name one hand deformity
occuring in that condition
(as given in figure)
2 minutes

Revise
TIME OVER
OSCE

SET III
RULES
• Total alloted stations : 11
• Total alloted time : 11min
• Time per each station : 1 min
• Marks per each question :( .5x2=1)
• No negative marking
1
• 4yr old boy was brought
by mother with complaints
of pain in rt proximal leg
& high grade fever with
asociated progressive
swelling over the same
area for 10 day
a. Name the likely diagnosis
b. One common
complication
2
• 9yr old boy was brought by
mother with the complain
of rt leg for
2month,associated with
on/off low grade fever , wt
loss.

a. Give most likely diagnosis


based on given xray
b. Name the xray feature
marked
7
• 45 yr female presented to
OPD with pain , swelling of
multiple small joints of
hand and wrist for last 6
month . She gives history of
morning stiffness lasting for
more than 30mins
a. Give a likely clinical
diagnosis
b. Name 2 finger deformities
occuring in that condition
8
a. Name the most likely
metabolic condition
given on xray

b. Name the serum


biochemical marker
9
55yr old lady sustained
injury to lt wrist following
fall on outstretched hand.

a. Describe the typical


deformity
b. Name the likely
fracture sustained by
the patient
1 minute

Revise
TIME OVER
SET IV

OSCE
RULES
• Total alloted stations : 11
• Total alloted time : 11min
• Time per each station : 1 min
• Marks per each question :( .5*2=1)
• No negative marking
1
• 8 yr old boy brought to
OPD with history of
discharging wound from
leg . Parents give history 1
month prior with pain ,
fever and inability to bear
wt on the affected limb.
a. Name the likely condition
b. Name the marked object
in the figure
2
25 yr old boy came to OPD
with slowly enlarging mass
over distal thigh. This was
first noticed in the teenage.
On examination mass was
bony hard attached to
underlying bone.

a. Most likely diagnosis


based on xray
b. Name one complication
3
a. Name the implant

b. Name one indication


4
• 25 yr old man sustained
cut injury to proximal
leg following which he
developed high
stepping gait.
a. Name the likely nerve
injury
b. Name 2 main branches
the nerve
6
• 25 yr old boy has tall
habitus ,arm span
exceeding height,long
digits
a. Name likely connective
tissue disorder
b. Name one clinical sign
associated with the
condition
7
• 70 yr old lady sustained
minor slip in the bathroom
following which she
developed severe hip pain
a. Mention two major
branches of profunda
femoris artery supplying
hip
b. most common
complication of this
fracture
• 20 yr old labourer complained
progressive back pain&
8
weakness of bilateral limbs
associted with evening rise of
temperature & wt loss over the
period of 5 months. His blood
examination showed eleveted
count with lymphocytic
predominence / low
hemoglobin/ elevated ESR.
a. Name the likely diagnosis
b. Most common type of this
disease in spine acc to region
involved
9
a. name the condition
mentioned in the
image

b. Name the nerve roots


involved
• 19 yr old male presented to
ER with pain & unable to use
10
Rt arm. His arm was
supported by another a hand
& it was abducted and
externally rotated. He had
loss of sensation over lateral
aspect of deltoid
a. Name the likely injury

b. Name two clinical tests to


support your diagnosis
1 minutes

Revise
TIME OVER

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