THE CBU-MCS-SOM

MCS 400-MID TERM

MINI OSCE EXAM
07/03/2019
 STATION 1-Hx 1
In a patient presenting with oral candidiasis:

a. Elicit the most relevant history (7)

b. Report typical findings macroscopically (3)

 STATION 2-Hx 1
a. Contrast between oral candidiasis and hairy
leukoplakia (4)
b. In confirming your diagnosis of thrush,
describe: 1. smear preparation / finding (2)

2. Biopsy finding (2)

c. How would you treat oral thrush? (4)

 STATION 3-Hx2
• In a patient presenting with
chronic obstructive pulmonary
disease (COPD);

Logically elicit the most relevant

history (10)
 STATION 4 –Hx2
• Questions based on station 1
a. List key investigations toward the
functional status (5)
b. What type of respiratory failure is
likely in this case and why? (5)
c. Differentiate between pink puffers
and blue bloaters (6)
 STATION 5-Hx3
• In a patient presenting with
mitral regurgitation (MR):

Elicit the most relevant history. (10)

 STATION 6-Hx 3
a. Mention at least 5 causes of mitral
regurgitation (5)

b. Suggest 4 diagnostic investigations (4)

c. What is the characteristic murmur associated

with MR? report completely (4)
STATION 7- IMAGE 1
• Gingival lesions of an AIDS
defining condition
a. What is your most likely
diagnosis? (2) 
b. Which pathogen is
implicated ? (2) 
c. Describe histopathological
findings? (3) 
d. Suggest 3 direct
pharmacological
management options (3)
 STATION 8

• REST STATION
 STATION 9- PE1
• In a patient presenting with
splenomegaly
a. Outline the key physical findings (local
+ systemic) (8)

b. What are the key anatomical

landmarks in a normally placed
spleen? (5)
 STATION 10-PE 1
a. List 4 conditions presenting with mild
splenomegaly? (4)

b. List 4 conditions presenting with massive

splenomegaly (4)

c. Regarding splenomegaly what do you

understand by the term sequestration? (2)
 STATION 11-PE 2

In an HIV positive patient presenting

with paraplegia and gibbus:

a. Outline the key physical findings (10) 

b. What would be your most likely working

diagnosis? Report comprehensively (6)
 STATION 12-PE 2
 
a. List at least 5 conditions that would
present with similar motor deficits (5) 

b. Is the lesion in this case in particular

likely upper (UMNL) or lower motor
(LMNL)? Suggest at least 3
distinguishing features (5)
 STATION 13-PROC 1
• Assuming that this subject has a right sided
pleural effusion, demonstrate in an orderly
sequence how you would perform a diagnostic
aspiration to help you further determine the
underlying cause of the effusion. (10)
 STATION 14-PROC 1
a. List at least 6 structures you would traverse to
reach the pleural cavity. (6)
b. What important precaution should you take in
the orientation of your needle to reach the
pleural cavity? Why is this important? (4)
c. The presence of raised serous muramidase
concentration may suggest which conditions?
And ,where is this likely to be insignificant? (5)
STATION 15-IMAGE 2
a. What is your most
appropriate description of
this demonstration? (2)
b. What is your most likely
diagnosis? (2)
c. What is the staining
method applied? (2)
d. Why is this condition
particularly important in
public health? (4)
 END!

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