OSCE – FINAL MBBS

SET 1
Qs:
1.What is the procedure done here?
2.What are the indications?
1. NAME THIS APPARATUS.
2. WHAT ARE ITS USES?
1. NAME THE ABOVE TEST PERFORMED IN CONGENITAL
DISORDER OF HIP
2.IN WHICH CONDITION, IT IS USED TO IDENTIFY?
1. IDENTIFY THE DEFORMITY?
2. GIVE TWO DIFFERENTIAL DIAGNOSIS
• A 5y male child presented with h/o fall with
outstretched hand while climbing tree, as the
hand strikes the ground, elbow forced into
hyperextension. On examination there is
unusual posterior prominence of point of
elbow.

1. What is the diagnosis?

2. What is the management?
SET 2
A 56y old lady came to hospital with history of fall
with outstretched hand, c/o pain, swelling, dinner
fork deformity over right wrist. On xray, fracture
seen in distal end of radius.

1. What is the diagnosis?

2. What are the displacements seen in this
fracture?
1. IDENTIFY THE APPARATUS.
2. MENTION ONE INDICATION?
1. WHAT IS THE DIAGNOSIS?
2. WHAT IS THE DIAGNOSTIC SIGN?
WRITE THE STEPS TO ELICIT A
PATELLAR TAP.
1. NAME THE TEST
2. IN WHICH CONDITION YOU WILL PERFORM THIS
TEST
SET 3
1. IDENTIFY THE APPARATUS.
2. NAME THE CONDITION WHERE IT CAN BE
USED?
1. WHAT IS THE DIAGNOSIS?
2. HOW TO MANAGE?
 WRITE THE STEPS TO ELICIT
JOINT LINE TENDERNESS OF THE
KNEE JOINT
A 30 Y OLD FEMALE DIABETIC PATIENT
PRESENTING WITH SWELLING OVER THE
PROXIMAL TIBIA WITH SEROUS DISCHARGING
SINUS, WITH LOSS OF WEIGHT AND LOSS OF
APPETITE, WITH EVENING RISE OF
TEMPERATURE.

1. WHAT IS THE DIAGNOISIS?

2. WHAT IS THE MANAGEMENT?
1. CLASSIFY THIS FRACTURE
2. HOW WILL YOU MANAGE?
SET 4
1. MENTION THIS DEFORMITY & DIAGNOSIS?
2. GIVE THE TREATMENT OPTIONS?
1. MENTION THIS PROSTHESIS

2. WHAT ARE THE DIFFERENT TYPES OF

AMPUTATION?
STEPS TO PERFORM KNEE JERK.
(MINIMUM 4 POINTS)
1. NAME THE TEST
2. IN WHICH CONDITION IT IS PERFORMED?
A 5Y MALE CHILD PRESENTED WITH HISTORY OF
TRAUMA OVER RIGHT ELBOW, 5 MONTHS BEFORE.H/O
NATIVE TREATMENT (OIL MASSAGE). NOW PRESENTING
WITH FLEXION DEFORMITY, PAINLESS MASS OVER
ANTERIOR ASPECT OF ELBOW, WITH JOG OF
MOVEMENT.

1. WHAT IS THE PROBABLE DIAGNOSIS?

2. HOW TO MANAGE?
SET 5
1.DESCRIBE THE ATTITUDE OF RIGHT LOWER LIMB

2.MENTION THE DIFFERENTIAL DIAGNOSIS AROUND THE

HIP
1. NAME THE TEST PERFORMED?
2. WHICH LIGAMENT CAN BE ASSESSED USING THIS TEST?
1. IDENTIFY THE DEFORMITY.
2. WHAT IS THE COMMONEST CAUSE?
1. NAME THE APPARATUS.
2. WHAT IS ITS USE?
A 30Y OLD FEMALE PRESENTING WITH PAIN,
SWELLING & STIFFNESS OF BOTH HAND AND
FOOT FOR SEVEN WEEKS LASTING FOR 3 HOURS
IN MORNING DAILY.

1.WHAT ARE THE DIFFERENTIAL DIAGNOSIS?

2.WHAT IS THE SENSITIVE TEST?
SET 6
1. NAME THE TEST.
2. NAME THE CONDITION IN WHICH THIS TEST IS POSITIVE
A 32Y MALE PRESENTED WITH INABILITY TO LIFT
THE WRIST & FINGERS SINCE EARLY MORNING.
H/O INTAKE OF ALCOHOL PREVIOUS NIGHT.

1. WHAT ARE THE DIFFERENTIAL DIAGNOSIS?

2. HOW WILL YOU MANAGE?

1. IDENTIFY THE PICTURE.
2. WHAT IS THE CAUSE?
1. IMMEDIATELY AFTER CAST APPLICATION HOW TO CHECK FOR
VASCULARITY
2. COMPLICATION OF CAST APPLICATION
1. IDENTIFY THE APPARATUS.
2. WHAT IS ITS USE?
SET 7
1. IDENTIFY THE PICTURE.
2. WHAT IS ITS USE?
1.PATIENT PRESENTS WITH H/O OF ACCIDENTAL INJURY
OF ANKLE IN CLOSET. NAME THE TEST PERFORMED.
2. WHAT IS THE DIAGNOSIS?
A 4 Year old Male child presented with
I. H/o, swelling, pain over right knee joint. History of fever
present.
II. O/E, warmth and tenderness present , attempted movements of
knee is painful.
III. Blood investigations shows Increased total count and differential
count. ESR elevated. CRP positive

1.What is your diagnosis?

2.How will you manage?
1.Mention the clinical
test performed

2. In which condition
this test is performed?
1. IDENTIFY THE PICTURE.
2. WHAT IS ITS USE?
SET 8
1.Mention the
equipment
displayed.

2. What are its uses?

1. GIVE THE DIAGNOSIS
2. ENUMERATE THE DEFORMITIES OF HAND?
 X-ray knee joint

A 26y male presented with

I. H/o, swelling, pain over right
knee joint for past 2 months.
II. H/o swelling increasing in size.
III. X-ray chest = canon ball
metastasis.

1. Mention the diagnosis

2. Enumerate the salient features
in X-ray
1.Mention the
procedure done

2. In which condition
it is commonly
performed?
A newborn baby presented with
history of not moving Right upper
limb after delivery. difficulty in
second stage of labour,On
examination shoulder adducted,
internally rotated; elbow extended
and pronated; wrist flexed.
Xray right side clavicle = No
fracture.

1.Mention the diagnosis

2.How will you manage?
SET 9
1. Mention the test performed
2. In this test what to look for?
3.Root value
1.ENUMERATE THE DEFORMITIES OF HAND.
2. WHATS YOU DIAGNOSIS
1. Mention the apparatus

2. In which condition this

apparatus is used?
1. Name the part show in arrow
2. Give your probable diagnosis
1. IDENTIFY THIS APPARATUS.
2. MENTION ITS SALIENT FEATURES.
SET 10
1. IDENTIFY THE APPARATUS.
2. MENTION ONE ABSOLUTE INDICATION?
1. IDENTIFY THE PICTURE.
2. WHAT IS ITS USE?
A 27Y Male presented with pain over right tibia. Pain is
typically worse in night and relieved by aspirin or other
NSAIDs.
On x-ray there is central radiolucent nidus with
surrounding bony sclerosis

1. Mention the diagnosis

2. How will you manage?
1. Mention the test
performed

2. In which condition
this test is
performed?
1. Mention the test
performed

2. In which condition
this test is
performed?
SET 11
1. Mention the
apparatus displayed

2. Mention one
indication
A 40y male presented with history of road traffic
accident, sustained fracture over Right side
proximal tibia and neck of fibula. Patient
complains of inability to dorsiflex the Right ankle
joint.

1.Mention the diagnosis

2.Which nerve is affected here?
1.Mention the
procedure displayed

2.In which condition this

correction is used?
1. Identify the image
displayed

2. In which condition
that result in the
image shown
1.Mention the marked
area

2.What are the

differential diagnosis?
SET 12
1. IDENTIFY THE PICTURE
2. WHAT IS ITS USE?
1. NAME THE TEST.
2. WHAT IS ITS USE?
1. NAME THE PROCEDURE DONE.
2. WHAT IS ITS USE?
1. Mention the test
performed

2. In which condition
this test is
performed?
1. NAME THE FRACTURE.
2. MENTION ONE SURGICAL MANAGEMENT.
SET 13
A 26y male presented with
complaints of pain and swelling
over Left wrist for past 2 months.
History of Swelling increasing in
size. No history of loss of weight
and appetite. Xray shows
expansile lytic lesion with soap
bubble appearance over distal
end of radius.

1.Mention the probable diagnosis

2.How will you manage?
1.Mention the procedure performed
2.In which condition this procedure is performed?
1. NAME THE FRACTURE.
2. MENTION ONE SURGICAL MANAGEMENT.
1.Mention the test
performed

2.In which condition this

test is performed?
1. Mention the
deformity

2. In which condition
it is seen?
SET 14
1. Mention the test performed
2. In which condition this test is positive?
A 32y male patient received in E.D room with
History of Road traffic accident, sustained injury
over R thigh.History of breathlessness present.
Vitals BP: 90/60mmhg, PR:104/m. Urine R/E- Fat
globules present. D- Dimer elevated.

1.Mention the diagnosis

2.How will you manage?
1. NAME THE TEST.
2. IN WHICH CONDITION, IT IS PERFORMED?
1. NAME THE FRACTURE.
2. MENTION ONE SURGICAL MANAGEMENT.
1. Mention the deformity
displayed

2. What are the causes?

CASE 15
1. Mention the angle
displayed here

2. In which condition
this angle is
increased?
1. WHAT IS THE PROCEDURE DONE?
2. MENTION ONE INDICATION.
1. NAME THE TEST.
2. MENTION ITS USE.
A 40y male presented with history of Rollover
injury by tractor tyre over left lower limb.
Patient had swelling, tenderness, deformity
over proximal tibia. On examination pain on
passive stretch, paresthesia and pulselessness
present over Left lower limb.

1. Mention the diagnosis

2. How will you manage ?
A 57y male presented with complaints of pain,
swelling over Right hip and inability to walk
following fall from bed. Xray pelvis showing
Fracture neck of femur Right side.

1. What is blood supply of head of femur?

2. How will you manage?