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TO THE JUNIORSWRITTEN EXAMS- SC2 FINALS (CLASS OF 2017)
Medicine
EMQ
1. Cystic fibrosis + mechanism of malabsorption in CF- Ix and Rx
2. Scleroderma- features, Ix and Rx. Complications- scleroderma renal crisis and Mx
3. Paracetamol and salicylate toxicity- Ix and Rx
4. Acute myeloid leukemia (young patient with lower back pain, bruises and pancytopenia) - Ix Rx.
Complications- tumor lysis syndrome and Rx
5. Parkinsons disease- features, Parkinson plus syndromes, Ix and Rx. Which drug you should not give
6. Hypertensive crisis- features of hypertension- in terms of PE and Ix in the eyes, CVS, abdomen, urine. RX.
7. HIV- cryptococcus neoformans meningitis. Sign and symptoms of meningitis, differential in CSF between
bacteria, virus, TB, parasite. Ix and Rx for Cryptococcus. What other opportunistic infection conditions that is
possible with CD4< 50?
8. Chronic kidney disease with Renal transplant- complications of immunosuppression, what type of cancers
can arise from immunosuppression
9. Couldn’t remember
10. Couldn’t remember
DATA
1. Controlled drug prescription (for breakthrough pain)- SubI assignment
2. Prescription of Vancomycin- read the prescribing lectures on this- a few questions on therapeutic drug
monitoring, peak and trough values
3. ACS- ECG of TWI and ST depression was given
4. Tension pneumothorax and emergency Rx
5. Discharge summary for stroke patient with UL chronic Afib- copy and paste only- SubI assignment
6. Wilson’s disease- Chronic liver disease- features, Ix and Rx
7. Acute pulmonary edema- features, Ix, acute Rx
8.Pleural effusion and pleural fluid analysis
Surgery
EMQ
1. Inguinal hernia- borders, landmarks, risk factors, contents of inguinal canal, differentials, Rx, complications
of surgery
2. Oesophageal carcinoma- Differentials, Risk factors, Ix, Rx
3. Phaeochromocytoma- cardinal triad symptoms and signs, Ix and Rx. Optimization before going to OT for
adrenalectomy.
4. Breast cancer- triple assessment, Ix and Rx, staging, risk factors.
5. Osteoarthritis- Risk factors for developing OA. Ix and Mx- conservative, medical and surgical.
6. Inflammatory bowel disease- difference between Crohns and UC- in terms of histopathology. Extra-
articular manifestations. Ix and Rx- medical and surgical
7.Peripheral arterial disease- features, Ix, Rx
8. Melanoma- subtypes, classification- Breslow, Clarke, treatment (medical, surgical)
9. Couldn’t remember
10. Couldn’t remember
DATA- a lottt of imaging!! From x-rays, to ultrasound, to MRI, to CT scans, to PET scans
1. Gallstone disease complicated by acute calculous cholecystitis- US of the HBS- opacity, acoustic shadow,
signs of inflammation- Dx, Ix and Rx- acute and long term management. Early vs delayed cholecystectomy?
Complication- ascending cholangitis and features. Pancreatitis- have to memorize the Glasgow criteria and
FROM YOUR SENIORS
,TO THE JUNIORS
stratify the severity of pancreatitis.
2. Parathyroid adenoma- SESTAMIBI scan, complications of hypercalcemia, Ix and Rx. What else will you be
looking for in this patient?- MEN 2a syndrome
3. MRI scan of the lumbar vertebrae which shows a prolapsed intervertebral disc- Ix and Rx
4. MRI scan of Benign prostatic hyperplasia- urinary symptoms, Rx for BPH- conservative, medical and
surgery. Then came in again with bone pain and did a full body scan ‘multiple hot spots’- and mets to the
lumbar vertebrae- cauda equina syndrome- orthopaedic emergency!
5. Appendicitis- post-op CXR- lung collapse- post op complication and how to treat the lung collapse. ASA
grading of the patient before going to op.
6. MRI scan of abdominal aortic aneurysm. Ix and Rx.
7. CT scan of intracranial bleed- extradural hematoma- describe the CT- effacement of ventricles, midline
shift, grey-white effacement- what is artery involved? Then got something about subarachnoid haemorrhage-
medical- to prevent seizures, to bring down BP, to prevent vasospasm and surgical treatment.
8. Picture of a foot ulcer (features, investigations and management)
FROM YOUR SENIORS
, TO THE JUNIORS
OSCE SHORT CASE EXAMINATION- SC2 FINALS (CLASS OF 2017)
MORNING GROUP
MEDICINE
Station 1- CARDIO: Instruction: Inspect, Palpate and Auscultate the chest. Had a midline sternotomy and left
subclavicular pacemaker scar. Prosthetic Valve (MVR). Question: What are the Signs of cardiac tamponade?
Station 2- RESPI: Instruction: Inspect the hands, anterior chest and examine the posterior chest. Pulmonary
fibrosis with rheumatoid arthritis. Question: Causes of pulmonary fibrosis?
Station 3- NEURO: Instruction: Examine the sensory component of this gentleman's lower limbs. Findings:
Peripheral Neuropathy.
Questions: 1) DDX 2) Causes of peripheral neuropathy
Station 4- ABDO: Instruction: Inspect the hands and examine the abdomen. Hepatosplenomegaly. Question:
Causes and difference between spleen and kidney?
SURGERY
Station 1- VARICOSE VEINS Instruction: Examine the varicosities in this gentleman's lower legs. Findings:
Varicosities noted over medial aspect of right lower leg. Trendelenburg test suggests the insufficiency is
below the SFJ. Questions: 1) Causes of varicose veins 2) Complications of varicose veins 3) Conservative and
surgical management of varicose veins
Station 2- HERNIA Instruction: Examine this gentleman's groin. Findings: Indirect right inguinal hernia with
bowel contents. Questions: 1) Various surgical approaches to hernial repair
Station 3- STOMA : Examine the abdomen: Ileostomy. Questions: 1. Complications of a stoma? 2. When is an
ileoanal pouch done? 3. What is an ileal conduit?
Station 4- ORTHO HIP: Instruction: Examine this lady's hip. Findings: On the affected side - scar noted over
lateral hip (over greater trochanter), tenderness of hip joint, limb shortening, reduced ROM. Questions: 1)
How would you perform a Thomas test? 2) Complications of hip replacement 3) Differences between THR
and hemiarthoplasty 4) Principles of management for intracapsular and extracapsular hip fractures
AFTERNOON GROUP
MEDICINE
Station 1- CARDIO: Instruction: Inspect, Palpate and Auscultate the chest. Had a midline sternotomy and left
subclavicular pacemaker scar. Prosthetic Valve (MVR). Question: What are the Signs of cardiac tamponade?
Station 2- RESPI: Instruction: Inspect the hands, anterior chest and examine the posterior chest. Pulmonary
fibrosis with clubbing. Question: Causes of pulmonary fibrosis?
Station 3- ABDO: Instruction: Inspect the hands and examine the abdomen. Hepatosplenomegaly. Question:
Causes and difference between spleen and kidney?
Station 4- RHEUMATO: Instruction: Examine the hands. Rheumatoid arthritis. Questions: what are the skin
manifestations of rheumatoid arthritis?
SURGERY
Station 1- STOMA. Examine the abdomen: Ileostomy. Questions: 1. Complications of a stoma? 2. When is an
ileoanal pouch done? 3. What is an ileal conduit?
Station 2: THYROID Examine the neck: Thyroid. Questions:1. Differential of neck lumps? 2. Histological types
of thyroid malignancies? 3. Indications for thyroidectomy?
Station 3: ABDOMEN Examine the abdomen: Hepatomegaly ascites with roof top incision and midline
vertical incision below umbilicus. Questions: 1. Factors for wound dehiscence? 2. Complications of having
pain in the upper abdomen after surgery? 3. How to choose where to make an incision?
Station 4- ORTHO KNEE Examine the knee: Looked like a normal knee lol! Questions:
1. Common organisms causing septic arthritis? 2. Signs of septic arthritis? 3. Symptoms of PCL tear?
FROM YOUR SENIORS
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