UHS-OSPE of Surgery (Annual 2010) NMC ospe 1.3.11 1. Ett 2. Tracheostmy tube 3. Suprapubic cystostomy 4. Diabetic ulcer 5.

Extradural hematoma 6. Clavical fracture 7. Interctive: inguinal hernia 8. Intrctiv abd incisions 9. Aud 10. X-ray abdomen showing ureteric stent 11. Plain forceps SIMS OSPE 1/3/11 Folley's catheter, tru-cut needle, redivac suction drain, laryngeal mask, x-ray fracture radius ulna, thyroid cancers name, xray abdomen,erect, multiple air fluid levels,deaver's retractor LMDC. 1.deavers retractor and morris retractor 2.picture of t.tube 3.cholangiogram of t tube 4.chest drain with under water seal 5.breast specimen findings 6.staghorn stone xray 7.safety triangle n chest tube 8.gastric outlet obstruction , x-ray 9.disposable syringe 10.shock(interactive) 11.intestinal obstruction x-ray(interactive) UMDC 1/3/11 1) x.ray pyloric stenosis............... metabolic derrangements..... plus next investigation 2) x. ray chest........ puemothorax plus rib fracture...... type ov breathing. plus treatment 3) peri-umblical hernia........ abdomen diagram.... posit...ive finding???? striae due 2 multiparity nd obesity? treatment 4) ETT with telescope.......indication........ complications? 5) x. ray ( retrosternal goiter) x. ray finding......... diagnosis? frther investigation 6) scenario....... strangulated volvulus......... plus treatmnt...... 7) x.ray ......... vertebral fracture, x ray findng? treatment? findngz in x ray 8) femur fracture........... treatment. 9) ivu.......... finding........... diagnosis( renal carcinoma)....... further investigations? OBSERVED............ proctoscope....... indications... parts.... contraindications........ how to sterilize it and y OBSERVED........scenario............. appendicular mass...... d/d.? complications? treatmn Qmc Ospe 02-03-11 1.Babcock: identify, indications, how sterilized? 2.foley's 2 way catheter: identify, indications, complications?, how sterilized? 3.Oropharyngeal airway? Identify, when is it use?(in an unconscious pt), how sterilized, other methods of maintaining airway? 4.Interactive: CT abdomen showing cyst in liver, most likely diag(hydatid cyst), other serological investigations, organism causing it?

5.(Interac) Colostomy bag: identify, indications? complications 6.CT scan skull showing extradural hematoma: name investigations, clinical features, management 7.Barium Swallow: name investigations, positive findings, wen this investigations indicated? what are complications of diverticulae coli? 8. X-ray showing fracture of mid-shaft of femur: what investigations? positive findings? clinical features? wat are the principles of fracture management? 9.X-ray chest: name investigations? positive findings?management? RMC SURGERY OSPE 1.3.11: 1. vericose veins pic:dx,complications,clinical tests,treatment 2.bladder stones xray:dx,investigations,cause in 70yr man[bph],operative rx 3.direct laryngoscope pic:identify,in which procedure its used,at wot stage its used,wot precautions u will take 4 reuse 4.gall stone specimen pic:dx,short term complications,...types of operations for it,1serious complication 5.xray patella fracture:dx,immediate rx, specific rx. 6.peau-d orange pic:dx,how wud u do clinical confirmation,which imaging is helpful,management 7.extradural hematoma ct scan:name investigation and finding,immediate management,specific steps of rx 8.interactive venous ulcer examination and management 9.interactive pic of thyroidectomy scar:name the incision,which op is done,what r pre-operative preparation steps,name structures u will take care of during surgery,postop complicatns,post op drugs,immediate postoperative complication,cause of resp distress postop 10. ganglion pic on dorsum of hand:dx, 2imp clinical tests,treatment,complication of procedure 11. umblical hernia,imaging investigation,management PMC 1/3/11 1.X.ray Retrostrnal thyroid. Diagnosis?, cmplication, physical sign, treatment. 2.. Obstrctive jaundice LFTs values, investigation, non operative management.. 3.. PTC..name inves, findings, diag, other investgatn. 4.. NG tube.. Name uses diag and therapeutc. Cmplicatns 5.. Cervical spine injury. X.ray. Diag? Cmplication, treatment. 6.. Urethrogram. Diag of urethral stricture, late cmplication, treatment.. 7.. Oropharyngeal airway, name, indication, when to rmov. 8.. Frctr tibia fibula.. Early cmplcatn, managment ov opn wound. 9.. Swelling neck d/d.. Parotid tumor surgery cmplcation, investgation. AIMC ospe 1.3.11 1.Lipoma photo, Dx, how to confirm dx, Rx 2.Meckle's diverculum photo, Dx, Rx, complications 3.T tube cholangiogram photo, name, findings, why done, Rx options 4.Tension pneumothorax x-ray, Rx ...5.ETT photo, define definitive airway 6.Colle's fracture x-ray, which deformity, management 7.IVU photo with dilated renal pelvis n calyxes, radiological findings, x-ray timings, long term complications Observed: 1.Intestinal clamp, uses, types, sterilization. 2.CT abdomen, dx. Hydatid cyst/disease of liver, medical Rx,which next organ is involved, causative organism, human which host. WMC, Surgery Ospe, 2nd March: 1. Tracheostomy tube set: identify, indications for tracheostomy, care of tracheostomy? 2. Burns: identify, rule of nine, management, late complications? 3. Incised wound: identify, types of healing, factors responsible for healing, complications? 4. Gridiron incision: identify, procedure, complications of di...sease?

5. Proctoscope: identify, parts, indications, sterilize? 6. X-ray, Condylar Fracture humerus: identify, complications? 7. X-ray IVU: identify, dilated calyces, causes, management? 8. CT scan skull/brain: identify, depressed fracture skull, patient complaints, management? 9. ETT: identify, parts, indications, sterilize? Interactive: 1. Picture: removed appendix: identify,types of incisions, complications? 2. Barrium swallow: stricture oesophagus? AIMC 2 march -patellar fracture n mech. of injury,direct hernia,airway secure-methods,solitary nodule,ivu-ca bladder,prolapsed heamorroids,intermittent claudication,courviser's law n obstructive jaundice, obs:2nd thyrotoxicosis and xray diaphragm rupture, subdural haematoma-ct scan LMDC 2nd march t.tube cholangiogram,findings t.tube.indications.what investigation before removing it proctoscope,parts 2 diagnostic 2 thrapeutic indications what is graft? what is a flap? 3 grafts name 3 flaps name ...multiple air fluid level,cause,further investigations pelvis fracture,findings on an x-ray and complications shoulder dislocation xray.type t/m complications tracheostomy tube uses AMPLE stands for?? (allergy,medications,previous medical history,last meal taken and events of trauma..it is done in trauma or something interactive? breast Ca counseling below knee amputation krniii..counsel the patient short cases lipoma,MNG,paraumblical hernia and submandibular swelling ospe SZMC..2march.. 1.kuncher i.m nail, external fixater,wigly saw wire(uses),method of sterilization. 2.oxalate stone 3.multindoular goiter 4.breast lump diagram(interactive) ...5.rodent ulcer photo interctv 6.L.P needle 7.goiter 8.gall bladder diag 9.proctoscope 10.n.g tube

UHS- OSPE of Medicine 2009 Medicine(OSPE) 1. Rh.Arthritis, name the deformity? diagnostic criteria? 2. picture showing facial and neck congestion, d/d?

3. investigations treatment plan of acute severe asthma 4. TB... investigations and treatment? 5. causes of facial palsy? treatment? 6.megaloblastic anemia, causes investigations treatment? 7. myasthenia gravis, investigations & treatment? 8. SLE, treatment plan for mild, moderate and severe? lytic lesions of bone....d/d? investigations? 9. Drugs: beta blocker, ACE inhibitor, furosemide, nitrates adrenaline.. their mech of action and uses 10. Xrays: pulm. edema, cardiomegaly, effusion, pneumothorax, pneumonia. .............................................................. OSPE[i](2009.....NMC) 1. Unilateral ptosis---------> (i) identify? (ii) causes? 2. ETT-------------> (i) identify? (ii) uses? (iii) complications? 3. Steroid injection----------> (i) identify? (ii) emergency uses? (iii) long term complications 4. Picture of neck(looks like scratchings and scales formed.... Acanthosis Nigricans)---------> (i) identify? (ii) causes? 5. 39 yrs old gynaecologist with psychiatric disorder, she used lithium, now presented with weight gain. laziness and cold intolerance(drug induced hypothyroidism)----->(i) diagnosis? (ii) other signs? 6. X-ray chest(opacity on right side)-------> (i) findings? (ii) D/D? 7. CT scan brain(hyperdense area)------> (i) findings? (ii) causes? 8. MI(ECG)----------> (i) findings? (ii) diagnosis? (iii) management? 9. Name ATT 1st line drugs with 2 complications of each 10. SLE(Picture of butterfly rash)---------> (i)finding? (ii)diagnosis? (iii) complications? 11. Young patient with DM + HTN---------> (i) investigations? (ii) Drug of choice(ACE inhibitors)? 12. Interactive station: Scenario=> Young female with abdominal pain(cardinal feature of DKA), vomiting and RBS 465mg/dl..........>(i) diagnosis? (ii) further investigations? (iii) management? 13. Interactive station: Scenario=> Young patient of 22 yrs old, smoker obese, B.P 160/100--------> (i) diagnosis(sec. HTN)? (ii) further investigations? (iii) management? --------------------------------------------------------------------------------OSPE[ii](2009...NMC) 1. MI(ECG)------->(i) findings?(ST segment elevation and T-wave inversion (ii) treatment? 2. A patient with history of illness and malarial parasites in peripheral blood film--------> identify? (cerebral malaria) (ii) caus...e? (iii) prognosis? 3. Picture(thumb touches forearm... Marfan's synd.)------------> (i) diagnosis? (ii) associated disorder showing same sign?(Ehler danlos synd.) (iii) age of appearance? 4. Picture showing strawberry tongue-------------> (i) causative agent? (ii) Treatment? 5. X-ray chest(costophrenic angle is absent cardiophrenic angle is obliterated)---------------> (i) findins? (ii)diagnosis? (iii) causes? 6. IV line-------> (i) identify? (ii) indications? (iii) complications? 7. CT scan(white ventricles)----------> (i) findings? (ii) diagnosis? (iii) treatment? 8. Picture(Haemaccel)----------->(i) identify type of fluid(colloid)? (ii) indications? (iii) contraindications? 9. Picture of pemphigus vulgaris ---------> (i) level of bullae? (ii) treatment? 10. Picture (bilateral... myasthenia gravis)---------> (i) D/D? (ii) causes? 11. 18 yrs old boy with H/O social withdrawl for two yrs, depressed mood, anxietyand weeping habits---------> (i) D/D? (ii) diagnosis? (iii) 4 pharmacological drugs? 12. Interactive station(ECG given): Scenario=> A female developed quadripresis with 5% D/W infusion with same history. ECG was done----------> (i) finding?(hypocalcemia) (ii) diagnosis?(hypokalemic periodic paralysis) (iii) precautions? 13. Interactive station: Scenario=> A boy with Hepatitis B and HBsAg positive -------->(i) counsel about marriage?(ii) how will you check th status of disease?(iii)treatment?

............................................................................... 1.Scenario= diagnosis=haemophilia...defect=factorVIII deficiency....treatment=factor VIII concentrates 2.Picture crystals...diagnosis=gout...complications=uric acid renal calculi, tophi, arthropathy....drugs=NSAIDs,allopurinol,colchicine 3.1...8 years girl 1 day history of fever wid chills nd rigors,headache,vomiting,photophobia...CSF examination cells28/cubic mm, polys 250/cubic mm, protein 1.8g/L,glucose 98mg/dl Diagnosis=pyogenic meningitis... treatment=antibiotics... complications=seizures,hydrocephalus,cranial nerve palsies.. 4.29 years female present wid low grade fever,anorexia,chest pain for 3 weeks, on examination pulse 130/min, B.P 90/60, JVP raised, edema both legs, heart sounds soft ,no murmur....aa...investigation of choice=echocardiography...treatment=pericardiocentesis 5.Diagram of endoscopy+Scenario...Diagnosis=duodenal ulcer...2 investigations= barium meal nd endoscopy....treatment=triple therapy 6.Scenario+ X ray...Diagnosis=Sarcoidosis...write X ray finding=bilateral hilar enlargement...whts rash called=erythema nodosum....treatment= steroids nd immunosuppresants 7.Scenario....Diagnosis=acute excerbation of COPD wid typeII respira...tory failure...Significance of ABGs=respiratory acidosis wid compensatory metabolic alkalosis...Treatment=BiPAP 8.Scenario...Diagnosis=DKA...Metablic abnormality=metabolic acidosis...Treatment=fluids nd insulin infusion 9.Scenario...Multiple sclerosis...whts CT shows=demylinating lesions... investigations= CSF examination,visual evoked potentials 10.Scenario+picture...Diagnosis=Addison's disease...whts shown in picture=pigmentation...Treatment=fluids nd hydrocortisone. ------------------------------------------------------------------Last year(2009) medicine OSPE: 1. instruments(Lp needle, ETT , NG , IV canula.... Indications Contraindications) 2. ECGs( Atrial flutter, MI , AV block) 3. X-rays(Pneumonia, Pneumothorx, TB, IVU) ...................................................................... OSPE Medicine(2009) 1. Patient with PCO2=27, HCO3=14, pH=7.1(Metabolic acidosis)---------> derangements? causes? investigations? 2. LP needle-------> identify? contraindications? 3. Photo( digital clubbing)-------------> diagnosis? causes? 4. Photo(Scurvy)--------------> diagnosis? causes? signs? 5. Photo(Xanthomas)-----------> diagnosis? investigations? associated abnormality? 6. Photo(peri-inguinal swelling+pitting of nails)---------> diagnosis? two causes? 7.X-ray KUB-------------> diagnosis? findings? disease? 8. Hydrocortisone-----------> identify? side-effects? 9. CT scan---------> identify? management? 10. Ant. wall MI-------> dianosis? management? 11. Enlarged thyroid--------> diagnosis? management? 12. Interactive station:=> side-effects of warfarin 13. Neuroleptic malignant syndrome=> fluphenazine and haloperidol induced pyrexia and catatonic posture. ............................................................... UHS-OSPE 2009 1. A married male tortures his wife and denies his illness infront of doctor----> D/D? precautions at home for attendant? 2. X-ray(Emphysema)-----> findings on x-ray? clinical findings? 3. CT scan brain(infarct)-------> identify? caus...es? 4.Picture(infective endocarditis+Roth's spots+splinter haemorrhage)----->investigate? 5. Rheumatoid hand-----> findings? drugs?

6. Lasix----> identify? complications? 7. NG tube----> identify? complications? 8. Picture(Psoriasis)------> identify? Rx? 9. Diabetic counseling? 10. hematemesis in CLD------> emergency treatment? 11. CA lung-------> investigate? 12. Acute post streptococcus GN-----> investigate? 13. GBS--------> investigate? .............................................................. last year ospe of batch AIMC (2009): ecg rate rhythm ,x ray pulm oedema,laryngoscope,heparin antidote(protamine sufate),hepatitis c councelling,RA,facial n palsy UMN N LMN

UHS OSPE OF MEDICINE Annual 2010 LMDC(8feb) 1.Cheyne stroke breathing picture d/d 2. consolidation xray 3.Haliotrope Rash picture d/d? 4.Xanthoma picture d/d 5.squint picture cause 6.microcytic hypochromic picture d/d 7.erythema nodusum picture d/d 8.Herpes zoster picture treatment 9.Jvp raised picture d/d 10.Observed Laryngosocpe usage 11.IHD cousnel 12.Type 1 DM counseling 13.Alcoholic pt counseling PMC 8th Feb : 1.Laryngoscope(parts....indications....method of insertion) 2.MI complications and t/m interactive3.Anxiety councelling 4.DM councelling 5.Exopthalmos(give 2 clinical signs....disease....treatment) 6.Calculate HR on ECG, causes of tachycardia,(....4 etiologies....heart rate calculation) 7.Metabolic Alkalosis with ABG findings(Type 2 resp failure...tell the abnormality from ABGs) 8.MRI SOL=>findings? 9.Malar flush(SLE)(diagnostic test of this disease....4 complications from 4 different systems) 10.Digoxin(clinical signs of toxicity....Antidote) 11.Matching(like epigastric pain (pancreatitis), shifted trachea (effusion) 12. Kyphoscoliosis(.etiology....complications) 13. X ray pneumothorax(4 causes....treatment options) OSPE NMC 8th feb 1. Anti-HCV counseling? 2. CT-interaventricular hemorrage(modality? what do u see? causes? diagnosis?) 3. Sinus bradycardia(ECG was given... is the rhythm regular or irregular?(regular) causes? calculate HR?

4. DM(3 graphs of s...ugar were given... 150gm, 170gm, bove 200 gm) what it shows? 5. X-ray(hyper-inflated lungs, cadiomegaly) findings? causes of cardiomegaly? further investigations? 6. Bell's palsy(diagnosis? if rashes are on ear then what is it called?(Ramsay hunt synd.) 7. Shingles(herpes zoster) diagnosis? long standing symptom(pain)? most specific therapt?(acyclovir)? if it is widely spread then what is the cause?(immunization) 8. Left heart failure- diagnosis? management? 9. Heparin(2 indications? 2 contraindications? name the antidote?) 10. ETT(parts? indications? how to insert?) 11. Post-partum psychosis( diagnosis? discuss treatment?) 12. Clubbing(what is shown in picture? give 4 possible diagnosis? name 3 investigations? 13. Matching (left parasternal heave=right ventriculat hypertrophy, pusating liver=right heart failure, tenderness in RIF= appendicitis, bronchial breath sounds= consolidation, periorbital puffiness= nephrotic syndrome.) OSPE SIMS 8th feb 1.hemaccel coposition(what type of solution? 3 indications? contraindications? 2. 22 gauge branula(uses? complications? 3. Marfan's(picute of hyper-extended thumb)=> d/d? common at what age? 4. CT Scan Brain showing Intrace...rebral Haemorrhage with Ventricular Extension (What is this modality? findings? diagnosis? 5.ECG showing inferior wall MI(Findings? Diagnosis? 3 steps of management? 6.strawberry tounge(Identify? D/D? Common in what age?(childhood)) 7. pleural effusion(What investigation is this? finding? likely diagnosis?) 8. malarial parasite( diagnosis? should we treat urgently this condition? prognosis? 9.hep b counselling(a man who has hepB is about to get married after 2 months afraid that his wife will contract HepB from him) 10. Ptosis (unilateral) (Finding? why this drooping has occurred? Causes?) 11. Counselling Hyperlipidemia (Dietary) 12. ECG with examine OSPE of FMC...08-02-11 1.Neurofibromatosis(identify picture? management? neurological signs?) 2. CSF picture of bacterial meningitis(diagnosis of CSF findngs? treatment? pick abnormal findings in the report? 3. Hep B counseling(counsel a preg woman regrding antenatal risk,breastfeding, preventive measures for her married life..<intractive station> ) 4. Folley's catheter(dentify? name parts?...complications?..<inttractive station> 5.antipsychotic(psychiatry...scenerio..a 17 yr old boy came with sudden onset of rigidity n protruding tongue... answr<ask relvant questns in history><sugst Rx><prog n counsel>???? 6.lobar pneumonia-x-ray (2caustve organisms? 4 physical sign?? 7.acanthosis nigricans(idntify? etiolgy?) 8.spider nevi 9.subarachnoid haemorrhage....idntify the picture?..mangement? abnormality in the picture? 10.dobutamin(indications?contraindications? substitute?? 11.MI(ecg-- st elevation) =>2 blood tests? mangement? 12. Matching(match the follwing spleen- myelofibrosis murmur -thyrotoxicosis etc) 13. tension pneumothorax(....a man develops suddn dysnea and high grde fever..is a chronic smoker; other chest findings are norml.<spntaneous pneumothorax> management? HFH RMC 8th feb

1. scenario of hepatic encaph: dx? 3 steps of management? 2. ETT picture: identify? give 3 complications? 3. butterfly rash picture: dx SLE?, write 5 signs? 4. scenario of metabolic acidosis: give 2 d/d (dka,salicylate poisoning), give 1 test to differentiate between ur d/d (urine test) 5. X-ray of pneumothorax: tell 3 findings on xray? write dx? 6. pic of RHD(swollen knee joints): dx (rheumatic heart disease)? give 3 major criteria? 7. hydrocortisone: identify? 3 uses? 8. scenario of anxiety disorder: tell dx? 3 drugs for Rx? 9. picture of hypothyroidism: tell dx? 3 tests? 10. interactive: management of hemetemesis? 11. interactive: MI ECG: dx? management? 12. interactive: prevention of spread of active TB? 13. interactive: diabetes counselling? AIMC OSPE(8-2-11) 1-laryngoscope(observed) 2-endotracheal tube 3-schizophrenia counselling 4-erythema mutform 5-hep B counseling(observed) 6-meningits D/D(observed) 7-inferior wall MI 8-DVT and drugs used to treat it 9-extra dural hemorrage 10-enlaged heart x-ray 11.Tophaceous gout 12. Phenytoin 13. metabolic acidosis WMC:8th feb: 1.Pulmonary edeme 2. DM 3. vent. tachycardia 4.ct infarct 5. xray opacity 6. acute gout 7. bromchiectasis----treatment? d/d? 8. meningitis 9. ureamia physical signs 10.herpes zoster 11.PCO management 12. h.pylori management n tests. SZMC ospe.... 1.ECG of MI... findings? diagnosis? imediate managment? 2.exophthalmos, hand clubbing wd resp.snerio,diagnosis? d/d? investigations? 3. LP nedl,nam,uses, 4.metabolc acidosis scnerio wd biochem,diag.causes,invst. 5 snerio of scurvy n pic of bledng gum.caus n odr featurs. 6 ivu,findngs n causes. 7.hydrocortison.ind.side effects? 8,intrctive,counslng of DVT. 9.Depression question? cause? management? duration of treatment?

10. Dcmpnstd Liver with hmatemsis in emrgncy, management? 11. Counslng hep.b (immunization) 12. CT Brain... infrction. OSPE fsd medical university 1-NG tube indications and side effects 2-lasix 3-psoriasis picture and treatment 4-depression treatment ...5-x-ray copd findings 6-CT cereberal infarct and its cause which is atrial fibrillation in this scenario 7-infective endocarditis,pic of nail and eye 8-rheumatoid pic give 2 findings 9-bronchogenic carcinoma,causing laryngeal nerve palsy 10-CLD,hematemasis,HCV +ve give treatment 11-ETT 12-laryngoscope 13-diabetes complications and name hypoglycemc agents qamc oscpe(8th feb) larngoscpoe uses? complication ov use? fever graph swinging fever condition? causes ov relative bradycardia? hypertensive retinopathy investigation? instrument? finding? zolmitrptan category? uses? complication? typhoid fever scenario will hav it if visit that area again? preventive measures? vaccination available or nt? schedule ov vaccination? pulse graph pulse bisferians causes? metabolic acidosis findings? causes? xray abdomen gall stone carrier state? operation? if chemotheraphy effective? name investigation? xray chest bullae findings? disease? picture plus scenario wegener granulomatosis wat lesion? diagnosis? wat drug modify it? ecg ventricular tachycardia finding? diagnosis? interactive tb councelling hw to protect family? interactive depression diagnosis? treatment? duration of treatment? WMC 9th feb OSPE Autosomal recessive (identify, diseases), paraoxysmal nocturnal haemoglobinuria(dx,features),multiple myeloma(lesion,dx,investigations),atenolol(group,indications,contra),ecg(MI,rx,complications),graves (identify,rx), liver biopsy(needle identify,complications),mediastinal shift(dx,findings),ehler...s danlos syndrome (findings,dx,features),interactive: lp needle, hbsAg positive male,NG tube insertion.Hep A transmission, precautions, carrier state? sims 03/02/2011 1. Lp needle (indication, contra. Ind.) 2. Heparin (indicatn. , toxic eff.) 3. Erythema nodosum (finding, causes) 4. Wernicke's (clinical feat. 3, trea5. Scenario of AR (diag. 3 other physcl fndngs) 6. Scenario of lower lobe pneumonia(physical findings, empirical treatment) 7. Picture of inflammed, red, swollen joint (findings, 3 causes) 8. Scenario of addison's wth pic. Of hypopigmentation (diag.,2 tests) 9. Interactive (diag. &trtmnt. Of pulmonary edema) 10. Interactive (folley's , parts, technique) 11. Interactive (pulm. Edema, diag. N trtmnt.)

12. Interactive (trtmnt. Of ulcerative colitis ) 13. Scenario of dilutional hyponatremia , ccf(type of hyponatremia, other causes of ths type ) we had 2 interactive statns. Of pulm. Edema (diff. Scenario) Fmh 09 Chest xray with opacity and history of painless hematuria(52 year old man, weighloss, fever, and painless hematuria. With the opacity shown. Left lung. It wasn't a proper so called coin lesion. Fluffly thi thori. I did TB. Though I thought of Ca also..but I moved to tb. I also had ...Goodpastuer Syndrome in mind!), ct brain with hypodense region vitiligo and associated diseases gentamicin drug ecg with scenario man presented with black out ecg showing v.tchycrdia oxygen mask management of mi anxiety/panic counselling tongue candidiasis acute git bleed management anemic mother pregnant cause, investigation and counselling. Matching Ulcerative colitis...pyoderma gangreonosum Simian crease...trisomy 21 OSPE wah medical college 9-2-2011 Interactive stations 1.Hep B coucelling abt diet,Rx n tests fr diagnosis. 2.NG tube.. n C/I(c/I in corrosive acid/alkali poisoning fr lavage) ...3.LP needle method lumbar puncture method n C/I 4. Hep A councelling fr precautions n carrier state. STATIC 1. Inheritance flow sheet.. Mode of inheritance: autosomal recessive gve examples. 2. A pic of urine samples in test tube wd diff. colours diag.. paroxysmal nocturnal haemoglobinuria other features? 3.graves pic.. Dx n Rx 4. Right sided colapse on x-ray diag? Features? 5. Liver biopsy needle indication n hazards 6.multiple myeloma x-ray name lesions dx n invest? 7.MI , Complications 8.marfan synd pic associated features? AIMC OSPE 9.02.11 Scabies Depression A/E of digoxin Folleys ...MI Parkinsonism XRAY Consolidation+Bronchogram Intracerebral hematoma Nephrotic syndrome(Interactive) Pericardial effusion cardiac temponade Hypoglycemia Viral hep Obesity counseling

qmc 9.2.11 exoph constrictive pericarditis ecg tb counsling laryngoscope ...hydrocephalous pulmonary hypertension x ray metabolic acidosis dka h.zoster rash pic from davidson lmdc 1.ptosis pic,2 causes,why drooping eyelid, 2.ecg Mi,clinical symtoms,3 steps for emergncy treatment 3.ett,indications 4.malaria pic of bld smear,symts,drugs 5.eryethema nodosom pic,causes,is it painful or no? 6.multiple sclerosis ct,invstigatins 7.obstrutv jaundice,causes,1invstigation 8.sle butrflyrash pic,diagnostic tests,2 systemic manisfestins 9.ulnar deviation xray,rheumtd arthritis,diagnostic criteria 4 interactive-DM lifestyle modification,DM diet counselling,dka managment,hep b counselling for other home members,will hep b transmit to baby?cn she breast feed?wat to do for baby if mother is hep b postive? Nmc ospe.. 1 leg ulcer pic..dia wagnr grnulomatosis treament 2..ptosis pic,causes 3..multple sclrosis scenrio wid mri.. Invstgn 4 match box ...5 livr biopsy nedle,complctns 6 hepts b pregncy couseling 7 foley cather,indctn 8 ett,larygoscope 9 dopler,echocardio indictnz 10 cardiac asthma,mangment 11 x ray emphsma complctn 12 fundoscopy,htn retinopathy. RMC OSPE ADRENALINE identify and 3 uses LP needle identify 3 uses scenario diag... schicoph 3 drugs rash pic... herpes zoster... 3 drugs used ...d/d of ant chst pain nt relivd by nitrats... and 2 investig xray... b/l hilar lymphadenopathy or mediastinal widen... not sure... d/d exophthalmos... signs and diag scenrio....diag bact meningitis and d/d rash daig...sle 2 diag tests ccf or left ventr faliure 3 drugs OBS

TB counselling hepatocellular ca counselling acute sever astma managment UMDC 1.hypothyroidism...clinical signs...relevant questions to ask... 2.tension pneumothorax...signs nd treatment... 3.respiratory acidosis wid compensatory alkalosis...causes 4.multiple sclerosis...investigation nd eye defect... 5.acute severe ast...hma...management 6.depressio counselling... 7.respiratory acidosis... 8.hepatits C investigatn nd treatment... 9.foleyz catheter...indicatn nd side effects.. 10.pneumothorax...treatment.. 11.subdural haematoma...treatment.. 12.insulin...indications nd side effects... 13.pulmonary edema...treatment.. OSPE 10TH FEB 10-2011 NMC Ospe 1.Porphyria(color bottles ..with urine samples and hx of thrombosis) 2.hep B counciling 3.counciling regarding Rheumatic heart disease. 4.councling schizophrenia 5.glargine 6.terphine biopsy needle.biopsy aspirate needle 7.murmurs (diagramatic representation..Murmur graphs .. MS, MR , AS, AR PDA) 8.fundoscopy...dx..D.retionopathy 9.chart of intermittent fever(pattern? causes?) 10.CXR..hydropneumothorax(findings? dx? rx) 11.MRI brain(hydrocephalus) 12.autosomal recessive diseases(pattern of transmition? examples?) 13.ambubag and op airway.(interactive) RMC (Bbh) OSPE 1 . Counselling regarding hep b risk after a needle prick from hep b positive individual. 2. Counselling a patient regarding hypertension. INTERACTIVE STATIONS 3.identify the x ray pneumothorax and treatment.4. Scenario of DKA and treatment .5. Identify the lesion in nails of a patients having RA (splin...ter haemrrohages) what complication has occured and name drug for its prevention. 6. Picture of acromegaly explain loss of visual actuy in this case and name visual field defect(bitemporal hemianopia)7. Picture of ring worm lesion and its treatment 8. Depression scenario and its treatment 9. Menigitis scenario and its D/D and investigation 10. Drugs Calcium gluconate and its uses 11.laryngoscope AIMC Acne picture from internet, treatment Collapse right sided XRay, causes Horner syndrom, causes, what signs evident Match columns ...Amiodarone drug, indication, complication

Heberdon node, underlying pathology, What found on its x ray Anterior wall MI EKG CT Abdomen, hypodense areas, differentials. Metabolic acidosis, Partial pressure with ph and HCO3 given, diagnosis, treatment interactive stations: 1 NG Tube, proceudre demo, indications, contraindications, complications 2 Inferior wall MI, drugs, complications, management lifestyle 3 Pos Myocardial case, your suggestions 4 . Depression lady with management, your advi... 10-02-11 LMDC ospe UNOBSERVED SPOTS: 1)- Iron deficiency anemia (identification, sign/ symptoms, confirmatory test) ...2)- Fundoscopic picture of diabetic retinopathy (treatment, name of hemorrhages) 3)- Metabolic acidosis (causes, investigations) 4)- SLE (systemic manifestations, investigations) 5)- Scleroderma (types 6)- Pulses paradoxis (seen in which diseases) 7)- Abraham's pleural biopsy needle (uses, drawbacks) 8)- Hypothyroidism (treatment, investigations, features) 9)- Estelopram (contraindications, side effects, group) OBSERVED SPOTS: 10, 11)- Counceing of a diabetic patient 2 spots 12)- Ambu bag and oro pharyngial air way (indications, demenstrate the use) 13)- Counceling differential diagnosis and treatment of an anxious patient PMC(10-2-11) *dermatitis herpetiformis......pic given......associated dis...and treatment. *right bundle branch block......RSR(M) pattern on ECG.....causes. *pitting of nails......diagnosis......other nail problems in same dis. *CT abdomen......Cart wheel... app in the liver......diag(hydatid cyst)...treatment. *CXR....straightning of left border of heart...MS.....other findings on auscultation. *matching column....it was easy(no need to panic) *frusemide....side effects. *concelling.....1. senile dementia. 2.LP procedure 3.person taking steroid....councell reagrdin side effects....and how to stop drug. 4.pneumothorax...treatment. 10th feb(college?) calcium gluconate idetify and uses lyrngoscope uses scenario of depression drugs used in it councelling of a doctor who got pricked by a needle contaminated by hep b photo of acromegaly, y she is getting eye prob, wat eye prob xray of pleural effusion, diagnostic test x ray of pneumothorax management scenario of DKA management councelling of a patient to quit smoking tinea corporis, drugs used