OSCE test in Selection Examination Medicine 2008 November 5th (20 questions - 3 minutes given for each with

th 2 rest stations) 1. This patient presented with nocturia and constipation. How do ou confirm diagnosis give 2 !iochemica" tests (# ra of $arcoidosis)

2. How do ou confirm the diagnosis% (&eft "ower "o!e co""apse)

3.'T scan given of superior saggita" vein throm!osis( mid "ine shift( cere!ra" atroph ( h drocepha"us (the picture here is of a )*+ and does not match the e,act image given at the test)

-. 'T given of *ight sided cere!e""ar infarction .'$ 11/10 1 $2H what is the cause of dropping .'$ what is the immediate management

0. 'hi"d given with auscu"tation points mar3ed over 245#(not "eft sterna" edge) and 4u"monar area(6o not e,amine other sites do on" auscu"tation) (' anosis and gross c"u!!ing is o!vious) 7n auscu"tation there is an e8ection s sto"ic m1 over pu"monar area and pan s sto"ic m1 over 245# Tetra "og of 9a""ots :. 6o fundoscop on a dumm provided. 7phtha"moscope does not have !atteries !ut do fu"" e,amination in sequence. 9indings write.(H pertensive retinopath ) ;. 9ive instruments given -T-piece

-Haemodia" sis mem!rane

- Hand he"d 6opp"er

-&ar ngea" mas3/airwa cuffed

-% <.$pecimens given -!i"atera" po" c stic 3idne s with !"adder - infective endocarditis -russe"s viper =. 9"ow vo"ume "oop (the co"ored area)

-restrictive "ung disease

10.>"ood fi"m given patient presented with fever(genera"i?ed " mpahdenopath ( purpuric rash - most pro!a!"e diagnosis -how do ou confirm diagnosis

at pica" " mphoc te seen +nfectious )ononuc"eosis 11. 2 :0 ear o"d woman is avai"a!"e for counce""ing The question sa s that she s a 22 year old fema"e with rhematoid athritis whos a!out to !e commenced on methotre,ate. 2dvice her. 12. # ra of hands with 4+4 8oint invo"vement and soft tissue swe""ing1u"na deviation 13.9i"" form for contrast 'T a!domen of a 23 r o"d fema"e 1-. 5'. with 29(&>>>(6igo,in effect 10. T pe 1 6ia!etes me""itus 1 rena" invo"vement two reports done in a "apse of in the same patient *eport 1 @0 .9* =0 9>$ 13A9* C26 # ra @A> norma" A$$ norma" 1) Bhat additiona" information do ou need from the patient% 2) Bhat s the possi!"e cause of the change in the 2nd report 3) How do ou confirm the diagnosis in (!) 1:. Twe"ve ear o"d gir" with a past histor of 2.C at < ears Bas on Ca va"proate for epi"eps 'ame with !i"atera" hand and 3nee 8oint swe""ing 2$7T -00 *eport 2 @ 0..9* 100 9>$ 12A9* C26

5$* 101 B>' 3.2 A9* casts and protein a) Bhat is the cause of the presentation% !) How do ou confirm the diagnosis% 1;.a) 4icture given

(sca!ies) Bhat is the "ife threatening comp"ication% !) picture of "egs given

(Heriditar sensor motor neuropath ) 1<. 2 patients given a) e,amine upper "im!s on"

(2D fistu"a( 4a"e pa"ms '*9)

!) 5,optha"mos( 6iffuse goitre( 4roptosis( wasting 1=. # ra of pe"vis

Came a!norma"ities Came - !edside rheumato"ogica" tests ou perform on her 20. )ar3 the areas ou p"ace the defi!ri""ator pads on

2) Came vo"tage and mode !) Brite a"ternative drugs ou can give in this condition