IM UE-OSCE GROUP E
1. 57 years old, known hypertensive on regular medication,, presented with shortness of breath
and chest pain.. had osteoarthritis underwent total knee replacement surgery 10 days ago and
stayed in hospital for 4 days
- what is the diagnosis
- What are her two risk factors
- What are confirmatory test
- Two immediate management
[Link] presented with lower limb weakness for...[time]. She is hypertensive and the
hypertension does not respond to medication regardless the use of four hypertensive
medication. She has been recently been diagnosed with DM. She is obese, she also has thin
arms and legs. She has pink striae and round face
-what is the possible diagnosis
-What tests will you perform to confirm it
-mention 4 other features associated with this diagnosis
3.19 years old has history of sore throat infections 2 weeks ago , presented with face,
abdomen and led swelling more in the morning and coca cola like urine. Bp 154/86, pulse
118, creatinine 168,albumin 32g/l, urinalysis RBC 3+, protein 2+, RBC cast and dysmorphic
red blood cells
a) Give the name of syndrome
(b) what is a specific diagnosis
(c) what are 4 findings on lab suggestive of the diagnosis in (b) above
(d) what is the confirmatory test
4. A man came with a sudden onset of right sided weakness, his blood pressure was
209/115 not on medication with a CT provided
a. Can u describe the finding on the Ct scan?
b. What is the most likely diagnosis?
c. what is the immediate treatment of the pt.?
d. what is an immediate feared complication
5. Male presented with
flank pain then a vesicular
rash occured which was
pruritis and erythematous,
does not cross the midline
and limited to one
dermatome, man is having
multiple sexual partiners
and has history of tatooing
- whats the diagnosis
- 5 conditions which can
predispose to a diagnosis
- how will you manage (
dose route and duration)
6. Male...came with dry cough for ....days, He has history of smoking 1
pack per day fpr 30 yrs and has a history of working in construction
site since his youth. He has lost weight unintentionally but has no
fever or night sweats however has attended to his cousing who had
tb
-from the chest x ray mention 2 features
-what is the possible diagnosis
-what are the possible risk factors
-what are the two complications from this diagnosis
7. 19 yr old male [Link] came with complaint of chest pain that worsened
withtakind deep breath. He has history of loww grade fever, drenching night sweats,
and unintentional weight loss. On examination no muffled sound and eccon revealed
normal everythiung, no mass and echo free space around the heart. The ECG and
CHEST X RAY are given below
-Mention two relevant findings in the ECG
-Mention two [Link] in the chest x ray
-What is the possible diagnosis
-To confirm your diagnosis what 3 tests would you do
-What are the two key steps for management of this case
8. The qn was about UDSM student who came from Mbeya to Dar es salaam, she
experiences the symptoms ofjoint pain, night fever and tinge of jaundice
a. What is the most likely diagnosis?
b. What investigations will do
c. How will u treat the pt. (drug, dose and mean of administration)
9. 52 year old male presented at EMD with hx of vomiting up blood about three
episodes each of 300mls for 3days however no abdominal pain [Link] dx and
a. state the diagnosis including the precipitant...
b. Mention 4 means of assessing shock in this patient from physical examination
c. Explain management of this patient
10. here you were given FBC table and their references. It had pancytopenia and
normocytic normochromic anaemia
a. explain the abnormalities
b. five possible causes
c. 4 investigations you can do.