Surgery OSCE - Prof Group D
2013 AL
10 stations, 3 minutes each
(Including the communication station)
(No rest stations)
Q.1
• A 50 year old male presented to surgery casualty
ward with vomiting for 2 days [Link] x ray
abdomen is given below.
• Describe the x ray findings
• What are the other symptoms that the patient may
have?
• List 3 possible causes
Key:
• Small intestinal obstruction
Q 2.
• This 45 year old lady had a nail prick injury 2 weeks
[Link] is a photo of her big toe.
• List 2 differential diagnoses
• List 2 signs that will help to differentiate above 2
differential diagnoses
• Mention a bedside investigation that can be used
to assess the distal circulation of the foot
Key:
• Dry gangrene vs wet gangrene of the big toe??????
Q. 3
• A 2 year old boy underwent laparoscopic GI
[Link] of the baby is 15kg.
• His previous day fluid balance chart is given below
Input (IV) Input(oral) UOP NG drainage
Post Op day 2100 ml nil 900 ml 500 ml
1(for 24
hours)
• Serum Na+ 140
• serum K+ 3.5
• Write a prescription for fluids for next 24 hours as
you would write in the BHT
Q.4
• Select the best fluid/fluids for following case
scenarios
• A-5% Dextrose
• B-0.9% NaCl
• C-Ringers Lactate
• D-Human Albumin
• E-Tetrastarch
• 50 year old patient with cellulitis in septic shock
• 35 year old polytrauma patient ,damage control
resuscitation
• Maintenance following laparoscopic sigmoid
colectomy
• Known CLCD patient with ascites awaiting
therapeutic paracentesis
Q.5
• This is a xray of a 30 year old female.
• What is the abnormality?
• List 2 possible complications
• What is the definitive management for above
abnormality?
Key:
• Posterior hip dislocation
Q.6
• Live station-Give discharge advice for this patient
who had undergone inguinal herniotomy and mesh
repair. Address his concerns as well.
• He is newly married and working as a driver.
Q.7
• A 35 year old male presented with intermittent right
lower abdominal pain for 3 months duration. He has
lost 5kg weight over this period.
• On examination he is [Link] examination is
unremarkable.
• Hb-9.6 g/dl
• WBC-3.1
• Platelets-460 000
• MCV-106
• What is the abnormality in FBC?
• What is the main reason for above abnormality?
• List 2 differential diagnoses for his presentation
• How can you confirm the diagnosis?
Key:
• Crohn’s disease, Intestinal TB
Q.8
•
• A. B
• Identify A and B
• List 2 complications that can result from A
• List 2 contraindications for the use of B
Key:
• A-Epidural needle
• B-Spinal needle
Q.9
• A 8 year old boy diagnosed to have uncomplicated
acute appendicitis and awaiting laparoscopic
appendicectomy.
• List 5 important aspects in preoperative
preparation
Q.10
• A 25 year old female presented with left sided
radicular pain along the upper limb for 1 week
duration
• What is the x ray diagnosis?
• List 3 other symptoms that the patient may have
• List 2 investigations that you may perform in this
patient giving reasons
Key:
• Cervical rib
Thank You!!!!