5 YEAR MEDICINE OSPE 8 FEB 2012

SARGOHDA MEDICAL COLLEGE OSPE

1-figure of hand, scnario of itchng wid many family membrs involved, diagnsis n drugs.(scabies)

2.scnario of depression , diagnsis n drugs

3.digoxin n its 3 sid effects

4.folleys catheter 2 way,Indicatnz of its use

5.scnariao of chest pain radiatng to jaw n hand, ecg nrmal,diagnsis stable angina n its 2 d.d

6. Parkinsonism n its 2 drugs

7. Uper lobe opacity on xray ,cnsolidatn or colapeWht is da abnrmaliy, n its 2 causes

8. Ct scan of intracerebral haemorrhage .Gv 2 findngs (hyperdense area n shftng or cmpresion of ventricles)2 cnditnz dat cause dis

9. 20 yr male wid whole body edema urine reportRBCs, few pus celsProtein less dan 1g/24 hrzDiagnosis? N its causes

10. Pericardial temponade

Xay n explan da procedr of treatment(observ)

11. Patient on oral hypoglycemic ,n starving n anorexic, glucose 50 gm% creatinine 2 gm% ,diagnsis n managment ( observe)

12. Patient wid HBsAg postiv.At what stage its present(acute hepatits) cmplictnz(observe)

13. Hyperlipedemia with IHD ,diatry couclng n tel hm da rish of othr disease dat wl dvelop if not cntroled.

SIMS OSPE

1.ehler danlos synd features2.autosomal recessive inheritance flow diagramDiseases3.multiple myeloma investigations4.PNH5.MI ECG treatment complications6.graves treatment features7.true cut biopsy complications8.collapse xray clinical findings9.9.atenololGroupIndications contraindication

Interactive:LP indications n techniqueNG technique indicationsHep AHep B

NMC OSPE

1. LP needle, idntify, 4 diagnostic indications.2. creatinism, identify n treatmnt, how to prevent?? (28 yr old puffy lady vd delayed milstones n umbilical hernia)3.ECG showin extensive anterior wall infart, idntify, emergncy treatmnt?4. pictr ov eye vd haliotropic rash on lateral canthus n lid, symptoms ov proximal myopathy, rash on the back as well... idntify (dermatomyositis), finding (haliotropic rash), treatmnt (steroids)5. pic ov back vd vesicles, idntify (shingles), complications, treatmnt?6. xray showin STRAIGHTENIN ov lft border ov heart,,,, pt cmplains ov shortness ov breath n hv diastolic murmer. diagnose(mitral stenosis), common cause (RHD), complications??7. ECG ov a PULSELESS PATIENT,identift d rythm (VENTRICULAR TACHYCARDIA....), EMERGNCY treatmnt??8. scenario ov PHOBIC PANIC DISORDER, idntify n treat??INTERACTIVE....1. pt vd cardiogenic shock, show CARDIAC THUMB N RESUSCITATE D PT2. PT COLLAPSED WHILE GIVIN U D HISTORY, MANAGE, POSIBL CAUSES3. diagnose OCD N MANAGMNT....

UMDC OSPE1.herpes zoster, treatmnt n complication2.obcssive cmplsive disorder, diagnosis, treatmnt3.Xray chest showing opacity, findings n 3 d/d4.cerebral infarction, diagnosis n 3 causes5.ventricular tachycardia , diagnosis, immediate stp of managmnt, 2 causes6.bronchiatesis, 5 causes, 4 investigations7.acute gout, 3 drugs fr treatment,8.uremic encaphlopaty, 2 physical sign, managmnt9.meningitis, investigation, drugsINTERACTIVE10.MI with DM

11.pulmonary edema,12. h.pylori13.DM

WAH MEDICAL COLLEGE OSPE

Cmplete heart blockmatch column3rd nerve palsysubacute bacterial peritnitis,subarachnoid haemrage,pneumnia,dka, anorexia nervosa,scabies,interaktiv:

M.B.B.S Study Stuff All Prof

pmc med ospe (8.2.12)cystals pic.diag gout.drugs?cmlicationswart...rx optiondka.wat metabolic derangment? Rxcounselling hw to use insulin in dm ptecg changs.risk factors.findingscounselling...needl prick frm hcv ptcounsellin to HBsag positv pt bou d dis n blood donationett.ind.comlicatncushing.sign.invstigatn

Wmc

Cmplete heart blockmatch column3rd nerve palsysubacute bacterial peritnitis,subarachnoid haemrage,pneumnia,dka, anorexia nervosa,scabies,interaktiv:dopamine, reactiv arthritis,hep c, hypovolemic shok

ALL 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 asthma4. 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 uses10. 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 complications4. 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 each10. 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 concentrates2.Picture crystals...diagnosis=gout...complications=uric acid renal calculi, tophi, arthropathy....drugs=NSAIDs,allopurinol,colchicine3.1...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....Diagnosis=pericardial effusion...investigation of choice=echocardiography...treatment=pericardiocentesis5.Diagram of endoscopy+Scenario...Diagnosis=duodenal ulcer...2 investigations= barium meal nd endoscopy....treatment=triple therapy6.Scenario+ X ray...Diagnosis=Sarcoidosis...write X ray finding=bilateral hilar enlargement...whts rash called=erythema nodosum....treatment= steroids nd immunosuppresants7.Scenario....Diagnosis=acute excerbation of COPD wid typeII respira...tory failure...Significance of ABGs=respiratory acidosis wid compensatory metabolic alkalosis...Treatment=BiPAP8.Scenario...Diagnosis=DKA...Metablic abnormality=metabolic acidosis...Treatment=fluids nd insulin infusion9.Scenario...Multiple sclerosis...whts CT shows=demylinating lesions... investigations= CSF examination,visual evoked potentials10.Scenario+picture...Diagnosis=Addison's disease...whts shown in picture=pigmentation...Treatment=fluids nd hydrocortisone.(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 warfarin13. Neuroleptic malignant syndrome=> fluphenazine and haloperidol induced pyrexia and catatonic posture.UHS-OSPE 20091. 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?UHS OSPE OF MEDICINE Annual 2010

LMDC(8feb)1.Cheyne stroke breathing picture d/d2. consolidation xray3.Haliotrope Rash picture d/d?4.Xanthoma picture d/d

5.squint picture cause6.microcytic hypochromic picture d/d7.erythema nodusum picture d/d8.Herpes zoster picture treatment9.Jvp raised picture d/d10.Observed Laryngosocpe usage11.IHD cousnel12.Type 1 DM counseling13.Alcoholic pt counseling

PMC 8th Feb :1.Laryngoscope(parts....indications....method of insertion)2.MI complications and t/m – interactive-3.Anxiety councelling4.DM councelling5.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 feb1. 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 feb1.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 examineOSPE of FMC...08-02-111.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 nevi9.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 follwingspleen- myelofibrosismurmur -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 feb1. 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?OSPE wah medical college 9-2-2011Interactive stations1.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/I4. Hep A councelling fr precautions n carrier state.STATIC1. Inheritance flow sheet.. Mode of inheritance: autosomal recessivegve examples.2. A pic of urine samples in test tube wd diff. colours diag.. paroxysmal nocturnal haemoglobinuriaother features?

3.graves pic.. Dx n Rx4. Right sided colapse on x-ray diag? Features?5. Liver biopsy needle indication n hazards6.multiple myeloma x-ray name lesions dx n invest?7.MI , Complications8.marfan synd pic associated features?AIMC OSPE 9.02.11ScabiesDepressionA/E of digoxinFolleys...MIParkinsonismXRAY Consolidation+BronchogramIntracerebral hematomaNephrotic syndrome(Interactive)Pericardial effusion cardiac temponadeHypoglycemiaViral hepObesity counselingqmc 9.2.11exophconstrictive pericarditis ecgtb counslinglaryngoscope...hydrocephalouspulmonary hypertension x raymetabolic acidosisdkah.zoster rash pic from davidsonlmdc1.ptosis pic,2 causes,why drooping eyelid,

2.ecg Mi,clinical symtoms,3 steps for emergncy treatment3.ett,indications4.malaria pic of bld smear,symts,drugs5.eryethema nodosom pic,causes,is it painful or no?6.multiple sclerosis ct,invstigatins7.obstrutv jaundice,causes,1invstigation8.sle butrflyrash pic,diagnostic tests,2 systemic manisfestins9.ulnar deviation xray,rheumtd arthritis,diagnostic criteria4 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 treament2..ptosis pic,causes3..multple sclrosis scenrio wid mri.. Invstgn4 match box...5 livr biopsy nedle,complctns6 hepts b pregncy couseling7 foley cather,indctn8 ett,larygoscope9 dopler,echocardioindictnz10 cardiac asthma,mangment11 x ray emphsma complctn12 fundoscopy,htn retinopathy.

RMC OSPEADRENALINE identify and 3 usesLP needle identify 3 usesscenario diag... schicoph 3 drugsrash 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/dexophthalmos... signs and diagscenrio....diag bact meningitis and d/drash daig...sle 2 diag testsccf or left ventr faliure 3 drugs

OBSTB counsellinghepatocellular ca counsellingacute sever astma managment

UMDC1.hypothyroidism...clinical signs...relevant questions to ask...2.tension pneumothorax...signs nd treatment...3.respiratory acidosis wid compensatory alkalosis...causes4.multiple sclerosis...investigation nd eye defect...5.acute severe ast...hma...management6.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 wah medical college 9-2-2011Interactive stations1.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/I4. Hep A councelling fr precautions n carrier state.STATIC

1. Inheritance flow sheet.. Mode of inheritance: autosomal recessivegve examples.2. A pic of urine samples in test tube wd diff. colours diag.. paroxysmal nocturnal haemoglobinuriaother features?3.graves pic.. Dx n Rx4. Right sided colapse on x-ray diag? Features?5. Liver biopsy needle indication n hazards6.multiple myeloma x-ray name lesions dx n invest?7.MI , Complications8.marfan synd pic associated features?AIMC OSPE 9.02.11ScabiesDepressionA/E of digoxinFolleys...MIParkinsonismXRAY Consolidation+BronchogramIntracerebral hematomaNephrotic syndrome(Interactive)Pericardial effusion cardiac temponadeHypoglycemiaViral hepObesity counselingqmc 9.2.11exophconstrictive pericarditis ecgtb counslinglaryngoscope...hydrocephalouspulmonary hypertension x ray

metabolic acidosisdkah.zoster rash pic from davidsonlmdc1.ptosis pic,2 causes,why drooping eyelid,2.ecg Mi,clinical symtoms,3 steps for emergncy treatment3.ett,indications4.malaria pic of bld smear,symts,drugs5.eryethema nodosom pic,causes,is it painful or no?6.multiple sclerosis ct,invstigatins7.obstrutv jaundice,causes,1invstigation8.sle butrflyrash pic,diagnostic tests,2 systemic manisfestins9.ulnar deviation xray,rheumtd arthritis,diagnostic criteria4 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 treament2..ptosis pic,causes3..multple sclrosis scenrio wid mri.. Invstgn4 match box...5 livr biopsy nedle,complctns6 hepts b pregncy couseling7 foley cather,indctn8 ett,larygoscope9 dopler,echocardioindictnz10 cardiac asthma,mangment11 x ray emphsma complctn12 fundoscopy,htn retinopathy.

RMC OSPEADRENALINE identify and 3 usesLP needle identify 3 usesscenario diag... schicoph 3 drugsrash pic... herpes zoster... 3 drugs used...d/d of ant chst pain nt relivd by nitrats... and 2 investigxray... b/l hilar lymphadenopathy or mediastinal widen... not sure... d/dexophthalmos... signs and diagscenrio....diag bact meningitis and d/drash daig...sle 2 diag testsccf or left ventr faliure 3 drugs

OBSTB counsellinghepatocellular ca counsellingacute sever astma managment

UMDC1.hypothyroidism...clinical signs...relevant questions to ask...2.tension pneumothorax...signs nd treatment...3.respiratory acidosis wid compensatory alkalosis...causes4.multiple sclerosis...investigation nd eye defect...5.acute severe ast...hma...management6.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..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 03/02/20111. 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 09Chest 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 regionvitiligo and associated diseasesgentamicin drugecg with scenario man presented with black out ecg showing v.tchycrdiaoxygen maskmanagement of mianxiety/panic counsellingtongue candidiasisacute git bleed managementanemic mother pregnant cause, investigation and counselling.MatchingUlcerative colitis...pyoderma gangreonosumSimian crease...trisomy 21OSPE 10TH FEB10-2011 NMC Ospe1.Porphyria(color bottles ..with urine samples and hx of thrombosis)2.hep B counciling3.counciling regarding Rheumatic heart disease.4.councling schizophrenia5.glargine6.terphine biopsy needle.biopsy aspirate needle7.murmurs (diagramatic representation..Murmur graphs .. MS, MR , AS, AR PDA)8.fundoscopy...dx..D.retionopathy9.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) OSPE1 . 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

AIMCAcne picture from internet, treatmentCollapse right sided XRay, causesHorner syndrom, causes, what signs evidentMatch columns...Amiodarone drug, indication, complicationHeberdon node, underlying pathology, What found on its x rayAnterior wall MI EKGCT Abdomen, hypodense areas, differentials.Metabolic acidosis, Partial pressure with ph and HCO3 given, diagnosis, treatmentinteractive stations:1 NG Tube, proceudre demo, indications, contraindications, complications2 Inferior wall MI, drugs, complications, management lifestyle3 Pos Myocardial case, your suggestions4 . Depression lady with management, your advi...

10-02-11 LMDC ospeUNOBSERVED 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 (types6)- 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 spots12)- Ambu bag and oro pharyngial air way (indications, demenstrate the use)13)- Counceling differential diagnosis and treatment of an anxious patientPMC(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 procedure3.person taking steroid....councell reagrdin side effects....and how to stop drug.4.pneumothorax...treatment.10th feb(college?)

calcium gluconate idetify and useslyrngoscope usesscenario of depression drugs used in itcouncelling of a doctor who got pricked by a needle contaminated by hep bphoto of acromegaly, y she is getting eye prob, wat eye probxray of pleural effusion, diagnostic testx ray of pneumothorax managementscenario of DKA managementcouncelling of a patient to quit smokingtinea corporis, drugs usedAIMC OSPE(8-2-11)1-laryngoscope(observed)2-endotracheal tube3-schizophrenia counselling4-erythema mutform5-hep B counseling(observed)6-meningits D/D(observed)7-inferior wall MI8-DVT and drugs used to treat it9-extra dural hemorrage10-enlaged heart x-ray11.Tophaceous gout12. Phenytoin13. metabolic acidosisWMC:8th feb:1.Pulmonary edeme2. DM3. vent. tachycardia4.ct infarct5. xray opacity6. acute gout

7. bromchiectasis----treatment? d/d?8. meningitis9. ureamia physical signs10.herpes zoster11.PCO management12. 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 university1-NG tube indications and side effects2-lasix3-psoriasis picture and treatment4-depression treatment...5-x-ray copd findings6-CT cereberal infarct and its cause which is atrial fibrillation in this scenario7-infective endocarditis,pic of nail and eye8-rheumatoid pic give 2 findings9-bronchogenic carcinoma,causing laryngeal nerve palsy10-CLD,hematemasis,HCV +ve give treatment

11-ETT12-laryngoscope13-diabetes complications and name hypoglycemc agentsqamc 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?MBBS Final Year Ospe Medicine 2011 UHS Lahore

1. scenario of hepatic encaph: dx, 3 steps of management2. ett pic: identify: give 3 complications3. butterfly rash pic: dx sle, write 5 signs4. 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 dx6. pic of RHD(swollen knee joints): dx rh. heart dis, give 3 major criteria7. hydrocortisone: identify, 3 uses8. scenario of anxiety disorder: tell dx, 3 drugs for Rx9. pic of hypothyroidism: tell dx, 3 tests10. interactive: management of hemetemesis

11. interactive: MI ECG: dx, management12. interactive: prevention of spread of active t.b13. interactive: diabetes counselling

a. Malarial Parasite (D/X Cerebral Malaria)i. Diagnosisii. Should we urgently treat this conditioniii. Prognosis...b. Hyperextended Thumb? (Marfan’s)i. D/Dii. Common at what agec. Haemacceli. What type of Solutionii. 3 Indicationsiii. Contraindicationd. Branulai. Usesii. Complicationse. Counselling (Hep B)(a man who has hepb about to get married after 2 months afraid that his wife will contract HepB from him)f. Counselling Hyperlipidemia (Dietary)g. ECG with examinerh. ECG with examineri. CT Scan Brain showing Intrace...rebral Haemorrhage with Ventricular Extensioni. What is this modalityii. What are the findingsiii. What is the diagnosisj. Strawberry Tongue (Identify, D/D, Common in what age(childhood))k. Pleural Effusion (What investigation is this, finding, likely diagnosis)l. Ptosis (unilateral) (Finding, why this drooping has occurred, Causes)m. ECG showing inferior wall MI

i. Findingsii. Diagnosisiii. 3 steps of management

1- herpes zoster2-,interaventricular hemorrage3-,sinus bradycardia,4-GTT curve,5-lung consolidation,6-pusatile liver,7-left parasternal heave,8-pain RIF,9-heparin dosecardiomegaly...due to pericardial effusionclubbingleft lmn facial palsyEndotracheal tubehep c counselingppst partum psychosis counselingac pulmonary edema

Laryngoscopy,MI complications and t/m – interactive-Anxiety councellingDM councelling...ExopthalmosCalculate HR on ECG, causes of tachycardia,Metabolic Alkalosis with ABG findingsMR – SOL-Malar flush, SLEDigoxinMatching

KyphoscoliosisX ray pneumothorax

1.Cheyne stroke breathing picture d/d2.consolidation xray3.Haliotrope Rash picture d/d4.Xanthoma picture d/d5.squint picture cause6.microcytic hypochromic picture d/d7.erythema nodusum picture d/d8.Herpes zoster picture treatment9.Jvp raised picture d/d10.Observed Laryngosocpe usage11.IHD cousnel12.Type 1 DM counsel13.Alcoholic pt counsel

1.hypothroidism pic2.rheumatic hd pic3.hydrocortisone4.anxiety disordr scenario5.sle rash6.pneumothorax xray7.antroseptal infarc ecg8.counslng tb9.counslng DM10.ett11. hemetemesis management12. hepatic encaph scenario13. d/d of metabolic acidosis

1-laryngoscope

2-endotracheal tube3-schizophrenia counselling4-erythema mutform...5-hep B counseling6-meningits D/D7-inferior wAll MI8-DVT and drugs used to treat it9-extra dural hemorrage10-enlaged heart x-ray

1)subarach hmrage.idntify the pic..mangmnt..abnrmalty in the pic2) xray...lobar pneumonia.2caustve org,4 physcl sign3)dobutamne.indictns,contraind,substitute4)acanthosis nigricans...idntify,etiolgy5)ecg..MI st elevation...2 bldtests,mangmnt6)hep b.counsl a preg womn regrding antenatl risk,breastfeding,prevntive measures 4 her marrid lyf..7)folys cathetr...identify.name parts...complts..8)scenerio ....a man devlps suddn dysnea n high grde fevr..is a chr smokr...othr chest findin r norml.answr....2.managmnt..9)phyctry...scenerio..a 17 yr old boy came with sudden onset of rigidity n protruding ...tongue...answr10)match the follwingspleen- myelofibrosismurmur -thyrotoxicosisetc11)neurofibromatosis:identify pic,managmnt,neurological signs12)bacterial meningitis:diag csf findngs,treatment,pik abnormal findings in the reprt...

1. Parkinsonism

2. splenomegaly3. leg ulcers4. zolmitripton...5. graph of fever6. cause of relative bradycardia7. Typhoid fever( prophylaxis)8. Metabolic acidosis9. TB counseling10. laryngoscope11. X-ray(hilar opacity)12. ECG13. depression

1.ecg of mi. fndngs,diag.imedt managment2.exophthalmos, hand clubng wd resp.snerio,diag.,d.d.n invs.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.sid efct..8,intrctv,counslng of dvt.9.dprsion, qs, wt z, cause, mangmnt, duration ov tm10. Dcmpnstd Livr wd hmatemsis in emrgncy, mangmnt11. Counslng hep.b immuniztin12. CT Brain, infrction.

1.Neurofibromatosis:Q: Neurofibromatosis...cause, cns associations, prevention & treatment?2. CSF picture of bacterial meningitis:

3. Hep B counseling

Q:Hep B positive mother...effects on newborn, breast feeding allowed and why? Counselling of husband and prevention of hep B in husband?

4. Folley's catheter:Q:Foley's catheter...method of insertion, medical reasons for catheterization, how long to leave it in stroke patients, other non invasive methods-diaper, parts of catheter, function of inflated balloon at end, how do u know its placed inside bladder?5.antipsychotic:Q: Antipsychotics side effects of abdominal rigidity and muscle tension...history taking, treatment of side effects and councelling, reassurance?

6.pneumonia:Q: Xray finding of consolidation...2 causes, other investigations?

7.acanthosis nigricansQ: Acanthosis nigricans...features, associated conditions?

8.spider neviQ: Spider nevi...most common cause, other findings in patient with spider nevi

9.cerebral haemorrhage:Q: Subdural hemmorrage...investigation - ct scan, immediate treatment, other findings on ct?

10.dobutaminQ:Dobutamin...side effects, indications, substitute?

11.MIQ: MI...ECG findings of Anterior wall MI, Treatment?

12. MatchingQ: Matching...ptosis-myasthenia gravis, murmur-hyperthyroidism, pulses paradoxus- cardiac tamponade, cyanosis-emphysema, spleenomegaly-myelofibrosis?

13. tension pneumothorax:Q: Tension pneumothorax...diagnosis and reason of diagbosis, complications, treatment?

Rheumatide Arthritis, Name the deformity? What is its diagnostic criteria?Picture showing facial and neck congestion.... What is differential diagnosis? What Investigations you would suggest?Treatment plan of acute severe asthma?Tuberculosis investigations and treatment?What are Causes of facial palsy? Give treatment?Megaloblastic anemia... What are its causes? Give investigations? Write down its treatment?Myasthenia gravis.... What investigations you would suggest? Give treatment?SLE, treatment plan for mild, moderate and severelytic lesions of bone, d/d. investigationsDrugs: beta blicker, ACE inhibitor, furosemide, nitrates adrenaline.. their mech of action and usesXrays: pulm edema, cardiomegaly, effusion, pneumothorax,pneumonia.Last year Medicine OSPE instruments:

Indications Contraindications OfLp needleETTNG

IV canulaECGsAtrial flutterMIAV blockX-raysPneumoniaPneumothorxTBIVU

Wmc

Cmplete heart blockmatch column3rd nerve palsysubacute bacterial peritnitis,subarachnoid haemrage,pneumnia,dka, anorexia nervosa,scabies,interaktiv:dopamine, reactiv arthritis,hep c, hypovolemic shok

NMC 8th feb 20121. LP needle, idntify, 4 diagnostic indications.2. creatinism, identify n treatmnt, how to prevent?? (28 yr old puffy lady vd delayed milstones n umbilical hernia)3.ECG showin extensive anterior wall infart, idntify, emergncy treatmnt?

4. pictr ov eye vd haliotropic rash on lateral canthus n lid, symptoms ov proximal myopathy, rash on the back as well... idntify (dermatomyositis), finding (haliotropic rash), treatmnt (steroids)5. pic ov back vd vesicles, idntify (shingles), complications, treatmnt?6. xray showin STRAIGHTENIN ov lft border ov heart,,,, pt cmplains ov shortness ov breath n hv diastolic murmer. diagnose(mitral stenosis), common cause (RHD), complications??7. ECG ov a PULSELESS PATIENT,identift d rythm (VENTRICULAR TACHYCARDIA....), EMERGNCY treatmnt??8. scenario ov PHOBIC PANIC DISORDER, idntify n treat??INTERACTIVE....1. pt vd cardiogenic shock, show CARDIAC THUMB N RESUSCITATE D PT2. PT COLLAPSED WHILE GIVIN U D HISTORY, MANAGE, POSIBL CAUSES3. diagnose OCD N MANAGMNT....

NMC 8th feb 20121. LP needle, idntify, 4 diagnostic indications.2. creatinism, identify n treatmnt, how to prevent?? (28 yr old puffy lady vd delayed milstones n umbilical hernia)3.ECG showin extensive anterior wall infart, idntify, emergncy treatmnt?4. pictr ov eye vd haliotropic rash on lateral canthus n lid, symptoms ov proximal myopathy, rash on the back as well... idntify (dermatomyositis), finding (haliotropic rash), treatmnt (steroids)5. pic ov back vd vesicles, idntify (shingles), complications, treatmnt?6. xray showin STRAIGHTENIN ov lft border ov heart,,,, pt cmplains ov shortness ov breath n hv diastolic murmer. diagnose(mitral stenosis), common cause (RHD), complications??7. ECG ov a PULSELESS PATIENT,identift d rythm (VENTRICULAR TACHYCARDIA....), EMERGNCY treatmnt??8. scenario ov PHOBIC PANIC DISORDER, idntify n treat??

INTERACTIVE....1. pt vd cardiogenic shock, show CARDIAC THUMB N RESUSCITATE D PT2. PT COLLAPSED WHILE GIVIN U D HISTORY, MANAGE, POSIBL CAUSES3. diagnose OCD N MANAGMNT.... 9.atenolol GroupIndications contraindicationsRMC1.Addison's disease..causes n investigations.2.Aortic regurg3.erythema nodosum4.Lp needle5.pneumonia6.swollen knee joint...causes7.hyponatremia..cause in ccf n other causes

interactive:1.folleys cathetr2.acute LVF3.ccf4.acute fulminant UCospe of AIMC: there was a pillow placed on a bed with sternum drawn on the paper and placed on the pillow.command was patient is BP less pulseless now proceed.We were suppose to perform cpr.2)patient is depressed,counsel him.will you give SSRI's in morning or at night?3)patient is unconscious.now proceed.we were suppose to do BLS.4)patient is HBV possitive.counsel him.duration of interferon therapy and followup?(interferone 1 year followup 3 monthly) how to protect other house mates (vaccination).Non interactive station: Acute coronary syndrome and management,Thalasaemia,SLE(butterfly rash was shown,H/O small joint pain),intracranial hemorrhage and management,LP needle n its diagnostic indications

RMC ospe 8/2/12

interactive: 1.pulmonary edema due to cardiogenic shock, rx?2.pulm edema due to accelerated htn, rx?3.foleys's catheter, how to insert4. UC, emergency managemant

static:1. lp needle2. heparin3. addisons4. erythema nodosum pic, causes5. aortic regrg scenario, dx? physical signs6.swollen knee joint pic, dd's?7.pneumonia scenario, physical signs?

SARGODHA MEDICLE COLLEGE 1.Colles fracture 2.Extra dural hematoma ct scan 3.DVT 4.T-tube cholangiogram 5.ETT 6.pneumothorax x-ray 7.IVP 8.Lipoma 9.Meckels diverticulum Interactive stations; Hydatid cyst CT scan.. Non crushing intestinal clamp

lmdc 9th FEB surgery: ingrown nail, folley"s catheter, deavers retractor,,subdural hematoma, hydrocele, lumber puncture, interactive stations: carbuncle,,insicional hernia. Cullens sign,,pleural effusion /pneumoheamthorax, Colle's fractureLMDC ... ospe 8 feb. 2012interactive:atropine uses and contraindicationstetnus

acute exacerbation of COPD/ (pulsus paradosus... ??)oropharyngeal airway, uses and how to use, Static:ST elevation (MI/Pericarditis)Percussion , picture, percussing hands called?? types and findings in respiratory systemRA.. 4 radiological findings, 4 drugsxray chest TB other radiological findings, abnormality in xraycerebral infarction frontal lobe.. causes, how the patient will presentacidosisschizoprenia, drugs, extrapyramidal syndromesting bite... urticaria, types, anaphylactoid shockMatching-- bitting nails anxiety, vasculitis splinter hemorrhages, koilonychia iron deficiency, psoriasis pitting nails, half n half nails CRF

Lmdc static ng tube and its indication and side effects, furosemide indication and side effects, poriasis dx and t/m, copd pt chest x ray with hyperinflation... Finding on chest x ray, cerebral infarction and cause, inf endo with splinter hem and roth spots, ca lungs with recurrent larengeal nerve palsy and inv, RA with ulnar deviation and swann neck deformity, Interactive laryngoscope parts complication and uses, ett uses and parts , counsel DM pt abt complication and drug grp used, esophageal varices t/m