OSCE PRO III Trial

Onn Azli bin Puade

Question 1

A 25 years old male presented with X was temporarily put on exhibit Y1. State 3 characteristic of X (3 marks)2. What is the most likely nerve affected? (2 marks) 3. State the location of lesion and give 2 reasons (3 marks)4. Name exhibit Y (2 marks)

XY

Question 2A 25 years old came to you with vomiting and diarrhoea for 1 day duration. He was unable to tolerate orally. Initial assessment found out that the patient was lethargy, dry mucous membrane and pulse rate was 152 beats/minute. He was 60 kg

Outline the fluid resuscitation in this patient (10 marks)

Question 3

An 18 years old male with visual disturbance and deafness came to see you for follow up1. State 4 findings in the above picture (4 marks)2. State 1 provisional diagnosis (2 marks)3. State 3 visual disturbances experienced by the patient (3 marks)4. State 1 pharmacological treatment in this patient (1 mark)

Question 4A 56 years old female with underlying diabetes mellitus came to see you at dermatology clinic1. Describe 3 characteristics of the lesion (3 marks)2. State the most likely diagnosis (1 mark)3. Name 4 other skin lesions seen in diabetic patient (4

marks)4. Outline your treatment (2 marks)

Question 5

• A 35 years old gentleman were called to infertility clinic for Seminal fluid analysis. Explain to the patient regarding the procedure (10 marks)

Question 6

A 56 years old gentleman who suffered from loss of consciousness was brought to a accident and emergency clinic. Cardiac monitoring found was done and revealed the above diagram1. State your diagnosis (1 mark)2. Outline your management (4 marks)

Subsequently, after 20 minutes of resucitation, the rhythm change to the above diagram1. State your diagnosis (1 mark)2. Outline your management (4 marks)

Question 7

A 50 years old female with mental retardation and seizure 1. Name exhibit G and H (2 marks)2. Name the triad of mental retardation, seizure and exhibit G (2 marks)3. State your diagnosis (2 marks)4. State 4 other lesion cause by the disease you stated above (2 marks)5. Outline your treatment (2 marks)

G H

Question 8

Z

Regarding exhibit Y and Z1. Name exhibit Y (2 marks)2. State 1 indication and 1 contraindication of exhibit Y (2 marks)3. Name exhibit Z (1 mark)4. State 2 uses of Z (2 marks)5. Name 3 ways to detect the correct placement of Z (3 marks)

Y

Question 9

Regarding picture above1. Name exhibit A and B (2 marks)2. State 2 uses of exhibit A (3 marks)3. Name exhibit C and D (2 marks)4. List 2 complications of insertion of C and D (3 marks)

A

B

C

D

Question 10

An 8 years old patient with known case of thalassaemia came for blood transfusion. His current haemoglobin was 10 g/dL and he was currently on desferoxamine1. State 2 abnormalities in this patient skull radiograph (2 marks)2. Calculate the amount of blood to transfuse in this patient (8 marks)

Question 11A 56 years old female with underlying psychiatric illness and on antipsychotic1. State your diagnosis (2 marks)2. Name 1 drug which is commonly

associated with above diagnosis (2 marks)

3. Name 4 other complications of antipsychotic (4 marks)

4. State one pharmacological treatment (2 marks)

Question 12

A 2 days old neonate was born with respiratory distress syndrome. Examination reveals a fasciculation at upper limbs and tongue1. State 3 features of the patient (3 marks)2. State the most possible diagnosis (2 marks)3. State 1 blood investigation for diagnosis and its expected findings (2 marks)4. State the prognosis for this child (2 marks)

Question 13A 65 years old patient with bilateral knee pain for 3 months duration1. State 4 findings in the knee

radiograph (2 marks)2. State your diagnosis (1 mark)3. State 1 other view of radiograph

you would like to order in this patient to asses the patellofemoral joint (1 mark)

4. State 2 pharmacological treatment in this patient (2 marks)

5. State 1 surgical intervention you would like to offer the patient (1 mark)

6. State 3 complications of the operation you stated above (3 marks)

Question 14

• Picture above showing the medication used in the labour room. Explain how would you titrate and calculate how would you give the patient with this medication (10 marks)

Question 15

• Mr S, a 36 years old Malay man with newly diagnosed hypertension since 1 year ago, came to your clinic for 3rd follow up. He is a businessman who is busy travelling, and thus always forgot to take his medication. He is currently on nifedipine 10mg TDS. His latest BP was 160/90mmHg. Please counsel him on compliance towards medication

Question 16

A 34 years old gentleman was referred to you with palpitations1. State 3 features in the ECG (3 marks)2. State your diagnosis (2 marks)3. Outline the treatment in this patient (3 marks)

Question 17

A newborn with syndromic features 1. State 3 features of the patient (3 marks)2. State your diagnosis (2 marks)3. State 3 other system that can be involved

in the disease you stated above (3 marks)

Question 18

• Mdm K, a 43 years old Para 7 just underwent emergency C-section due to macrocosmic baby. Her last child birth was 1 year ago. Counsel the patient prior to discharge