surgery ospe 2012

        OSPE SURGERY (UMDC) by nabeel

UHS OSPE SURGERY (LMC FEB 09, 2012)

In growing nail, Foley’s catheter, Deaver’s retractor, subdural hematoma, Hydrocele, Lumber puncture technique
Interactive stations: Carbuncle, Incisional hernia. Cullen’s sign, Pleural effusion /pneumoheamthorax, Colle's fracture

For Photos  of OSPE stations please refer to Redgage

 UHS OSPE SURGERY (SMC FEB 10, 2012)

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

UHS OSPE SURGERY (LMDC FEB 10, 2012)

Tracheostomy complications and uses, Proline suture non-absorbable synthetic uses, Cullen’s sign, Infected sebaceous cyst, Perforated intestine (picture), Cause gall stone, Ganglion, Haemorrhoids, Laryngoscope, Extradural hematoma, Valgus deformity of big toe, Kidney and gall bladder stone on x-ray.

 UHS OSPE SURGERY (PMC FEB 10, 2012)

Observed STATIONS: picture of exophthalmos , picture and x-ray of road traffic injury resulting in diapHgragmatic rupture. Unobserved : Sundural hematoma , knee fracture , ways for artificial respiration , Courvoiser's law , Intermittent claudication , Hemorroids , Thyroid nodule , Inguinal hernia , Urinary bladder carcinoma

UHS OSPE SURGERY (PMC FEB 11, 2012)

1. Graves disease picture (Exophthalmos and diffusely enlarged thyroid) diagnosis? Management options? Complications of thyroidectomy?
2. Hard nodule in breast 2x2cm with two axillary nodes, diagnosis? Staging? Triple assessment? Treatment?
3. Scenario of head trauma and unconsciousness, diagnosis? Investigations? Treatment?
4. ETT, Complications, Mode of sterilization
5. Picture of ulcer on foot and history of diabetes, diagnosis? Cause? Types of amputation?
6. ERCP showing dilated common bile duct with stones, Treatment options? Complications of ERCP?
7. Six months child with projectile vomiting and palpable epigastric mass, what is the diagnosis? Metabolic abnormality? Treatment?
8. Haematuria and suprapubic pain, diagnosis? Investigations? Treatment options for bladder stones? Causes of painless hematuria?
9. X-ray of 60 years old female showing nof, complications, treatment?
10. Smoker with progressive dysphagia, barium swallow showing shouldering defect with narrowing of esophagus.diagnosis? How will you confirm? Investigations to assess the spread?

 UHS OSPE SURGERY (NMC FEB 11, 2012)

Observe stations:

Renal ca x-ray mets.atypical feature,why hb raised?
Cystic hygroma material treatment complication
Seventy year old, fracture femur neck,cause, treatment?
Esopageal cancer on barium swallow (stricture)
Mesenteric cyst
Extradural hematoma on CTt scan
Vaporizer instrument, 2 drugs for gas inhalation,complications of halothane
X-ray chest (gas under diaphragm) cause ? what other causes? Emergency management?

Interctive stations:

Nipple eroded 2 lesion (Eczema, Paget's disease), treatment?
Hyperthyroidism (MNG)  Symptioms treatment?

.UHS OSPE SURGERY (RMC FEB 12, 2012)

Interactive:

Breast CA
Cholecystectomy specimen , gall stones

Static:

1- SUPRAPUBIC CYSTOSTOMY TUBE/CATHETER (used in uretheral injury , stenosis)
Indications: uretheral injury , stenosis , blood at meatus
 Diagnosis: UTI , hemorrhage , Bladder injury
2- X-Ray NECK lateral view C2 cervical spine fracture
Complications: quadriplegia ,respiratory failure
Management?
3- PAROTID ABSCESS
Management: ( incision and drainage , analgesic , antibiotic)
Prevention: (oral hygiene , stop smokeless tobacco ( naswar, bettlenut ) and smoking
4- HYDROPNEMOTHORAX
Steps at reception : ABCD of ATLS , resuscitation
Definite Treatment: chest tube intubation with underwater seal
5- ANESTHESIA MACHINE for monitoring general anesthesia
Any 2 parts?
Monitor: care at end user : check all parts after usage , do not put with on machine, clean after usage
6-TOWEL CLIP : Uses:  holding drapes , draping, drain in drapes
Emergency usage :same
Sterilization : autoclave 

1.LP needle, spinal anesthesia most common complication and its treatment ,drug used in spinal anesthesia , operations where it was used
2.meningiomyocele, its components, treatment.
3.pancreatitis, when wil u label it severe , causes ,scoring systems name
4.DVT,imaging ,wats duplex scan , treatment and how will u acesse ur treatment 
5 small bowel obstruction with gallstone,origin of pathology , treatment 
6. basal cell carcinoma,treatment how much wide is the exision margin , role of radiotherapy(few ppl were saying it’s a malignant melanoma but I made this diagnosis)
7.pediatric intsturments shown in the pic( intermedullary nail, external fixator,wires and prosthetic joint(pics were given to identify),and wats the treatment of of fracture femur neck 
8. breat abcess , how will u confirm ur diagnosis,treatment of simple abscess
9.undescented testes..pathology , complication, age of orchidopexy ,steps
Interactive stations
10 a lady operated for sigmoid colon and pics shows stoma after colostomy..(types of stoma , complications , indications were askedk by the examiner)
11.patient with RTA with 1000 mal blood from the plureal space, cheat tube drain and underwater seal applied to pt shown in pic…( wats the procedure..thoracotomy ,wats the apparatus used , why do we use under water seal and y thoracotomy is performed

Cmh osce:

ac pancreatitis,ett,subdural hematoma,frctre clavicle,ivu,anal fisure,ng tube,proline mesh.

szmc acute cholangitis treatment n signs in it
gall stones Rx
t tube cholangiogram
sigmoid volvolus interactive station
lap appendecectomy interactive station
spinal cord compression MRI
xray greenstick fracture
xray KUB
mammography n its findings

This was todays ospe exam

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

szmc 
acute cholangitis treatment n signs in it
gall stones Rx
t tube cholangiogram
sigmoid volvolus interactive station
lap appendecectomy interactive station
spinal cord compression MRI
xray greenstick fracture
xray KUB
mammography n its findings
UMDC OSPE
interactive 
cholecystectomy
thyoid swelling
STATIC
1)airway mask. wht is use of thumb, wht anaesthetic doing with fingrz
2)3pic 1 of x ray fracture tibia n fibula 2nd x ray showing fracture with DCP 3rf pic extrnal fixator
3)extradural hemorrg
4)xray pelvis. fracture of sup ramus of ischium n separation of pubic simphysis. 2 urologic complication, wht clinical test is done n wht is emrgncy managmnt
5)x ray chest finding?(hemaothorax ) emergency n specific managmnt
6)vericose vein, 3 tst,1 invstigatn, 1 complication
7)tracheostomy tube. indications, precautions,complications
8)basal cell ca, 3 ways of treatmnt, 1 investigation
9)mid laprotomy insio
UHS-OSPE of Surgery (Annual 2010) 

NMC ospe 1.3.11
1. Ett
2. Tracheostmy tube
3. Suprapubic cystostomy
4. Diabetic ulcer
5. Extradural hematoma
6. Clavical fracture
7. Interctive: inguinal hernia
8. Intrctiv abd incisions
9. Aud
10. X-ray abdomen showing ureteric stent
11. Plain forceps
SIMS OSPE 1/3/11
Folley's catheter, tru-cut needle, redivac suction drain, laryngeal mask, x-ray fracture radius ulna, thyroid cancers name, xray abdomen,erect, multiple air fluid levels,deaver's retractor
LMDC.
1.deavers retractor and morris retractor
2.picture of t.tube
3.cholangiogram of t tube
4.chest drain with under water seal
5.breast specimen findings
6.staghorn stone xray
7.safety triangle n chest tube
8.gastric outlet obstruction , x-ray
9.disposable syringe
10.shock(interactive)
11.intestinal obstruction x-ray(interactive)
UMDC 1/3/11
1) x.ray pyloric stenosis............... metabolic derrangements..... plus next investigation
2) x. ray chest........ puemothorax plus rib fracture...... type ov breathing. plus treatment
3) peri-umblical hernia........ abdomen diagram.... posit...ive finding???? striae due 2 multiparity nd obesity? treatment
4) ETT with telescope.......indication........ complications?
5) x. ray ( retrosternal goiter)
x. ray finding......... diagnosis? frther investigation
6) scenario....... strangulated volvulus......... plus treatmnt......
7) x.ray ......... vertebral fracture, x ray findng? treatment? findngz in x ray
8) femur fracture........... treatment.
9) ivu.......... finding........... diagnosis( renal carcinoma)....... further investigations?
OBSERVED............ proctoscope....... indications... parts.... contraindications........ how to sterilize it and y
OBSERVED........scenario............. appendicular mass...... d/d.? complications? treatmn

Qmc Ospe 02-03-11
1.Babcock: identify, indications, how sterilized?
2.foley's 2 way catheter: identify, indications, complications?, how sterilized?
3.Oropharyngeal airway? Identify, when is it use?(in an unconscious pt), how sterilized, other methods of maintaining airway?
4.Interactive: CT abdomen showing cyst in liver, most likely diag(hydatid cyst), other serological investigations, organism causing it?
5.(Interac) Colostomy bag: identify, indications? complications
6.CT scan skull showing extradural hematoma: name investigations, clinical features, management
7.Barium Swallow: name investigations, positive findings, wen this investigations indicated? what are complications of diverticulae coli?
8. X-ray showing fracture of mid-shaft of femur: what investigations? positive findings? clinical features? wat are the principles of fracture management?
9.X-ray chest: name investigations? positive findings?management?

RMC SURGERY OSPE 1.3.11:
1. vericose veins pic:dx,complications,clinical tests,treatment
2.bladder stones xray:dx,investigations,cause in 70yr man[bph],operative rx
3.direct laryngoscope pic:identify,in which procedure its used,at wot stage its used,wot precautions u will take 4 reuse
4.gall stone specimen pic:dx,short term complications,...types of operations for it,1serious complication
5.xray patella fracture:dx,immediate rx, specific rx.
6.peau-d orange pic:dx,how wud u do clinical confirmation,which imaging is helpful,management
7.extradural hematoma ct scan:name investigation and finding,immediate management,specific steps of rx
8.interactive venous ulcer examination and management
9.interactive pic of thyroidectomy scar:name the incision,which op is done,what r pre-operative preparation steps,name structures u will take care of during surgery,postop complicatns,post op drugs,immediate postoperative complication,cause of resp distress postop
10. ganglion pic on dorsum of hand:dx, 2imp clinical tests,treatment,complication of procedure
11. umblical hernia,imaging investigation,management
PMC 1/3/11
1.X.ray Retrostrnal thyroid. Diagnosis?, cmplication, physical sign, treatment.
2.. Obstrctive jaundice LFTs values, investigation, non operative management..
3.. PTC..name inves, findings, diag, other investgatn.
4.. NG tube.. Name uses diag and therapeutc. Cmplicatns
5.. Cervical spine injury. X.ray. Diag? Cmplication, treatment.
6.. Urethrogram. Diag of urethral stricture, late cmplication, treatment..
7.. Oropharyngeal airway, name, indication, when to rmov.
8.. Frctr tibia fibula.. Early cmplcatn, managment ov opn wound.
9.. Swelling neck d/d.. Parotid tumor surgery cmplcation, investgation.
AIMC ospe 1.3.11
1.Lipoma photo, Dx, how to confirm dx, Rx
2.Meckle's diverculum photo, Dx, Rx, complications
3.T tube cholangiogram photo, name, findings, why done, Rx options
4.Tension pneumothorax x-ray, Rx
...5.ETT photo, define definitive airway
6.Colle's fracture x-ray, which deformity, management
7.IVU photo with dilated renal pelvis n calyxes, radiological findings, x-ray timings, long term complications
Observed:
1.Intestinal clamp, uses, types, sterilization.
2.CT abdomen, dx. Hydatid cyst/disease of liver, medical Rx,which next organ is involved, causative organism, human which host.
WMC, Surgery Ospe, 2nd March:
1. Tracheostomy tube set: identify, indications for tracheostomy, care of tracheostomy?
2. Burns: identify, rule of nine, management, late complications?
3. Incised wound: identify, types of healing, factors responsible for healing, complications?
4. Gridiron incision: identify, procedure, complications of di...sease?
5. Proctoscope: identify, parts, indications, sterilize?
6. X-ray, Condylar Fracture humerus: identify, complications?
7. X-ray IVU: identify, dilated calyces, causes, management?
8. CT scan skull/brain: identify, depressed fracture skull, patient complaints, management?
9. ETT: identify, parts, indications, sterilize?

Interactive:
1. Picture: removed appendix: identify,types of incisions, complications?
2. Barrium swallow: stricture oesophagus?
AIMC 2 march
-patellar fracture n mech. of injury,direct hernia,airway secure-methods,solitary nodule,ivu-ca bladder,prolapsed heamorroids,intermittent claudication,courviser's law n obstructive jaundice,
obs:2nd thyrotoxicosis and xray diaphragm rupture, subdural haematoma-ct scan
LMDC 2nd march
t.tube cholangiogram,findings
t.tube.indications.what investigation before removing it
proctoscope,parts 2 diagnostic 2 thrapeutic indications
what is graft? what is a flap? 3 grafts name 3 flaps name
...multiple air fluid level,cause,further investigations
pelvis fracture,findings on an x-ray and complications
shoulder dislocation xray.type t/m complications
tracheostomy tube uses
AMPLE stands for?? (allergy,medications,previous medical history,last meal taken and events of trauma..it is done in trauma or something
interactive?
breast Ca counseling
below knee amputation krniii..counsel the patient
short cases
lipoma,MNG,paraumblical hernia and submandibular swelling
ospe SZMC..2march..
1.kuncher i.m nail, external fixator,wigly saw wire(uses),method of sterilization.
2.oxalate stone
3.multi-nodoular goiter
4.breast lump diagram(interactive)
...5.rodent ulcer photo (interactive)
6.L.P needle
7.goiter
8.gall bladder diag
9.proctoscope
10.n.g tube

UMDC OSPE
interactive 
cholecystectomy
thyoid swelling
STATIC
1)airway mask. wht is use of thumb, wht anaesthetic doing with fingrz
2)3pic 1 of x ray fracture tibia n fibula 2nd x ray showing fracture with DCP 3rf pic extrnal fixator
3)extradural hemorrg
4)xray pelvis. fracture of sup ramus of ischium n separation of pubic simphysis. 2 urologic complication, wht clinical test is done n wht is emrgncy managmnt
5)x ray chest finding?(hemaothorax ) emergency n specific managmnt
6)vericose vein, 3 tst,1 invstigatn, 1 complication
7)tracheostomy tube. indications, precautions,complications
8)basal cell ca, 3 ways of treatmnt, 1 investigation
9)mid laprotomy insio