MD January 2007 - osce new healthy nelum.pptx

osce MD january

1. MD January 2007

2. 4 yr old child p/c with sudden collapse and pulse difficult to feel and BP 60/30mmHg What is the diagnosis? What is the treatment option?

3. VT

4. Describe the lesion Where is the lesion

5. R/ HOMONEMOUS HEMIANOPIA LFT /OPTIC trac

6. Calcification (unenhanced CT shows this well) Low density lesion Cyst formation Contrast enhancement Sellar enlargement and erosion What is the diagnosis? Describe CT brain What clinical features do you expect ? At least 03

7. Cranio pharyngioma Possible symptoms Amenorrhea Anorexia Balance disorder Dry skin Fatigue Fever Headache (obstructive hydrocephalus) Hypersomnia Lethargy Myxedema Nausea Short stature Polydipsia Polyuria (diabetes insipidus ) Vision loss ( bitemporal hemianopia ) Vomiting Weight gain

8. X – ray of new born Describe the x ray What is the diagnosis? Write 02 associations you need to exclude

9. DOUBLE BUBLE DUODENAL ATRESIA DOWNS/VACTERL

10. Bone marrow film X40 magnifying Give 02 features of bone marrow What is the diagnosis?

11. AML

12. ALL

13. ALL Lymphoblast Decreased erythroid cell

14. Identify the plants Which part it poisons Write 02 complication

15. Niyagala When ingested, the colchicine present in all parts of the plants can be deadly. Symptoms of gloriosa superba poisoning surface between two and six hours following ingestion colchicine whole plant Bradicardia , heart block Toxicity Colchicine -burning in the mouth and throat, fever, vomiting, diarrhea , abdominal pain, and kidney failure. These symptoms may set in as many as 24 hours after the exposure. Onset of multiple-system organ failure may occur within 24 to 72 hours. This includes hypovolemic shock due to extreme vascular damage and fluid loss through the GI tract, which may result in death. In addition, sufferers may experience kidney damage, resulting in low urine output and bloody urine; low white blood cell counts (persisting for several days); anemia ; muscular weakness; and respiratory failure. Recovery may begin within 6 to 8 days. There is no specific antidote for colchicine, although various treatments do exist.[18]

16. EEG of 1yr old boy Describe the abnormality What is the diagnosis What is the best treatment option

17. Hypsarythmia Steroid/ACTH

18. Describe the lesion what is the diagnosis? Write complication write MX plan

19. Identify the snake Write common presentations

20. This 18hr old baby girl p/c respiratory distress Describe the abnormality What is the diagnosis? What is the management?

21. Congenital lobar emphysema.

22. What is the abnormality? What advice you need to give?

23. Describe the abnormality What is the diagnosis? What do you asked from mother?

24. Caudal regression syndrome  or  sacral agenesis  (or  hypoplasia  of the  sacrum )

25. What is the abnormality? Write 02 possible etiology

26. What is the final height What is the diagnosis?

27. This is the culture plate of CSF What is the diagnosis? What is the treatment?

28. GBS

29. What is the clinical presentation? What is the diagnosis?

30. What is the diagnosis? What is the treatment?

31. Identify the mosquito Give 03 disease transmitted by this mosquito

32. Aedes albopictus Dengu /JE/ chikengunya

33. What is the investigation? What is the diagnosis? How do you prepare the child for the IX?

34. This investigation done on a child with short stature What is the diagnosis? Mucopolisacharidosis ( toludine Blue test /filter paper test )