surgery photo in exam it may help you.ppt

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24 Jan 2005OSCE Question
a.Give 3 differentials based on just inspection alone. (3 marks)
b. On examination, the left testicle is hard, non-tender and enlarged.
Give 3 relevant serum tests you would do. (3 marks )
c.What is the surgical management and the appropriate incision to
remove this testicle? (4 marks)
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A 37-yr old man noticed
that his left scrotum was
getting bigger over the
past 2 months.
This picture is taken
with the patient lying
down.

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24 Jan 2005OSCE Question
a.Describe the abnormalities seen on this X-ray. (4 marks)
b.Give your likely diagnosis & 2 differential diagnoses? (3 marks)
c.What is the most appropriate immediate treatment for this
patient? (3 marks)
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24 Jan 2005OSCE Question
a.What is your diagnosis? (2 marks)
b.What is the most useful staging investigation at the time this
picture was taken? (2 marks)
c.What are the common complications of this lesion? (3 marks)
d.List the modes/routes of spread of this disease. (3 marks)
A 70 year old lady presented to
hospital with vomiting and
epigastric discomfort for 1 month.
Examination revealed that she
was mildly dehydrated.
A vague swelling was palpable at
epigastrium. Blood investigation
showed that she had microcytic
anemia. A gastroscopy was
performed and revealed an
ulcerating lesion at atrium.
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24 Jan 2005OSCE Question
a.Describe the lesion seen & give your diagnosis. (3 marks)
b.What would this patient complain of before presenting to the
Emergency Department? (3 marks)
c.What predisposing conditions may result in this lesion? (2 marks)
d.If conservative treatment fails, name an operation to treat this.
(2 marks)
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24 Jan 2005OSCE Question
This patient presented with right sided abdominal pain
and fever. This investigation was done.
a.What is this investigation called? (3 marks)
b. What does it show? (3 marks)
c.In the context of the diagnosis you are considering, name 4
other findings that the investigator should look for. (4 marks)
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24 Jan 2005OSCE Question
a.What is this sign called? (2 marks)
b.Explain the phenomenon seen in the right eye? (2 marks)
c.What is the probable cause of this lesion? (2 marks)
d.What is the best immediate management? (2 marks)
e.What long-term complications may result from this if
left untreated? (2 marks)
A 38 year old lady presented
to the outpatient clinic with
a swelling over the right
preauricular region.
Excision of the lesion was
performed. The picture
shows the appearance a
week after the surgery.
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24 Jan 2005OSCE Question
a.What would you like to ask during history-taking? (3 marks)
b.What diagnoses would you consider? (3 marks)
c.How would you establish the diagnosis? (2 marks)
d.What are the principles of surgical management of this
condition? (2marks)
This 84 yr old Chinese lady
complained of a nodule
growing on the skin of her
right forehead.
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24 Jan 2005OSCE Question
a.Give 2 differential diagnoses of this lesions. (4 marks)
b.Name a simple test to confirm the diagnosis. (3 marks)
c.What treatment would you recommend. (3 marks)
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24 Jan 2005OSCE Question09
A 23 year old female complaints
of sudden onset pleuritic chest
pain on the right-hand side and
shortness of breath. The Chest
X-Ray in A&E is shown.
a.What is the abnormality seen? (3 marks)
b.How would you treat this condition?(3 marks)
c.What surgical treatments are available for this condition?
(4 marks)

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24 Jan 2005OSCE Question
This patient presented with
a mass in the left neck.
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a.Name 3 possible conditions. (3 marks)
b.List 4 areas you would examine. (4 marks)
c.List 2 investigations you would order. (2 marks)
d.What operation would you perform? (1 mark)

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24 Jan 2005OSCE Question
This child was diagnosed to
have biliary atresia at birth.
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a.What is the likely condition of the liver now? (4 marks)
b.What is the cause of the abdominal distension? (3 marks)
c.Name the definitive treatment for her current condition. (3 marks)

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24 Jan 2005OSCE Question
a.What are the abnormalities seen
on this ERCP? (4 marks)
b.How would these patients
present normally? (2 marks)
c.Name 2 long term complications
of this condition? (4 marks)
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24 Jan 2005OSCE Question
A 50 year old lady presented
with breathlessness and was
found to have a hard mass in
the right breast.
a.Describe the Chest X-Ray findings? (3 marks)
b.What is the treatment for this chest condition? (4 marks)
c.Name three methods to obtain histological diagnosis of
the right breast mass. (3 marks)
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24 Jan 2005OSCE Question
A 50 year old man was found
unconscious on the floor. An
urgent CT scan was done.
a.What are the likely neurological signs of this patient? (4 marks)
b.What is the treatment for this condition? (3 marks)
c.What is the long term prognosis and likely neurological deficit?
(3 marks)
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24 Jan 2005OSCE Question
An 80-year old man presented with painful inability to pass urine.
a.What is the finding in this picture? (3 marks)
b.After catheterisation, give 3 investigations you would do in
the ward. (3 marks)
c.Creatinine is raised at 288 mmol/l. A renal ultrasound
confirmed bilateral hydronephrosis. What do you do next?
(4 marks)
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24 Jan 2005OSCE Question
A woman of 48 years presented with a
6 months history of right loin
discomfort. On routine testing of her
urine the GP found that she had a
urinary tract infection.
She was referred to the Urology
Department for further investigations.
a.What does this X-ray show? (3 marks)
b.What is the cause of this lesion? (2 marks)
c.What is the further management of this patient? (5 marks)
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24 Jan 2005OSCE Question
A 50 year old patient presented with upper gastrointestinal
haemorrhage and gastroscopy was performed.
a.What other procedure may have been performed during
gastroscopy? (3 marks)
b.Describe the findings in the gastrocope image. (4 marks)
c.What is the likely prognosis? (3 marks)
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24 Jan 2005OSCE Question18
a.What are they? (2 marks)
b.What should be done next? (3 marks)
c.What lifestyle factors can reduce the risk of recurrence
of this disease? (5 marks)
A 52 -year old man presents
with gross haematuria. IVU
showed normal upper tracts
but at cystoscopy, these
lesions were seen.