STEP 3 OSCE paper conducted by duhs on 8th n

9th November 2014

8th Nov 9am
1.Examine
abdomen
+viva(ascites
etc
2.Examine
pericardium+viva
3.Asthma case scenario(diagnosis,initial management,drugs u will give after
discharge
Jaundice
history
+viva
Prolene suture-uses,life time(aik qs aur tha cant recall at the moment
Palpate
child
liver,viva(causes
of
tender
hepatomegaly,causes
of
hepatomegaly+jaundice
Pt after tonsillectomy at 9am now bleeding what is type of
bleed,management,what if bleeding dont stop,which parameters u will ask
nursing
staff
to
monitor
in
this
pt
Examine
oral
cavity
+viva
Examine
visual
field,visual
acquity,pupillary
reflex+viva
Instrument.lp needle,biopsy needle(i guess).uses and contraindications
Cxr-lung absces(wht two things u will look in xray,management,dd
Ecg-ant
wall
mi,management
Pyschiatry-depression=treatment
and
side
effect
of
treatment
Behaviour
accept
gift
from
pt
or
not
If
yes
than
wht
z
best
time
to
accept
gift
Acne vulgaris-Rx, cause
Gyne-vaginal
discharge
history
Obstetric
cholestasis
effect
on
mother
and
fetus
One another qs cant recall at the moment(case history ,wht is para in
it,gravidity,risk
factor,nxt
appointment
Peds
one
pic
-chicken
pox(think
soo)
treatment
Surgery pic-pt pour hot tea on hand rx,wht degree burn,will there b gross scarring
after recovery.

8 nov 11 am
Surgery
Q 1.
60 yr old male comes with per rectal bleed.take history from patient with
relevance to ddx.
Q2.
Examine the neck of the patient.
Q3

A. name of this suture (catgut)

write its uses.
what is the life of this suture.
B:
define lipoma.
which anesthetic agent u will use during surgery.
what is the prognosis.
GYNI
Q4
25 yr old female comes to you with 1 day history of pv bleed n abdominal
pain.take Foccused history from patient.
Q5.
define maternal mortality according to Who.
what are the major causes of maternal death in Pakistan.
Female present to you with usy report showing twins.what r the indications of
surgical procedure in this case.
Pedia ,
Q.6
7 month old malnourished child comes to u with his mother with complains of
delayed development n growth.take history from mother to find the cause of this
problem,2nd part was there but she didn't ask me n neither I read that..plz add if
anyone knows
Q7
A.dx the pic plus joint pain tha child ko in case history(Sle)...what r the other
manifestation ilu will see in this patient.
B. Child with 1 month history of joint pain..ddx n write further investigations
Medicine..
Q8.
general physical exam of the patient n viva regarding to that like
hypertension,edema etc

Q9
Examination of anterior chest.viva was about type of breathings n crepitations n
consolidation.
Q10
patient with history of diabetes n htn comes with acute chest pain. in reports they
wrote st changes on sp leads..
dx n wat further investigation u will do in this case .2nd part b tha is q ka but yaad
nai arha
Psychiatry
Q11.a
case of major depression..dx it n which group of drugs u will use to treat this
patient.
Q11.b
case of schizophrenia...dx,what is the main risk factor in this patient,%age of
disease in Pakistan,common myths of this disease in pakistan
Derma..11 am
Q12.a
pic of patient with silver scale lesion on knee n elbows...patient has history of
anxiety n stress n was taking b blocker.disease get aggravated during stress
attacks...dx n what rx options..what r the risk factor in this patient.
Q12.b
pic of red llesions on lips n face was looking red,on hands pt have red lesions
with intermediate white skin...what u see on the pictures?DDS?which drugs can
cause this kind of reactions?
Instruments..11 am
Q13A.
Ng tube..name of instrument?2 contraindications?how to chk its correct
placement
B. Ett tube,name,uses,how to chk correct placement
c.ecg write 3 abn findings in it.how to treat it
d.cxray was opacity in one quadrant..ur findings in cxray,DDx,treatment

Ent.
Q14.patient comes with on n off complains of nasal obstruction n epistaxis..there
is proptosis of eye...dx,common location,histological types,rx,prognosis
Q14.b
examine
oropharangeal
cavity,,identify
instruments
thodicam
speculum,laryngeoscope...anatomy of tongue,oral cavity,pharynx,etc etc

nasal

Eye .
Q15a
examine visual field,pupillary reflex in patient n viva regarding this..
Q15b
DDx of picture,dx,treatment of this case

9th nov 9 am
derma acne.n erythema nodosum
Gyneobs: incomplete abortion n ocps
Medicine: meningitis/encephalitis /brain abcess d/ds..n asthma
Surgery: cleft palate n lip and prolene?
Peds: HSP n causes of generalized edema
Ent: laryngeal nodules??'
Eye: entropion
Instruments: chest tube n iv canula
Xray ILD ...and in group D ecg seemed to be sHowing RVH .st depressions n t
inversions ...
Behavioral ka breaking bad news
And psychiatry ???
Interactive
: eye
Pupillary reflex .visual field.visual functions
Gyneobs: history of menorrhagia
Medicine: examine abdomin .2 palpate n percuss back of this patient
Surgery: history.staging n counseling of breast ca patient
2 : examine patient for inguinal hernia
Peds: ask history about diarrhea n assess dehydration n Rx plan
Ent rinne s test .facial nerve examination.hold thudicum speculum n Rx of acute
tonsillitis.

9th NOV 2014 11 am

A.prolene suture
uses and life time
B,type of anesthesia in ingrowing nail,types of opertations
peads intractive
A,histry taking in asthma pt.

B,static
case pneumonia
spot diagnose neural tube defect
Ent
intractive oral cavity examination
static
adinoid case
eye intractive
visual fiel exam
static
cataract
next station
statics
insuline syring and folly cathter
ecg-Mi xry i thik pleural effusion
psychatry
post traumatic stress disorder and panic disorder
derma
psoriasis
rosica petrosia
gyne
intractive
menstural histry
static
still birth defination
prenatal death and cause
medicine
intractive
examination of abdomin
cross qustion causes of ascitis,what is saag
auscultation of posterior chest
cross question
in whic disease breath sound absent,type of pleural fluid
surgery intractive
bph pt histry taking
cross qusetion
prosrate size,symptom of bph,medication,surgery cal option,compliction,
hernia patient examination