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OSCE MOCK ANSWERS

OSCE MOCK ANSWERS. Q 1. Marasmic kwashiorkor 1 – 3 years Fatty infiltration, oedema F (They are common not constant) T 1 MARK FOR EACH. Q2. Congenital hypothyroidism, birth asphyxia, kernicterus, poliomyelitis, botulism, (1/2 MARK FOR EACH) Head lag (2 ½ MARKS). Q3.

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OSCE MOCK ANSWERS

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  1. OSCE MOCK ANSWERS

  2. Q 1 • Marasmic kwashiorkor • 1 – 3 years • Fatty infiltration, oedema • F (They are common not constant) • T 1 MARK FOR EACH

  3. Q2 • Congenital hypothyroidism, birth asphyxia, kernicterus, poliomyelitis, botulism, (1/2 MARK FOR EACH) • Head lag (2 ½ MARKS)

  4. Q3 • Prune Belly Syndrome • F • F • Deficient/Absent ant. Abdominal wall, undescended testis, hydronephrosis. (1MARK FOR EACH)

  5. V1:Q 4V2: Q 6 • Sacrococcygealteratoma • Spinal Bifida cystica, lipoma • Incontinence (urinary, fecal), Obstruction(Urinary retention,constipation) Surgical excision 1 MARK FOR EACH

  6. V1:Q5V2: Q11 • Left foot gangrene(2 marks) • Diabetic foot ulcer, Varicosity(1/2 each) • foot x-ray, Doppler ultrasound, Wound biopsy for histology and MCS (1/2 each) • TREATMENT AMPUTATION(1 Mark)

  7. V1:Q 6V2: Q 8 • KELOID • Hypertrophic scar Surgery-excision Intralesional Steroid Radiotherapy- Radio-ablation 1 MARK EACH

  8. V1:Q7V2:Q15 • Fungating breast lesion (breast Ca) • Laboratory(FNAC/core needle biopsy for histology) • Wedge biopsy • Surgery • Chemotherapy, Radiotherapy,Immunotherapy • Hormonal therapy 1 MARK FOR EACH

  9. V1:Q8V2: Q10 • Blunting of costophrenic angle, blunting of cardiophrenic angle, homogenous opacification of the left middle and lower lung zones, meniscus sign. (1/2 FOR EACH) • Left sided pleural effusion (1 mark) • CCF, CRF, TB, bronchogenic Ca, Pneumonia, mesothelioma, trauma(1/2 for each)

  10. V1:Q9V2: Q7 • F • F • T • T • T • 1 MARK FOR EACH

  11. V1:Q10V2:Q20 • Herbedens Nodes(distal), Bouchards Nodes (proximal) • Osteoarthritis • Xray, ESR, CRP, bone scan (1 MARK FOR EACH)

  12. V1:QUESTION 11V2: Q13 • reduced amplitude of p wave, Widening of QRS complex, Tall tented T wave, Shortened PR interval • Ventricular tachycardia, ventricular fibrillation, pulseless electrical activity, asystole • Pulseless VT, VF ½ MARK FOR EACH

  13. V1: QUESTION 12V2:Q14 • All True

  14. V1: QUESTION 13V2: Q9 • TTFTF

  15. V1:Q 14V2 :3 • Left lung cavitation (2 MARKS) • Pulmonary TB, Abscess, bronchogenic CA, Pulmonary coccidioidomycosis (1 FOR EACH)

  16. V1:Q15V2: Q17 • Presence of bowel loops within the left hemithorax, Displacement of the heart to the right hemi thorax (1 MARK FOR EACH) • Diaphragmatic hernia(3 MARKS)

  17. V1:Q16V2: Q18 • Ring-enhancing lesion on the right cerebral hemisphere • cerebral abscess, brain tumor(glioblastoma), CNS lymphoma, Tuberculoma, toxoplasmosis, metastasis, cerebral infarct, • 1 MARK FOR EACH

  18. V1:Q17V2: Q19 • Atrial fibrillation (2 MARKS) • carvedilol, metoprolol, verapamil, diltiazem, amiodarone, flecainide, warfarin (1/2 MARK FOR EACH) • Htb, hyperthyroidism, cardiomyopathy, VHD, alcohol abuse, PE (1/2 MARK FOR EACH)

  19. V1:Q18V2: Q12 • HR= 75bpm (1 MARK) • Normal Sinus rhythm (1 MARK) • 1 degree, 2nd degree, 3rd degree(1/2 FOR EACH) • Anaemia, Thyrotoxicosis, anxiety, drugs, fever(1/2 for each)

  20. Q19 • Bone in bone appearance(involucrum and sequestrum), cortical disruption (1 for each) • Chronic osteomyelitis of the left humerus (1 mark) • Pathological fracture, osteosarcoma, marjolins ulcer (1 Mark for each)

  21. Q20 • Transcervicalextraamnioticfolleys catheter, misoprostol, PGE2, PGF2,oestrogen membrane sweeping. • Fetal biophysical profile, fetal kick chart, Serial EFW measurement, Serial SFH measurement, Pinnards stethoscope (1 Mark FOR EAcH)

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