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JCM OSCE (Questions)

JCM OSCE (Questions). YCH AED 8 th Oct 2014. Question 1. Question 1. F/12 Left ankle sprained 2 days ago Presented with ankle pain & limping gait X ray was performed. Question 1. What are the X ray findings? (1.5 marks) Which type of fracture does this girl have? (0.5 mark)

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JCM OSCE (Questions)

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  1. JCM OSCE (Questions) YCH AED 8th Oct 2014

  2. Question 1

  3. Question 1 • F/12 • Left ankle sprained 2 days ago • Presented with ankle pain & limping gait • X ray was performed

  4. Question 1 • What are the X ray findings? (1.5 marks) • Which type of fracture does this girl have? (0.5 mark) • What is the specific name for this fracture? (0.5 mark) • What are the mechanisms of this injury? (1.5 marks) • What is the descriptive name for the fracture also involving metaphysis of distal tibia? (0.5 mark) • What is the treatment of choice? (0.5 mark)

  5. Question 2

  6. Question 2 • F/14 Good past health • Presented with repeated vomiting x 1/52 • Associated with abdominal pain after food • Bowel opening normal • Thin body build, abdomen soft • CT scan of abdomen was later performed

  7. Question 2 • List four important differential diagnoses in this case. (2 marks) • CT scan of abdomen was performed. Describe the findings and what is the likely diagnosis? (2 marks) • How do you dispose this patient? (0.5 mark) • What is the another structure which can be entrapped between SMA & aorta? (0.5 mark)

  8. Question 3

  9. Question 3 • M/42 Hx NPC 2007 in remission • Presented with fever & sore throat x 1/7 • BP 139/69 P112 RR18 Temp 39.0 SpO2 98% • No stridor or neck swelling • XR neck was performed

  10. Question 3 • What are the X ray findings? (1 mark) • What is the diagnosis? (0.5 mark) • Name 2 common pathogens. (1 mark) • What is the initial management in AED? (2.5 mark)

  11. Question 4

  12. Question 4 • F/55 Good past health, non smoker, non drinker • Presented with cough & throat discomfort x2/52 • Throat clear, neck soft, no cervical LN • Chest clear, no added sound • Few high pitched breath sound during expiration • Otherwise systemically well, ambulatory • ENT consulted, normal laryngoscopy to VC • CXR was performed

  13. Question 4 • Name 3 differential diagnoses. (1.5 marks) • What is the positive finding on CXR? (0.5 mark) • Name 3 important negative findings on CXR. (1.5 marks) • Name 3 important investigations. (1.5 marks)

  14. Question 5

  15. Question 5 • F/32 Good past health • Presented on day 10 post delivery with sudden onset bi-temporal headache and bilateral blurred vision • Exam: Right homonymous hemianopia • CNs, limb power & sensation normal • No cerebellar sign • CT brain normal

  16. * By the time when MRI was performed, patient had slightly improved visual field MRI T2 FLAIR (Fluid attenuated inversion recovery) sequence

  17. Question 5 • What are the MRI findings? (1 mark) • What is the most likely diagnosis? (0.5 mark) • What is the alternative important diagnosis? (0.5 mark) • Name 3 predisposing factors for this condition. (1.5 mark) • Name one proposed mechanism for this condition. (1 mark) • What is the prognosis for this patient? (0.5 mark)

  18. Thank you

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