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Department of Surgery OSCE: 5 APRIL 2011 Paediatric -, Plastic-& Vascular Surgery

Department of Surgery OSCE: 5 APRIL 2011 Paediatric -, Plastic-& Vascular Surgery. Answer all questions in written on the answer sheets provided Remember your name and student nr on each page The OSCE consists of 16 stations, 5 marks each, 5 minutes per station

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Department of Surgery OSCE: 5 APRIL 2011 Paediatric -, Plastic-& Vascular Surgery

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  1. Department of SurgeryOSCE: 5 APRIL 2011Paediatric-, Plastic-& Vascular Surgery • Answer all questions in written on the answer sheets provided • Remember your name and student nr on each page • The OSCE consists of 16 stations, 5 marks each, 5 minutes per station • No cell phone, books or study material may be brought into the examination venue.

  2. DEPARTMENT OF PAEDIATRIC SURGERY –QUESTIONS 1 – 5

  3. Slide 1 – Paediatric Surgery

  4. Questions – slide 1 • What is the diagnosis suggested by the X-Ray?Wat is die diagnose wat hierdie X-Straal voorstel? • How do these babies classically present?Wat is die klassieke presentering van hierdie babas? • What are the referring doctor’s duties before transferring this baby?Wat is die verwysende dokter se pligte voordat hierdie baba na ‘n tersiere inrigting oorgeplaas word?

  5. Slide 2 – Paediatric Surgery

  6. Questions for slide 2 A. Give a differential diagnosis?Gee ‘n differensiële diagnose? B. What do you think is the most probable diagnosis here and how would you treat this girl?Wat dink jy is die meeswaarskynlike diagnose hier en hoe soujyhierdie kind behandel?

  7. Slide 3 – Paediatric Surgery

  8. Questions for slide 3 A. What is the name of this abnormality?Wat is die naam van hierdieabnormaliteit? B. Why is this condition clinically important?Hoekom is hierdietoestandkliesbelangrik? C. What is the embryological explanation for this condition?Wat is die embriologieseverduidelikingvirhierdietoestand?

  9. Slide 4 – Paediatric Surgery

  10. Questions for slide 4 This child presents with a reducible lump. Hierdie kind presenteer met ‘n reduseerbare swelling. A. What is the likely diagnosis?Wat is die meeswaarskynlike diagnose? B. When must surgery be done and what does it consist of?Wanneermoetchirurgiegedoen word en what behelsdit?

  11. Slide 5 – Paediatric Surgery

  12. Questions for slide 5 This is a 3 week old child who has vomited some bile and shows mild abdominal distension. Hierdie is ‘n 3 week oue kind wat gal gebraak het en wys ‘n effensebuikopsetting. A. What is the likely diagnosis?Wat is die waarskynlike diagnose? B. Why is this a surgical emergency?Hoekom is hierdie ‘n chirurgiesenoodgeval?

  13. Slide 1a – Paediatric Surgery

  14. Slide 1b – Paediatric Surgery

  15. Questions for slides 1a & 1b A. What is the classical history and clinical findings on examination of the patient. Wat is die klassiekegeskiedenis en kliniesebevindinge in die pasiënt. B. What are the treatment options available for this condition and name the life threatening complications of this condition. Noem die behandelingsopsiesbeskikbaarvirhierdietoestandasook die lewensbedreigendekomplikasies.

  16. Slide 2 – Paediatric Surgery

  17. Questions for slide 2 A. What is the clinical diagnosis?Wat is die kliniese diagnose? B. What must you do before you transfer the patient for further care?Watmoet u doenvoordat u die pasiëntoorplaasvirverderebehandeling?

  18. Slide 3 – Paediatric Surgery

  19. Questions for slide 3 A. What is the typical history of a child with hypertrophic pyloric stenosis?Wat is die tipiesegeskiedenis van ‘n kind met hipertrofiesepiloriesestenose? B. What are the physical signs?Wat is die fisiesetekens? C. What are the metabolic disturbances found? What is the operation shown called? Wat is die metabolieseversteuringswatgevind word? Wat is die naam van die prosedure?

  20. Slide 4 – Paediatric Surgery

  21. Questions for slide 4 A. This photograph shows a fistula on the anterior edge of the sternocleidomastoid muscle. What is the diagnosis and the etiology?Hierdiefotowys ‘n fistel op die voorkanste rand van die sternokleidomastoidespier. Wat is die diagnose en die etiologie? B. What are the possible complications and what is the treatment of choice in uncomplicated cases? Wat is die moontlikekomplikasies en wat is die behandeling van keuse in ongekompliseerdegevalle?

  22. Slide 5 – Paediatric Surgery

  23. Questions for slide 5 A. What do you see on this abdominal X-Ray? / Watsienjy op hierdieabdominaleX-straal? B. What clinical signs is this newborn presenting with? / Met watterkliniesetekenspresenteerhierdiepasgeborene? C. Give a differential diagnosis (quite a few conditions can be the cause of this abnormal AXR).Gee ‘n differensiële diagnose (‘n paartoestandekan die oorsaakwees van hierdieabnormaleX-Straal).

  24. Station 4 – Paediatric

  25. Questions Slide 4 A. What abnormality is depicted on this CXR?Watter abnormaliteit word in hierdie CXR uitgebeeld? B. What might be the symptoms of this child?Watter simptome mag hierdie kind toon? C. What treatment do you suggest?Watter behandeling sou jy voorstel?

  26. Station 5 – Paediatric Surgery

  27. Questions Slide 5 A. What is the diagnosis?Wat is die diagnose? B. What must you do before you transfer the patient?Wat moet jy doen voordat jy hierdie pasiënt oorplaas?

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