OSCE Final Yr

Peds OSCE:
1) Counseliing of a deaf child

2) diarrhea management
3) encephalitis case
4) scabies pic
5) neonatal ressusitaion
6) xray of cardiomegaly--> heart failure
7)cerebellar exam
8)biometric measurements of children
9)Growth Chart plotting
10). RDS X Ray
11) Diet Plan
1) Plan C management
2) Perform supra pubic catherization on dummy
3) history of febrile seizure
4) counseling for TOF
5) xray pneumonia
6)Xray cardiomegaly
8)xray intestinal obstruction
9)interpret ABG's
10) Cerebellar exam
11) Xray RDS
12) picture of scabies
1)wrist xray,
2)asthma,
3)Thalasemia case,
4)examine CN 3 4 6,
5)RDS xray,
6)plan C management,
7)neonatal jaundice hx,
8)xray intestinal obstruction,
9)hx investigation of jaundice,
10)TOF counselling,
11)growth chart,
12)foleys.
MEDICINE OSCE
1. Cancer Patient Counselling/ breaking bad news
2. Examination of the Hand
3. Aplastic Anemia case
4. GBS Case with management
5. X Ray Pneumothorax or Pneumonia not sure I think it was Pneumothorax
though
6. BP measurement
7. CPR
Station 1: child with typhoid history

Identify wats on the xray gas under diaphragm
Wat is the cause in this case? ans : typhoid
Give two other causes?
Station 2:
Name the instrument? ( NG tube)
Give its uses?
Station 3: (interactive station)
case of productive cough, hemoptysis, weightloss
Ask history
Give differentials
Station 4: picture of an old person who is diabetic and has a vesicular rash
around his eye,
Name the organism?
Write down treatment?
Station 5: perform CPR
Station 6: CT scan
Give diagnosis ( infarct)
Which is the best diagnostic test to confirm
wat is the secondary prevention
station 7: picture of a rash on face
diagnosis (SLE)
Wat is the cause
Treatment
Station 8: case given with investigations
Wat is the likely diagnosis ( aplastic anemia)
wa
wat are the definitive investigations to confirm
wat is the definitive treatment?
Station 9: take Blood pressure
Station 10:
interpret ABG.s
wat can be the causes
station 11: case given
wat is the diagnosis ( bronchiogenic Ca SIADH)
why is patients Na decreased ( SIADH)
station 12: do neck examination
station 13: investigations given
wat values are deranged?( Calcium was increased)
give causes
station 14: interpret ECG
station 15: councelling of smoking cessation
1. ECG -->TYPE 2 HEART BLOCK

2. EXAMINATION OF HAND
3. CASE OF HYPERTHYROIDISM
4. DKA CASE AND MANAGEMENT
5. BP MEASUREMENT
6. CT -->HYPERDENSE AREA IN THE TEMPORO-PARIETAL AREA
7. GBS CASE AND MANAGEMENT
8. 2 WAYS FOLLEYS CATHETER, NAME THE PARTS, COMPLICATIONS, USES
9. XRAY -->PLEURAL EFFUSION
10. CANCER/BREAKING BAD NEWS COUNSELLING SPOT
11. CPR
12. CASE OF CUSHINGS
A) DIAGNOSIS -->CUSHINGOID FACIES/MOON FACIES,
B) INVESTIGATION -->ACTH/CORTISOL LEVELS,
C)WHAT TEST TO BE DONE? --> DEXAMETHASONE SUPRESSION TEST
13. ASTHMA CASE (STATUS ASTHMATICUS) CLINICAL BEDSIDE MANAGEMENT

14. CHEST PAIN HISTORY TAKING
15. LEAD POISONING CASE
1.Acromegaly case
2.ECG (right bundle branch block)
3.instrument (Peak expiratory flow meter)
4.Acute pyogenic meningitis case
5.Abg interpretation (respiratory acidosis)
6.BP measurement
7.CPR
8.Chest pain hx
9.TB prescription writing for category 1
10. Xray (lobar pneumonia)
11.CT scan with scalp hematoma, subdural hematoma, epidural hematoma
and temporal lobe infarct)
12.Examination of the neck
13.Councelling to quit smoking
14.Malaria case
15.Aplastic anemia (CBC report interpretation)
1. Derma Pressant Test --> Identify the underlying Disease

2. Newly diagnosed case of Diabetes --> Take Relevant Hx
3. X-ray of Pneumonia (Viva Spot) --> Name the most common organisms,
Complications of pneumonia
4. Case give, Green Sputum --> What is the Diagnosis and Management
5. Folleys Catheter --> write down the indications and complications
6. CPR on a dummy
7. A case of hypothyroidism --> Management??
8. Counseling of Glioblastoma Multiforme (basically counseling for cancer)
9. Examination of Hands
10. Interpretation of LFTs
11. CT scan of something
12. BP skill and management of hypertension
13. ABGs interpretation
14. TB
GYNAE OSCE
1. Instruments: curette, hegars dilator : uses and complications
2. Perform pap smear
3. Copper iucd
4. Menorhagia history
5. Demonstrate mech of labor
6. Case of ovarian cyst: tell investigations, treatment options
7. Plot partogram
8. CTG
9. Ask past obs history
10. Obstetrics cholestasis case: define it, what tests to do, risks during
pregnancy
SAQs
1. PPH
2. Fibroids
3. Ectopic pregnancy
4. Eclampsia
1. CTG
2. plot a partogram
3. demonstrate mechanism of labour on dummy,
4. fibroids case,
5. instruments: hegars dilator and endometrial curette-have to tell the
person sitting there about the indications and complications,
6. take an obs history,
7. postpartum hemorrhage case,
8. demonstrate pap smear on dummy
9. Hx taking of a patient with mennorhagia
10. identify oral contraceptives and tell their contraindications
Perform Forceps Delivery

Perform Breech Delivery
CTG
2 Histories
PPH case
Partogram
Forceps
Using Kuskos Speculum perform how to take a high vaginal swab
SURGERY OSCE
1. anal fissures - identify, give advice and topical application to the patient
2. pnuemoperitonieum xray
3. colles fracture xray
4. proctoscope (4 diagnostic + 4 herapeutic uses)
5. history of apendicities and dds of RIF pain
6. testicular torsion
7. logbook viva
7. Anal Fissure Picture
name the lesion Fissure in ano
cause
advice+ local applications?
Surgical procedures
DRE done or no?
8. case:
Presented to ER after cholecystectomy done some days back. Now tender
tense rigid abd with no gut sounds.
What is the likely diagnosis? Biliary Peritonitis
2 causes
Investigations (3)
Treatment?
9. Breast
Lump 2x2 cm
FNAC shows malignant cells
What further investigations??
What are different surgical treatment procedures?
How would you counsel the patient?
CI for breast conservation surgery?
1. Fournier's Gangrene
2. Breast Cancer Case which conditions would you not offer a mastectomy
3. Sir Shahid Viva spot steps of Herniotomy/ Hernioraphe
4. Intestinal Obs X Ray the fluid levels wallee bakwas
5. Foleys Catheter 2 Indications and 2 Contraindications and 2 complications
6. Sutures Catgut and Vicryl I think what indications and what surgeries are
they used in
7. There was an instrument spot can't recall the instruments
8. Colles Fracture X Ray with management
9. Varicocoele case with managemen
10. Pneumoperitoneum gas under the diaphragm X Ray with causes
11. Proctoscope
1. identify: x ray neck of femur fracture

a. type
b. classify fractures
c. vascular supply
d. common complication
2. diagrams of incisions
- name the incisions
- type of surgeries
3. table viva
4. 2 way foleys cath
- name
- 2 common uses
- Precautions
- Complications
- Draw & label parts
5. xray gas under diaphragm
- likely diagnosis ( was a case of peptic ulcer disease)
- surgical treatment
- complications
6. T-tube
- name it
- procedure it is used
- investigations done after putting it
7. fissure in ano
- name the lesion
- cause
- advice+ local applications?
- Surgical procedures
- DRE done or no?
8. case:
- presented to ER after cholecystectomy done some days back. Now tender
tense rigid abd with no gut sounds.
- Wat is the likely diagnosis?
- 2 causes
- Investigations (3)
- Treatment?
9. breast
- lump 2x2 cm
FNAC malignantcells
a. what fyrther investigations??
b. 3 treatment procedures
c. 3 contraindications for breast conservation surgery
10. small bowel obs ( xray)
- idebtify?
- Common causes (3)
- Initial steps of management
- If becomes abd tender/guarding, consequence?

OSCE Final Yr

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OSCE Final Yr

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Peds OSCE:

1) Counseliing of a deaf child

Station 1: child with typhoid history

1. ECG -->TYPE 2 HEART BLOCK

13. ASTHMA CASE (STATUS ASTHMATICUS) CLINICAL BEDSIDE MANAGEMENT

1. Derma Pressant Test --> Identify the underlying Disease

Perform Forceps Delivery

1. identify: x ray neck of femur fracture

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