Surgery Ward Test OSCE (2015)

1-Scenario of RTA with brain damage.

Q) What is the difference b/w primary and secondary cerebral injury? 

Q) How to diagnose condition?

 Q) What is the immediate treatment?

2-Scenario of urethral injury with bleeding at the meatus?

Q) Which part of urethra is injured?

Q)How to diagnose?

Q)Complications of injury?

3-Xray of Tension Pneumothorax

Q)Findings: lung collapse on affected side,mediastinal shift to opposite side and air-fluid levels.

Q) Immediate Treatment

Q) Definite treatment

Q)Why is this life-threatening?

4-CT Scan of Extradural Hematoma

Q) Identify

Q)Write 3 findings

Q) Treatment: Craniotomy

5-Instruments to identify, uses,c/I,sterilization:

Lumbar Puncture Needle:Types : pencil & cutting. C/I :z high intracranial pressure

Intestinal Clamp

ETT Tube and formula of ETT size for children

Tracheostomy tube:indications,complications

Joll self retaining retractor

Humby’s knife

Oropharyngeal Airway

Laryngoscope:uses, indications

Babcock forcep: uses

Scenario of Pheochromocytoma:

Q) How to investigate?

Q) Preoperative prep

6-Scenario of gas gangrene

7-Xray of gas under diaphragm

8-Blood Transfusion precautions & complications

9-Vicryl  Suture: Identify, type,uses

10-ERCP

11-PTC

12-Urogram

13-Branula size and flow rate

14-Distribution of dermatomes in Arms and Legs

15-Calculation of GCS

16-Scenario of hemorrhoids:Treatment

17-Scenerio of appendicitis:

Q) treatment

Q)Incisions

Q)Scoring Criteria

18-Scenario of pancreatitis

Q)causes

Q)Treatment

Q)Criteria

19-Scenario of Exophthalmos

Q)Treatment

20-Counselling:

MNG

Diabetic Foot: above knee amputation

21-Name 3 absorbable sutures

22-Match values:

ALT            7 to 55 units per liter (U/L)

AST.          8 to 48 U/L

ALBUMIN     3.5 to 5.0 grams per deciliter (g/dL)

BILIRUBIN     0.1 to 1.0 mg/dL

23-Match

Hypothyroidism        ⬇T3 T4. ⬆TSH

Hyperthyroidism         ⬇TSH. ⬆T3 T4

24-Intestinal Obstruction:

Q) 5 Causes

Q) treatment

25-Beck’s triad

26-Spinal Anaesthesia:where give and side effects

27-Prolene Sutures

28-Umbilical Hernia ki pic and its treatment

29-Gynaecomastia ki pic and its causes

30-Scenerio of irreducible hemorrhoids

Q)Its Grade:4

Q)Treatment