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General surgical OSCE, Cheat Sheet of General Surgery

OSCE on General surgical topics for medical students

Typology: Cheat Sheet

2017/2018

Uploaded on 08/16/2021

malin-adikari
malin-adikari 🇨🇦

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OSCE For medical students -2021- July
1.Mammogram
What is being shown (4)
What features in the above investigation would suggest the possibility of a
malignancy – (3 marks for each)
Accepted: stellar shape, Spiculated margin, High density, Microcalcifications
2. Suture Material
Identify and provide three (3) features of this suture material (2 marks for each)
Accepted- Synthetic, non-absorbable, monofilament
List one advantage and one disadvantage of this suture material (1 mark for
each)
Accepted - Less infection risk, Higher tensile strength
-Lower knot security, More throws required
Give one example where this suture material is used. (2 marks)
oSkin closure
oMesh repair
3. MRCP
What is the Investigation being shown? (2 marks)
Give three (3) abnormal findings seen in the film (2 marks for each)
What would be the next best course of management? (2 marks)
4. Gangrene
What is being shown (2 marks)
What is the likely etiology? (2 marks)
What is the Fontain grade of this patient (6 marks)
5.Stomal hernia
What is the stoma being shown? (2 marks)
What is the complication being shown? (2 marks)
Name two other stomal complications (3 marks each)
6. Joll’s thyroid retractor
What is the Instrument being shown? (5 marks)
Name an instance when this instrument is used (5 marks)
7. Perianal fistula
What Is the diagnosis (6 marks)
State the Goodsall rule (4 marks)
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pf4
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OSCE For medical students -2021- July 1.Mammogram  What is being shown (4)  What features in the above investigation would suggest the possibility of a malignancy – (3 marks for each) Accepted: stellar shape, Spiculated margin, High density, Microcalcifications

  1. Suture Material  Identify and provide three (3) features of this suture material (2 marks for each) Accepted- Synthetic, non-absorbable, monofilament  List one advantage and one disadvantage of this suture material (1 mark for each) Accepted - Less infection risk, Higher tensile strength -Lower knot security, More throws required  Give one example where this suture material is used. (2 marks) o Skin closure o Mesh repair
  2. MRCP  What is the Investigation being shown? (2 marks)  Give three (3) abnormal findings seen in the film (2 marks for each)  What would be the next best course of management? (2 marks)
  3. Gangrene  What is being shown (2 marks)  What is the likely etiology? (2 marks)  What is the Fontain grade of this patient (6 marks) 5.Stomal hernia  What is the stoma being shown? (2 marks)  What is the complication being shown? (2 marks)  Name two other stomal complications (3 marks each)
  4. Joll’s thyroid retractor  What is the Instrument being shown? (5 marks)  Name an instance when this instrument is used (5 marks)
  5. Perianal fistula  What Is the diagnosis (6 marks)  State the Goodsall rule (4 marks)
  1. Large bowel obstruction  What is the abnormality with the bowel shown on the x-ray – ( 6marks)  This patient presented with reduced bowel opening for 2 days duration. Few hours after admission he developed RIF pain, What is the most likely reason for the RIF pain ( 4 marks)
  2. Live station trauma- Possible Laceration of the Spleen. 26 year old male admitted to the emergency treatment unit fallowing a fall from rambutan tree -15 feet high. You are the on call surgical doctor and is called to see this patient at the ETU. Nursing officer and ETU MO are in the room with you. Assess and manage. 5-Marks for resuscitation (ABCD) 5-Marks for Diagnosis and Management