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    PRES3 Recalls

    Uploaded by

    Ahmed Gendia
    This document contains information for several stations in an OSCE exam, including: 1) A scenario involving pleural effusion with questions about diagnosis, tests, and causes. 2) ECGs and radiology images with questions about interpretation and management. Images include conditions like pericarditis, CHB, and AAA. 3) Clinical scenarios involving topics like hypercalcemia, lithium toxicity, and a patient with head and abdominal injury. 4) Practical stations testing skills like ABPI calculation, application of collars/slings, CPR, and physical exams. 5) Communication stations involving history taking and counseling for conditions such as alcoholism, postnatal depression,

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    PRES3 Recalls

    Uploaded by

    Ahmed Gendia
    409 views9 pages
    This document contains information for several stations in an OSCE exam, including: 1) A scenario involving pleural effusion with questions about diagnosis, tests, and causes. 2) ECGs and radiology images with questions about interpretation and management. Images include conditions like pericarditis, CHB, and AAA. 3) Clinical scenarios involving topics like hypercalcemia, lithium toxicity, and a patient with head and abdominal injury. 4) Practical stations testing skills like ABPI calculation, application of collars/slings, CPR, and physical exams. 5) Communication stations involving history taking and counseling for conditions such as alcoholism, postnatal depression,

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    PRES3 Recalls

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    This document contains information for several stations in an OSCE exam, including: 1) A scenario involving pleural effusion with questions about diagnosis, tests, and causes. 2) ECGs and radiology images with questions about interpretation and management. Images include conditions like pericarditis, CHB, and AAA. 3) Clinical scenarios involving topics like hypercalcemia, lithium toxicity, and a patient with head and abdominal injury. 4) Practical stations testing skills like ABPI calculation, application of collars/slings, CPR, and physical exams. 5) Communication stations involving history taking and counseling for conditions such as alcoholism, postnatal depression,

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    409 views9 pages

    PRES3 Recalls

    Uploaded by

    Ahmed Gendia
    This document contains information for several stations in an OSCE exam, including: 1) A scenario involving pleural effusion with questions about diagnosis, tests, and causes. 2) ECGs and radiology images with questions about interpretation and management. Images include conditions like pericarditis, CHB, and AAA. 3) Clinical scenarios involving topics like hypercalcemia, lithium toxicity, and a patient with head and abdominal injury. 4) Practical stations testing skills like ABPI calculation, application of collars/slings, CPR, and physical exams. 5) Communication stations involving history taking and counseling for conditions such as alcoholism, postnatal depression,

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    © All Rights Reserved
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    PAPER 1

    Data interpretation:

    1. Pleural effusion.

    Type?

    Diagnostic criterias ?

    Causes?

    Further managment?

    2. Xrays:

    .Pneumonia

    Xray finding?

    Curb 65?

    Managment?

    Safe discharge to home?

    .Left neck of femur fracture xray.

    Identify.

    Complications?

    . CCF xray
    Describe.

    One Test to confirm?

    3. Pictures:

    .grottons papules ( i think)

    .left horner syndrome.

    . Pyoderma gangrenosum.

    . Crest syndrome( not sure)

    .shingles

    4 ecgs:

    Inferior wall mi

    Afib

    3rd degree heart block?

    Vfib

    HOCM

    5. Asked to calculate infusion rate/minute for


    dobutamine. Weight and vial strength was given.

    One part was to calulate total amount of lorazepam


    taken during the day. Weight and everything else given
    6. Obstructive jaundice scenario.

    Differentials?

    Investigations?

    Management?

    Clinical stations.

    1. Puerperal psychosis.

    History taking and managment discussion.

    2. Obs history taking after recent abortion.

    3.iv line insertion.

    4. Abg perform and interpretate.

    5. Hypertension counselling and breaking bad news in


    one station. ( pt also had new lvh on ecg)

    6. Medicine station: was asked to perform an abdominal


    exam on patient with history of renal transplant. For
    this station they were changing scenarios with each
    candidates.

    7. Surgical station: patient qith ileostomy and multiple


    surgical scars:

    Asked types of scars.


    Type of colostomies.

    Complications.

    8. Peads neonatal exam

    8. Peads febrile seizures history taking.

    10. Suicidal risk assesment.

    11. BLS with only compressions and beeathing.

    12. Colonoscopy consent taking.

    PAPER 2
    ECGS: V.Tachy, Pericarditis, Complete heart block, POST
    MI

    PHOTOS: Marfan synd, Scleroderma, SLE, malar flush,


    jaundice

    Cases: Hypercalcemia, causes, DD, and management

    Lithium side effect and overdose

    Splenic rupture post RTA

    OSCE

    DM type 1 counseling

    Acute Abdomen History


    Febrile convulsion history and counseling

    Ankle Brachial index, do it with Doppler and calculate it,


    and examiner will ask few questions re: it

    Apply arm slang and neck collar and ask about types of
    neck collars

    Cardiac examination and DD for secondary HTN and


    asked for fundoscopy

    Suturing

    Auscultation of M. regurg and crepts

    Postnatal depression

    Alcoholism history taking

    CPR
    Breaking bad news about newly diagnosed MS

    Bilateral BP and cardiac examination (most likely


    looking for examination and to rule out coarctation of
    aorta)

    PAPER 3

    1) warfarin counselling
    2) primary survey
    3) hiv counselling- patient will ask will you disclose to
    my husband

    4) Iv cannula
    5) breaking bad news- bowl cancer- terminal stage
    6)breast examination

    7) gcs score- 2 scenarios


    8)suicidal risk assessment
    9) respiratory examination
    10) pvd- intermittent claudication- examination of
    lower limbs
    11) mesenteric ischemia - telephone conversation with
    seniors

    Dublin OCT 2nd 2015 PRES 3

    1. Scenario:
    Pt with fever, wt loss, SOB, pleural fluid analysis
    (exudative type). Protein, sugar and LDH level
    compared to plasma
    a. What type of a pleural effusion is it?
    b. Write 4 sings of pleural effusion
    c. What are the biochemical tests done on pleural
    effusion
    d. What are the 5 causes for the above type of effusion

    2. ECGS
    STE posterior inf MI Mention 4 emergency drugs
    used here
    b. AF - What are the ecg changeswhat is the
    commonest complication and how to prevent that
    complication
    c. VF what is the diagnosis, How to manage it
    D.3rd degree heart block what is the definitive
    treatment
    e. WPW or LVH What are the ecg changes, what is
    the likely diagnosis
    3. Pictures:
    a) Pyoderma gangrenosum - what are the
    investigations for the underlying disease what is
    the definitive investigation
    b) Picture of gottrons papules and facial rash - what
    is the diagnosis, what are the investigations
    c) Horners syndrome - 2 obvious finidings and 2
    other two findings, what is the nerve involved
    d) Shingles - Diagnosis, complications, nerve
    involved
    e) A picture of hand with sclerodactily - 2 dds, what
    are the other features of most restricted disease
    4. Xrays
    a. pul edema What is the underlying disease
    b. Fracture femur - Will u discharge this pt?,
    complication
    c. Shoulder Joint (May be shouder j dislocation or
    surgical neck fracture humerus) What is the nerve
    involve, clinical presentation
    d Epidural haematoma diagnosis, what is the
    artery involved
    e. Right sided lower and middle lobe pneumonia
    given with a scenario, so calculate the CURB 65 and
    do u admit the patient or not?

    5. Drug dose calculation


    a, calculate amlodipine rate of transfusion in mg
    what the side effects of amlodipine
    b calculate the thyroxin dose
    c. 2 drugs can be given for opioid toxicity and their
    route

    6. A scenario of RHC pain tea coloured urine and pale


    stoolsa. mention 3 causesb.2 radiological
    investigationsc. if that pt developes rigors and chills
    what the diagnosis and how u manage
    GALWAY OCT. 2015 PRES 3
    ECGs
    1. RBBB 2. Pericarditis 3. CHB 4. Ant wall. MI 5.
    Monomorphic VT
    2. IMAGES 1. Crest. Syndrome 2. High arched palate
    with dislocated lens3. Face of hypothyroidism
    with pt having af and on anti arrhythmic drug
    probably amiodarone. The diagnosis was
    amiodarone induced pigmentation of face. 4.
    Butterfly rash of. SLE 5. Ganglion cyst on wrist joint

    3. RADIOLOGY 1. Ct of APKD 2. Sigmoid volvulus 3.
    Tension pneumothorax 4. Pepper. Pot skull. Of MM
    5. Ct. Scan. AAA
    4. SCENARIOS 1. Hypercalcemia rationale for
    treating abnormal Ca levels , causes , risk factors ,
    complications and management
    5. Li toxicity. Pt with li given ssri and antipsychotic
    what can happen give d/d Long term effects and
    management
    6. Pt with RTA having head. And abdominal injury.
    Opens eyes spontaneously, localizes pain and
    confused speech calculate GCS, what neurological
    signs will. U. Look. For how will u investigate and
    manage. If he develops severe Lt upper quadrant
    pain what cud be. The diagnosis
    7. PRACTICALS
    1. Calc ABPI
    2. How to apply neck collar and arm sling
    3. CPR with AED
    4. Physical exam of. Hypertensive
    5. Surgical suture
    6. 2. Point auscultation ( pan systolic murmur and
    crepts )
    8.COMMUNICATION.
    1. Alcohol dependency syndrome take history
    2. Post natal depression
    3. MS break bad news
    4. Severe Epigastric pain. Pt on Ibuprofen mother
    and Father Diabetic
    5. Febrile Convulsions
    6. Counsel a pt on insulin he was holding a chart with
    daily blood glucose levels developed hypoglycemia on
    one day out of seven days due to excessive cycling what
    cud be the cause and What Wud u do.

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