OSCE: Paediatric-. Plastic- & Vascular Surgery - Answer all questions in written on the answer sheets provided Remember your name , group and student nr on each page The OSCE consists of 16 stations 5 minutes per station/ 5 points per station No cell phones, books or study material may be brought into the examination room.

DEPARTMENT OF PAEDIATRIC SURGERY – OSCE: STATIONS 1 – 5 6 APRIL 2010

Station 1 – Paediatric Surgery

Questions: Slide 1 A. These photographs shows a fistula on the anterior edge of the sternocleidomastoid muscle. What is the diagnosis and the etiology. Hierdie foto’s wys ‘n fistel op die voorkanste rand van die sternokleidomastoide spier. Wat is die diagnose en die etiologie. What are the possible complications and what is the treatment of choice in uncomplicated cases? Wat is die moontlike komplikasies en wat is die behandeling van keuse in ongekompliseerde gevalle?

Station 2 – Paediatric Surgery

Questions Slide 2 A. What is the name of this abnormality? Wat is die naam van hierdie abnormaliteit. B. Why is this condition clinically important? Hoekom is hierdie toestand klinies belangrik? C. What is the embryological explanation for this condition? Wat is die embriologiese verduideliking van hierdie toestand?

Station 3 – Paediatric Surgery

Questions Slide 3 A. What do you see on this abdominal X-ray? Wat sien jy op hierdie abdominale X-straal? B. What clinical signs is this newborn presenting with? Met watter kliniese tekens presenteer hierdie pasgeborene? C. Give a differential diagnosis (quite a few conditions can be the cause of this abnormal AXR). Gee ‘n differensiële diagnose (‘n paar toestande kan die oorsaak wees van hierdie abnormale X-straal).

Station 4 – Paediatric

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?

Station 5 – Paediatric Surgery

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?

PLASTIC SURGERY STATIONS 6 -10

Station 6 SLIDE J Name the diagnosis and discuss the management Noem die diagnose en bespreek die hantering. What other morphological types of this condition may be present Hoe sal u die diagnose bevestig? How would you treat it/ Hoe sal u dit behandel?

Watter persentasie van die totale liggaamsoppervlakte STATION 7 SLIDE U 1) What degree of burns are visible? Watter graad brandwonde is sigbaar? 2) What percentage total body surface is visibly involved? Watter persentasie van die totale liggaamsoppervlakte is sigbaar betrokke? 3) What is the management? Hoe sal u dit hanteer?

Station 8 slide 101/ 2010 a) What is the diagnosis? Wat is die diagnose? (1) b) Wat is generally the number one priority in the management and name the principles involved Wat is algemeen gesproke die nommer een prioriteit in die hantering , en benoem die beginsels betrokke. ( 3) c) What will be a surgical time protocol to correct this abnormality Beskryf ‘n chirurgiese tyds -protokol om hierdie abnormaliteit te herstel (1)

Station 9 SLIDE A 1) What are the possible aetiological reasons for this problem? Wat is die moontlike etiologiese oorsake van die probleem 2) Name the principles of management Noem die beginsels van hantering

Station 10 Slide 100/2010 a) Wat is die mees algemene oorsaak? What is the most likely etiological cause? (1) b) Two other causes in the differetial diagnosis Noem twee ander oorsake in die gedifferensiёle diagnose (1) c) Principles of management Beginsels van hantering? (3)

VASCULAR SURGERY OSCE STATIONS 11 - 16

STATION 11

STATION 12

STATION 13

STATION 14 STATION 14 Above is a picture of a 35 years old female who presented with a 24 hour history of sudden onset left lower limb severe pain, with no previous history of claudication and no risk factors of atherosclerosis. She had no palpable popliteal and distal pulses palpable. a.. What is the diagnosis? (2) b. Give three signs of a non-viable limb? (3) .c. Give three systemic complications of revascularizing this limb (3)

STATION 15 A 50 years old male presented with a one week history of a left lower limb swelling. He has had hip surgery one month earlier. a.. Looking at the picture above what is the diagnosis? (2) b. How would you confirm the diagnosis (1) c. Give two acute complications of this condition (2) d . How would you achieve immediate luminal patency? (2)

STATION 16