بنام خدا سوالات آزمون OSCE دستیاران ارتوپدی دانشگاه علوم پزشکی تهران بهمن 1386

1- A 16 years old boy: Sequel of meningitis when he was 2 years old Sequel of meningitis when he was 2 years old Spastic hemiplegia Spastic hemiplegia Normal IQ and good sensory function Normal IQ and good sensory function See the following pictures See the following pictures

Active supination Active supination

Active pronation Active pronation

Passive supination Passive supination

Active finger extension Active finger extension

Active finger flexion Active finger flexion

List the visible deformities List the visible deformities List the operative treatments of this patient List the operative treatments of this patient

2- A 22 years old man: A stab wound in his palm 3 months ago A stab wound in his palm 3 months ago See the photography of the wound in the next slide See the photography of the wound in the next slide

Scar of the wound

See the following slide See the following slide What is the name of the test? What is the name of the test? What is the diagnosis? What is the diagnosis? What is the treatment? What is the treatment?

3- A 19 years old boy with back pain: What is the name of this clinical examination? What is your finding? What are differential diagnosis ( at list 3)? Which imaging and view do you request for preop. Planning?

4- Look at this photography: What is the complete name of this construct? What are the functions of this device for this patient?

5-A 38 years old man with thigh pain 9 months after operation of right femur, no fever, no discharge

1- what is the most probable diagnosis? 1- what is the most probable diagnosis? 2- what is the first step for correct treatment? 2- what is the first step for correct treatment? 3- what is the best treatment ? 3- what is the best treatment ?

6-A 17 years old boy with sever hip pain: What is the Mirel ’ s score for this X-ray? What is the Mirel ’ s score for this X-ray? ( write each part separately) ( write each part separately) What do you tell him in the first visit for prevention of more complication? What do you tell him in the first visit for prevention of more complication?

7- A 75 years old man with pain and limited active and passive ROM of shoulder: What are the radiographic findings? What is your diagnosis? What is the preferred treatment? What about prognosis?

8- A 10 years old boy: This is the lateral x- ray of residual club foot and HX of 2 previous extensive posteromedial release. According to this radiography what complications occurred due to previous surgery? This is the lateral x- ray of residual club foot and HX of 2 previous extensive posteromedial release. According to this radiography what complications occurred due to previous surgery?

9-28 year old man with right knee pain from 3 months ago without history of trauma. Apart from medial joint line tenderness the physical exam was unremarkable See next page

What is your diagnosis? What is next step in diagnosis ? What is your treatment options? What is your concept about its prognosis?

10-A 12 year old boy referred to you with painful shoulder after trauma

What is your diagnosis ? If reduction is necessary explain your maneuver but if not, what is your treatment plan? When you initiate ROM ? Is there humerus varus as a late complication in this patient ?

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