1. OSCE Questions
Feb 2017
POH

2. Case 1 49/F Good past health. Not on medication
C/O Epigastric pain for 2 hours
BP 210/90
SpO2 100% on room air
Abdomen soft
Q1 Name 3 life threatening ddx 2

3. 3

4. Q3 What are the worrisome features?
Q2 Describe the ECG
Q3 What are the worrisome features?
While taking the CXR, she was found unresponsive
Q4 What is this?
Q5 What is the treatment? 4

5. Q6 What are the causes of early mortality in acute coronary syndrome?
Q7 What are the high risks group for early mortality? 5

6. Case 2 56/M Hypertension on Atenolol/ Norvasc/ Acertil
C/O chest pain radiated to back
BP 96/53 P72
RR20 SpO2 96% on room air
ECG normal Hb 12.8 6

7. Q1 Comment on the vital signs Q2 Name 2 important physical signs
Q3 Suggest a Point-of-care investigation 7

8. 8

9. Q4 Describe the abnormal CXR Q5 Name 3 other CXR signs9

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11. 11

12. Q8 Name the disease spectrum. Q9 What is the classification?
Q6 Describe the CT
Q7 What is the diagnosis?
Q8 Name the disease spectrum.
Q9 What is the classification?
Q10 What is the treatment?
Q11 What are the indications for operation? 12

13. Case 3 46/M fell while climbing down from lorry driver seat
C/O left ankle pain
Difficult to walk 13

14. 14

15. Q2 Name 2 Classification systems Q3 Is the ankle stable?
Q1 Describe the X-ray
Q2 Name 2 Classification systems
Q3 Is the ankle stable?
Q4 What is the diagnosis?
Q5 What is the mechanism of injury?
Q6 What is the treatment?
Q7 Name 1 similar condition in upper limb 15

16. Case 4 M/51 Good past health. No recent travel Chills for 1 week
Hiccup and abdominal bloating discomfort 2 days
Temp 37
Q1 What is hiccup?
Q2 What is the reflex arc?
Q3 Name 2 drugs for symptomatic relief of hiccup 16

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18. Q4 What are the 2 alarming features?
Q5 What are the causes? Give 2 in each feature

19. 19 19

20. Q6 Describe the CT
Q7 What is the diagnosis?
Q8 Name 3 risk factors?
Q9 What to examine if culprit was isolated
a. Klebsiella pneumoniae?
b. Entamoeba histolytica?

21. Case 5 Afebrile. BP 120/80 P72 GCS 15. 4 limbs Power full 65/F ADL-I
Known HT, poor memory await psy
Noted disoriented to time, place, person for 2 days
Afebrile. BP 120/80 P72
GCS limbs Power full 21

22. Q1 Give 2 point-of-care investigations Q2 What is delirium?
Q3 How to differentiate from dementia?
Q4 Name 4 components of mental state exam
Q5 Name 2 assessment tools
Q6 Suggest 3 red-flag signs in a confused patient
Q7 Name 3 types of dementia
Q8 Suggest one reversible cause of dementia 22

23. CT Brain 23 23

24. Q10 Give 3 common causes of non-traumatic Intracerebral hemorrhage
Q9 Describe the CT
Q10 Give 3 common causes of non-traumatic Intracerebral hemorrhage
Q11 Give 3 common locations of bleeding in hemorrhagic stroke 24 24