1. OSCE KWH AED 5th Nov 2014

2. Question 1 A 40 years old man good past health complained of sudden onset of palpitation, with chest discomfort, no syncope BP 154/78

3. Initial ECG on presentation

4. 5 mins into the resuscitation room, after treatment given

5. Final ECG after 2mins

6. Question 1 1)what does the initial ECG show 2)Can you describe the second ECG? 3)What is the likely cause of the second ECG? 4)What is the recommended treatment for the second ECG?

7. Question 2 48 yrs old man complained of left upper chest pain after lifting a heavy object.

10. Question2 1)Please comment on the chest x-ray. 2)what are your differential diagnoses ? 3)Can you give three investigations ? 4)What does the final x-ray show?

11. Question 3 60-year-old lady fell with right hip pain

14. Question 3 1)Please describe the x-ray finding. 2)What other views will you request to better delineate the lesion? 3)Which parts of pelvis/hip do the views suggested by you show ? 4) Name the investigation required before we can decide on the type of treatment. 5)what are the treatment options?

15. Question 4 60-year-old lady History of CA Left breast with mastectomy done 10 years ago c/o progressive pain and swelling of left hand for 4 months

18. Question 4 1)what are the physical findings? 2)What does the x-ray show? 3)Name 3 differential diagnoses. Which is the most likely? 4)Name the two types of this syndrome and their underlying pathophysiology. e)Name 3 important investigations to find out the underlying cause

19. Question 5 50-year-old lady, Complained of right thumb pain after contusion against the wall

21. Question 5 1)Can you describe the physical finding? 2)Can you name the part of the thumb that is injured? 3)What is the most common cause for this injury? Can you explain the pathophysiological mechanism leading to this injury? 4)What are the treatment options?