Surgery OSCE Questions

SURGERY STUDY MATERIAL

FAQ's IN Objective and Subjective Clinical Exams (OSCE)

Double Syngamy

FAQs in Surgical OSCEs for MED5 & MED7

TO THE READERS This compilation is a collection of information acquired from several students, and not the work of the person who compiled this. This PDF was put together to ease the dissemination of important study material. PLEASE note that this document is not official examination material, and it is therefore intended to give the Medical students an IDEA of the Frequently Asked Questions and the general format of the Surgical OSCE. No answers are provided, and so, Students are encouraged to consult other texts to be better equiped for Surgical OSCE. REMEMBER: CONFIDENCE IS ALSO KEY IN PASSING OSCE's IN SURGERY.

Double Syngamy Page 3 of 28


Outline of some OSCE questions 1) Examine the breast, give the differential diagnosis and management (CA breast) 2) Patient with airway obstruction comes into the emergency ward; give the stepby-step way you are going to manage this patient. 3) Procedure for lymph node biopsy. Step by step. 4) Proctoscope. Identify the instrument, indications and what complications may arise due to improper use. 5) Renal calculi on X-ray. What type of x-ray is this? Describe how the patient will present and how will you treat this condition. 6) Chronic osteomylitis with auto sequestrectomy. Describe the process. Investigations and management. 7) Fracture femur. What are the complications and how will you manage this. What are the complications of perkings traction? 8) Specimen of an appendix. Pt presented with Rt iliac fossa pain. Was taken to theatre were it was removed. How did the patient present? What is the differential? What is management? 9) Hydrocephalus. What are the causes? Investigations and management. 10) Examination of the abdomen. Differentials for a mass from umbilicus to the Lt subcostal area. Investigations as well 11) Burns inspect and give how you would resuscitate this child with IV fluids. 12) ICD, indications, describe the technique of inserting and removal. The complications of an ICD. 13) Hx of patient who presented with failure to pass urine for 3 days. (Young man) differentials, investigations and management. (How can you distinguish stricture from BPH,) 14) Reading a CT scan. CT scan of brain tumour. How does patient present and how do you treat. 15) Cervical spine dislocation on X-ray and how does the patient present. What is spinal shock? How would you reduce the effects of spinal injury?

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OSCE: COMMUNICATION SKILLS MARK OUT OF 20; (FULL MARKS INDICATED IN BRACKET) STATION

_____

RESOURCE, NIL -- ORAL EXAM.

 OBJECTIVE :- TO ASSESS COMMUNICATION SKILLS OF THE STUDENT  TELL THE STUDENT: YOU ARE A PATIENT –TO TAKE HISTORY OF YOUR PARTICULARS.  OBSERVE AND MARK FOR 1. GREETING THE PATIENT; (3) 2. SHAKING HANDS: (3) 3. INTRODUCING HIS / HER SELF; (3) 4. INTRODUCING YOU TO THE PATIENT: (3) 5. EXPLAINING WHAT IS SHE GOING TO DO: (3) 6. ATTITUDE OF THE STUDENT (3) --- (CASUAL

OR SERIOUS)

7. CONFIDENCE OF THE STUDENT (2) – (NERVOUS

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OR COMPOSED)


OSCE: HISTORY TAKING OF A SWELLING MARK OUT OF 20 STATION

_____

RESOURCE, EXAMINER

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF HISTORY TAKING OF A SWELLING;

 ASK THE STUDENT TO TAKE A HISTORY FROM YOU OF AN INFLAMMATORY SWELLING 0R ANY SWELLING OF YOUR CHOICE GIVING A RUNNING COMMENTARY AND MARK FOR: 1. HOW DID THE SWELLING START? (3) 2. WHEN DID THE SWELLING START? (3) 3. HOW DID THE SWELLING PROGRESS? (2) (LOCALIZED OR SPREADING) 4. IS IT PAINFUL AND TENDER? (2) 5. NATURE OF THE PAIN (2) (DULL / THROBBING ETC.) 6. COLOR OF THE SKIN OVER THE SWELLING (NORMAL OR OTHERWISE (2) 7. TEMPERATURE OF THE SWELLING (2) (DOES IT FEEL HOT?) 8. OTHER SYSTEMIC SYMPTOMS (2) (FEVER, NIGHT SWEATS ETC.) 9. WHAT IS THE CLINICAL DIAGNOSIS? (2)

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OSCE: EXAMINATION OF A SWELLING MARK OUT OF 20 STATION:

___

RESOURCE; ANY CASE OF A SURFACE SWELLING

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF EXAMINATION OF A SWELLING  ASK THE STUDENT TO INSPECT THE SWELLING GIVING RUNNING COMMENTARY AND MARK : 1. SITE (1), SIZE (1), SHAPE (1) ----- TOTAL (3) 2. SURFACE (1) SURROUNDINGS (1), COLOR OF SKIN (1) ---- TOTAL (3) 3. PULSATION (1), COUGH IMPULSE (1) ---- TOTAL (2)  ASK THE STUDENT TO PALPATE THE SWELLING GIVING RUNNING COMMENTARY: 1. CONSISTENCY OF THE SWELLING (2) 2. DEMONSTRATION OF FLUCTUATION (2) 3. DEMONSTRATION OF THE PLANE OF THE SWELLING (2) 4. EXAMINATION OF LOCAL LYMPH NODES (2) 5. EXAMINATION OF SENSATIONS (1) AND PULSES (1) ---- TOTAL (2) 6. CLINICAL DIAGNOSIS (2)

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OSCE: SURFACE ANATOMY MARK OUT OF 20 STATION

_____

RESOURCE --- A PATIENT 0R A DUMMY

 OBJECTIVE :- DOES THE STUDENT KNOW SURFACE ANATOMY OF ORGANS ;  ASK THE STUDENT TO INDICATE : 1. HORIZONTAL TRANSPYLORIC AND TRANSTUBERCULAR LINES, AND TWO VERTICAL MID INGUINAL LINES AND NAME THE NINE ABDOMINAL REGIONS (2) 2. INDICATE THE EXACT PLACE OF MCBURNEY’S POINT (2) 3. INDICATE THE EXACT PLACE OF MURPHY’S POINT (2) 4. INDICATE THE POSITION OF PYLORUS AND THE DUODENUM (2) 5. OUTLINE THE POSITION OF THE KIDNEYS (2) 6. OUTLINE THE POSITION OF THE COLON (2) 7. OUTLINE THE POSITION OF THE PANCREAS (2) 8. OUTLINE THE POSITION OF DISTENDED URINARY BLADDER (2) 9. OUTLINE THE POSITION OF THE LIVER (2) 10. OUTLINE THE POSITION OF THE SPLEEN (2)

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OSCE: BREAST LUMP MARK OUT OF 20 STATION: ___ RESOURCE; ANY CASE OF A BREAST LUMP  OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF EXAMINATION OF A BREAST LUMP 

ASK THE STUDENT TO INSPECT THE BREASTS GIVING RUNNING COMMENTARY AND MARK FOR 1. SYMMETRY OF THE BREASTS AND OBVIOUS MASS (2) 2. SKIN CHANGES AND DEMONSTRATION FOR THE SKIN PUCKERING (2) 3. POSITION AND CONDITION OF THE NIPPLES, AREOLA AND DISCHARGE FROM THE NIPPLES (2) 

ASK THE STUDENT TO PALPATE BREAST AND MARK FOR

4. SITE AND SIZE OF THE LUMP OR LUMPS (2) 5. SURFACE AND CONSISTENCY OF THE LUMP OR LUMPS (2) 6. DEMONSTRATION FOR FIXITY TO THE SKIN AND MUSCLE (2) 7. AXILLARY AND SUPRACLAVICULAR LYMPH NODES PALPATION (2) 8. ASK FOR THE CLINICAL DIAGNOSIS (2) 9. STATE THE METHOD OF CONFIRMATORY DIAGNOSIS (2) 10. OPERATIVE MANAGEMENT (2)

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OSCE: EXAMINATION OF NECK SWELLINGS MARK OUT OF 20

STATION: ___: RESOURCE; ANY CASE OF A NECK SWELLING  OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF NECK SWELLINGS EXAMINATION : 

ASK THE STUDENT TO INSPECT THE NECK GIVING RUNNING COMMENTARY AND MARK FOR

1. NUMBER, SITE, SIZE, SHAPE, SURFACE, PULSATION, SINUSES ETC. – (2)

2. DEMONSTRATING IF THE SWELLING IS OF THYROID ORIGIN – (2) 3. DEMONSTRATING SWELLINGS RELATION TO STERNOMASTOID MUS. – (2)  ASK THE STUDENT TO PALPATE GIVING RUNNING COMMENTARY 4. POSITION OF THE STUDENT EXAMINING FROM BEHIND – (2) 5. ASKING TO SWALLOW WHILE EXAMINING – (2) 6. STATING CONSISTENCY OR NATURE OF THE SWELLINGS – (2) 7. DEMONSTRATING ANY PRESSURE OR INFILTRATION EFFECTS – (2) 8 ASK TO DEMONSTRATE ANY TWO OF THYROTOXICOSIS SIGNS – (2) 9. ASK FOR THE CLINICAL DIAGNOSIS – (2) 10. ASK FOR THE CONFIRMATORY INVESTIGATION - (2)

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OSCE: EXAMINATION OF A SURGICAL CHEST MARK OUT OF 20 STATION: ___: RESOURCE; ANY SURGICAL CASE OF CHEST OR A DUMMY  OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SURGICAL CHEST EXAMINATION : 

ASK THE STUDENT TO INSPECT THE CHEST GIVING RUNNING COMMENTARY AND MARK FOR

1. SYMMETRY OF CHEST – (2) 2. MOVEMENTS OF EACH SIDE OF THE CHEST –(2) 3. INSPECTION OF SPINE – (2) 4. POSITION OF THE TRACHEA –(2)  ASK THE STUDENT TO PALPATE THE CHEST GIVING RUNNING COMMENTARY AND MARK FOR 5. VOCAL FREMITUS AND SURGICAL EMPHYSEMA – (2) 6. THE APEX BEAT – (2) 7. TRACHEAL SHIFT – (2)  ASK THE STUDENT TO PERCUSS THE CHEST GIVING RUNNING COMMENTARY AND MARK FOR 8. MARK FOR THE NATURE OF THE PERCUSSION NOTE – (2)  ASK THE STUDENT TO AUSCULTATE THE CHEST GIVING RUNNING COMMENTARY AND MARK FOR 9. BREATH SOUNDS _ (2)  ASK THE STUDENT 10. CLINICAL DIAGNOSIS – (2)

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OSCE: ABDOMINAL LUMP EXAMINATION MARK OUT OF 20 STATION: ___ RESOURCE; ANY CASE OF AN ABDOMINAL LUMP  OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF EXAMINATION OF AN ABDOMINAL LUMP  ASK THE STUDENT TO INSPECT THE ABDOMEN GIVING A RUNNING COMMENTARY AND MARK FOR 1. SYMMETRY OF THE ABDOMEN AND OBVIOUS FINDINGS – (2) 2. MOVEMENT OR RESTRICTION OF ABDOMEN WITH RESPIRATION – (2)  ASK THE STUDENT TO PALPATE THE ABDOMEN GIVING A

RUNNING COMMENTARY AND MARK FOR 3. ASK TO DEMONSTRATE THE LEVEL OF THE LUMP – (2) 4. ASK TO SHOW IF THE LUMP IS REACHABLE ABOVE AND BELOW THE LUMP – (2) 5. ASK TO SHOW ITS MOBILITY AND MOBILITY WITH RESPIRATION – (2) 6. ASK TO DEMONSTRATE BALLOTTEMENT – (2)  ASK THE STUDENT TO PERCUSS THE ABDOMEN GIVING A RUNNING COMMENTARY AND MARK FOR 7. DEMONSTRATION OF SHIFTING DULLNESS OR FLUID THRILL – (2)  ASK FOR THE ORGAN INVOLVED 8. IF CORRECT – (2)  ASK FOR THE CLINICAL DIAGNOSIS 9. IF CORRECT – (2) 10. ASK FOR RELEVANT CONFIRMATORY INVESTIGATION – (2)

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OSCE: THYROID SWELLING (PER SE) EXAMINATION MARK OUT OF 20

STATION: ___ RESOURCE; ANY CASE OF THYROID SWELLING  OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF EXAMINATION OF A THYROID SWELLING  ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY AND MARK FOR 1. DEMONSTRATING THE SWELLING OF THYROID ORIGIN – ( ) 2. DEMONSTRATION OF ANY LOCAL PRESSURE OR INFILTRATION TO TRACHEA, RECURRENT LARYNGEAL NERVE, ESOPHAGUS – ( )  ASK THE STUDENT TO PALPATE GIVING A RUNNING COMMENTARY AND MARK FOR 3. PALPATING FROM BEHIND – ( ) 4. PALPATING FOR THE POSITION OF TRACHEA – ( ) 5. SURFACE AND CONSISTENCY OF THE SWELLING – ( ) 6. PALPATING FOR THE LOWER EXTENT OF THE SWELLING – ( ) 7. SURFACE AND CONSISTENCY OF THE SWELLING – ( ) 8. PALPATING FOR LYMPH NODES – ( ) 9. DEMONSTRATING SIGNS OF TOXICITY – ( ) 10. CLINICAL DIAGNOSIS – ( )

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OSCE: THYROTOXICOSIS – HISTORY AND SIGNS MARK OUT OF 20 STATION:

___ RESOURCE; A TOXIC CASE OR THE EXAMINER

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF THYROTOXICOSIS SYMPTOMS AND SIGNS  ASK THE STUDENT TO TAKE HISTORY OF THYROTOXICOSIS FROM THE PATIENT OR THE EXAMINER AND MARK FOR 1. HOW AND WHEN THE SYMPTOMS STARTED AND THE PROGRESS – (2 ) 2. NERVOUS SYMPTOMS - ( ANXIETY , NERVOUSNESS ) – (2 ) 3. CARDIOVASCULAR SYMPTOMS ( PALPITATIONS , BREATHLESSNESS – (2 ) 4. APPETITE – (2 ) 5. WEIGHT LOSS – (2 ) 6. SWEATING – (2 ) 7. ASK TO DEMONSTRATE LID LAG AND RETRACTION – (2 ) 8. ASK TO DEMONSTRATE FINE TREMORS – (2 ) 9. ASK TO DEMONSTRATE EXCESSIVE SWEATING – (2 ) 10. ASK HOW THE STUDENT WILL DEMONSTRATE EXOPHTHALMOS – (2 )

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OSCE: PEPTIC ULCER / CANCER – HISTORY TAKING MARK OUT OF 20 STATION:

___ RESOURCE; A PEPTIC ULCER CASE OR THE EXAMINER

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF PEPTIC ULCER /CANCER SYMPTOMS  ASK THE STUDENT TO TAKE HISTORY OF PEPTIC ULCER OR CANCER FROM THE PATIENT OR THE EXAMINER AND MARK FOR 1. HOW, WHEN AND PROGRESS OF THE SYMPTOMS – (2) 2. CHARACTER OF THE PAIN – (INTERMITTENT / CONTINUOUS, BURNING ETC.) - (2) 3. RELATION OF PAIN TO FOOD – (2) 4. RELATION OF PAIN TO VOMITING – (2) 5. STATE OF APPETITE – (2) 6. ANY FULLNESS OF ABDOMEN AFTER TAKING FOOD – (2) 7. ANY WEIGHT LOSS – (2) 8. ANY HAEMATEMESIS / MELENA - (2) 9. ANY SIMILAR EPISODE IN THE PAST – (2) 10. DRUG HISTORY – (2)

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OSCE: CHRONIC BLEEDING PER RECTUM – HISTORY TAKING MARK OUT OF 20 STATION:

___

RESOURCE; THE EXAMINER

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF CHRONIC RECTAL BLEEDING SYMPTOMS  ASK THE STUDENT TO TAKE HISTORY OF RECTAL BLEEDING FROM THE EXAMINER AND MARK FOR 1. HOW, WHEN AND PROGRESS OF BLEEDING(INTERMITTENT OR DAILY) – (2) 2. ASSOCIATION WITH STOOL - STEAK ON STOOL, AFTER STOOL, MIXED WITH STOOL – (2) 3. COLOR OF THE BLOOD – BRIGHT OR DARK RED – (2) 4. BLEEDING ASSOCIATED WITH PAIN OR WITHOUT – (2) 5. ANY BLOODY MUCUS / PUS AT DEFECATION OR SOILING THE UNDERWEAR – (2) 6. ANY PROLAPSE PER RECTALLY AT DEFECATION – (2) 7. ANY CHANGE IN BOWEL HABITS – PROGRESSIVE CONSTIPATION – (2) 8. ANY SIMILAR EPISODE IN THE PAST – (2) 9. ASK FOR POSSIBLE DIAGNOSIS FOR BRIGHT RED BLOOD AFTER DEFECATION – ( 2) 10. ASK FOR POSSIBLE DIAGNOSIS FOR STOOL MIXED WITH DARK RED – (2)

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OSCE: GROIN HERNIA EXAMINATION MARK OUT OF 20 STATION:

___

RESOURCE; ANY CASE OF GROIN HERNIA OR A DUMMY

OBJECTIVE :-DOES THE STUDENT KNOW EXAMINATION OF GROIN HERNIAS  ASK THE STUDENT THE FOLLOWINGS GIVING A RUNNING COMMENTARY AND MARK FOR 1. DEMONSTRATING THE POSITION OF INTERNAL RING -- (2) 2. DEMONSTRATING THE POSITION OF MID-INGUINAL POINT AND ITS IMPORTANCE – (2) 3. ASK TO SHOW REDUCIBILITY AND COUGH IMPULSE OF THE HERNIA – (2) 4. ASK TO DEMONSTRATE INTERNAL RING OCCLUSION TEST – (2) 5.ASK TO SHOW HESSELBACH’S TRIANGLE AND ITS IMPORTANCE IN RELATION WITH DIRECT INGUINAL HERNIA – (2) 6. ASK TO SHOW EXTERNAL INGUINAL RING WITH REFERENCE TO PUBIC TUBERCLE AND ITS IMPORTANCE IN RELATION WITH INDIRECT HERNIA – (2) 7. ASK TO SHOW POSITION OF A FEMORAL HERNIA IN RELATION TO THE PUBIC TUBERCLE – (2) 8. ASK TO EXPLAIN THE IMPORTANCE OF “REACHING ABOVE THE SWELLING” TEST – (2) 9. ASK HOW TO CLINICALLY DIFFERENTIATE A HERNIA FROM A HYDROCOELE IN A NEW BORN ( TRASILLUMINATION TEST ) – (2) 10. ASK FOR THE CAUSES OF HERNIAS IN ELDERLY – (2)

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OSCE: SCROTAL SWELLING EXAMINATION MARK OUT OF 20

STATION: ___ RESOURCE; ANY CASE OF A SCROTAL SWELLING OBJECTIVE :- EXAMINATION OF A SCROTAL SWELLING  ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY AND MARK FOR 1. SIZE AND SKIN CHANGES AND EXTENSION IN THE GROIN – (2) 2. IMPULSE ON COUGHING – (2)  ASK THE STUDENT TO PALPATE GIVING A RUNNING COMMENTARY AND MARK FOR 3. SIDE OR SIDES OF THE SWELLINGS – (2) 4. ANY RAISED TEMPERATURE, PAIN, AND TENDERNESS – (2) 5. REDUCIBILITY OF THE SWELLING – (2) 6. ASK TO DEMONSTRATE ‘ REACHING ABOVE THE SWELLING’ – (2) 7. EXAMINATION OF THE SPERMATIC CORD, EPIDIDIMIS AND TESTIS – (2) 8. EXAMINATION OF LYMPH NODES – (2) 9. ASK TO DEMONSTRATE FLUCTUATION TESTING – (2) 10. ASK FOR THE DIAGNOSIS – (2)

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OSCE: URINARY-BLADDER NECK– SYMPTOMS– HISTORY TAKING MARK OUT OF 20 STATION:

___

RESOURCE; THE EXAMINER

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF URINARY BLADDER NECK OBSTRUCTION SYMPTOMS  ASK THE STUDENT TO TAKE A HISTORY OF BLADDER NECK OBSTRUCTION SYMPTOMS FROM THE EXAMINER ( 65 YEARS OF AGE ) AND MARK FOR 1. ASKS FOR AGE – (2) 2. ANY DYSURIA / SUPRA-PUBIC / PERINEAL / LOIN PAIN – (2) 3. FREQUENCY OF URINATION INCLUDING AT NIGHT – (2) 4. STATE OF THE STEAM OF URINE – (2) 5. EFFECT OF STRAINING ON THE STREAM – (2) 6. ANY RETENTION OF URINE IN THE PAST – (2) 7. ANY HESITANCY / URGENCY IN PASSING URINE – (2) 8. ANY URINARY INCONTINENCE OR POST MICTURATION DRIBBLING – (2) 9. ANY HAEMATURIA – (2) 10. ASK FOR POSSIBLE DIFFERENTIAL DIAGNOSIS – (2)

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OSCE: URINARY – HAEMATURIA – SYMPTOMS – HISTORY TAKING MARK OUT OF 20 STATION:

___ RESOURCE; THE EXAMINER

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF HAEMATURIA SYMPTOMS  ASK THE STUDENT TO TAKE A HISTORY OF HAEMATURIA FROM THE EXAMINER ( 40 YEARS OF AGE ) AND MARK FOR 1. ASKS FOR AGE – (2) 2. HOW, WHEN, AND PROGRESS OF HAEMATURIA INCLUDING FEVER – (2) 3. ASSOCIATION WITH PAIN OR WITHOUT – (2) 4. ANY PAST LOIN / REFERRED COLIC PAIN / HYPOGASTRIUM /PERINEUM /URETHRAL PAIN – (2) 5. ANY DYSURIA / PYEURIA – (2) 6. FREQUENCY OF URINATION INCLUDING AT NIGHT – (2) 7. TYPE OF HAEMATURIA (INITIAL, MIXED, TOTAL) – (2) 8. ANY HISTORY OF RECENT TRAUMA – (2) 9. ANY HISTORY OF T.B. / BILHARZIASIS IN THE PAST – (2) 10. ASK FOR POSSIBLE COMMON DIFFERENTIAL DIAGNOSIS OF HAEMATURIA – (2)

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OSCE: PERKINS TRACTION MARK OUT OF 20 STATION: ___ RESOURCE;

CASE OF PERKINS TRACTION

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SKELETAL TRACTION  ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY AND MARK FOR 1. ASK WHAT THE SET - UP IS AND THE SPECIFIC NAME OF THE TRACTION – (1) 2. ASK ABOUT THE AMOUNT OF WEIGHT NEEDED IN RELATION TO BODY WEIGHT – (2) 3. ASK TO GIVE

3 ADVANTAGES OF PERKINS TRACTION

A. PREVENTS DEVELOPMENT OF CONTRACTURES – (3) B. PREVENTS ATROPHY OF MUSCLES – (3) C. EARLY HEALING AND MOBILIZATION – (3) 4. ASK TO GIVE

3 DISADVANTAGES OF PERKINS TRACTION

A. INJURY TO THE COMMON PERONEAL NERVE – (3) B. FRACTURE OF TIBIA AT THE SITE OF INSERTION OF THE PIN – (3) C. PIN TRACT INFECTION—(3) 5. ASK TO STATE HOW THE PIN TRACT INFECTION IS PREVENTED – (2)

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OSCE: DEMONSTRATION OF SURGICAL CLINICAL SKILLS -1 MARK OUT OF 20

STATION:

_ RESOURCE – A PATIENT OR A DUMMY

OBJECTIVE:

TO TEST CLINICAL SKILLS:

 ASK TO DEMONSTRATE 1. PALPATION OF DORSALIS PEDIS AND POSTERIOR TIBIAL ARTERIES– (5) 2. CONTRACTING PECTORALIS MUSCLES TO TEST FIXITY OF A LUMP. – (5) 3. SHIFTING DULLNESS FOR ASCITES – (5) 5. DEMONSTRATING THE METHOD OF MURPHY’S TEST - (5)

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OSCE: SKIN TRACTION MARK OUT OF 20 STATION: ___ RESOURCE;

CASE OF SKIN TRACTION

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SKIN TRACTION  ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY AND MARK FOR 1. ASK WHAT THE SET - UP IS (SKIN TRACTION) – (1) 2. ASK ABOUT THE AMOUNT OF WEIGHT NEEDED IN RELATION TO BODY WEIGHT TO SET UP AN EFFECTIVE TRACTION – (2) 3. ASK TO GIVE

3 ADVANTAGES OF SKIN TRACTION

A. NON INVASIVE

– (3)

B. EASY TO APPLY – (3) C. NOT EXPANSIVE– (3) 4. ASK TO GIVE

3 DISADVANTAGES OF SKIN TRACTION

A. WEIGHT LIMITATION– (3) B. ISCHEMIA IF TOO TIGHT– (3) C. STIFFNESS AND CONTRACTURES FORMATION—(3) 5. ASK TO STATE HOW THE DUNLOP TRACTION IS SET UP IN UPPER EXTREMITY – (2)

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OSCE: DEMONSTRATION OF ORTHO. CLINICAL - SKILLS -- 2 MARK OUT OF 20 STATION:

TRENDELENBURG’S TEST


OBJECTIVE:

TO TEST CLINICAL SKILLS:

 ASK TO DEMONSTRATE TRENDELENBURG’S TEST FOR THE HIP GIVING A RUNNING COMMENTARY AND MARK FOR 1. ASKING PATIENT TO STAND IN FRONT AND COMMENTING ABOUT THE LEVEL OF THE ILIAC CREST - (4) 2. ASKING PATIENT TO LIFT ONE OF THE LEGS AND COMMENTING ON THE THE TILT OF THE PELVIS IF ANY - (4) 3. ASKING PATIENT TO LIFT THE OTHER LEG AND COMMENTING ON THE THE TILT OF THE PELVIS IF ANY - (4) 4. ASK WHAT TRENDELENBURG’S TEST TESTS? – (4) 5. ASK TO STATE TWO CONDITIONS WHERE IT IS POSITIVE – (4)  Hip dislocation  Paralysis of abductor muscles

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OSCE: DEMONSTRATION OF ORTHO CLINICAL SKILLS – 3 THOMAS’ TEST MARK OUT OF 20

STATION:


OBJECTIVE:

TO TEST ORTHO. CLINICAL SKILLS:

 ASK TO DEMONSTRATE THOMAS’ TEST GIVING A RUNNING COMMENTARY AND MARK FOR 1. ASKING THE PATIENT TO LIE DOWN AND STATING THE POSITION OF THE SPINE AND THE HIP – (4) 2. FLEXING THE NORMAL HIP – (4) 3. PUSHING THE HAND UNDER THE LUMBAR SPINE AND COMMENTING ON THE STRAIGHTENING OF THE SPINE AND STATE OF THE DISEASED HIP - (4) 4. ASK WHAT DOES THE TEST TESTS? – (4) 5. ASK TO NAME TWO CONDITIONS WHERE THE TEST IS POSITIVE – (4)  

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Fixed flexion deformity


OSCE: DEMONSTRATION OF ORTHO CLINICAL - SKILLS –5 SENSORY NERVE TESTS MARK OUT OF 20 STATION:


OBJECTIVE:

TO TEST ORTHO. CLINICAL SKILLS:

 ASK TO DEMONSTRATE THE FOLLOWING GIVING A RUNNING COMMENTARY AND MARK FOR 1. SENSORY DISTRIBUTION OF RADIAL NERVE ON THE HAND – (2) 2. SENSORY DISTRIBUTION OF MEDIAN NERVE ON THE HAND – (2) 3. SENSORY DISTRIBUTION OF ULNAR NERVE ON THE HAND – (2) 4. SENSORY DISTRIBUTION OF COMMON PERONEAL NERVE ON THE LEG – (2) 5. SENSORY DISTRIBUTION OF ANTERIOR TIBIAL NERVE ON THE FOOT – (2) 6. SENSORY DISTRIBUTION OF POSTERIOR TIBIAL NERVE ON THE FOOT – (2) 7. SENSORY DISTRIBUTION OF T 10 NERVE ON THE ABDOMEN – (2) 8. SENSORY DISTRIBUTION OF C 4 NERVE ON THE UPPER BODY – (2) 9. SENSORY DISTRIBUTION OF L 1 AND L 25 NERVES ON THE LEG– (2) 10. SENSORY DISTRIBUTION OF L4 AND L 5 NERVES ON THE LEG– (2)

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STATIC STATION OSCE:

SURGICAL INSTRUMENTS

MARK OUT OF 20

STATION: _ RESOURCE –

TWO SURGICAL INSTRUMENTS PER STATION

1. IDENTIFY THE TWO INSTRUMENTS – (5 MARKS EACH) 2. WHAT ARE THEIR MAIN USES IN SURGERY? – (5 MARK EACH)

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FAQs in Surgical OSCEs

STATIC – STATION OSCE:

SURGICAL PATHOLOGICAL SPECIMEN OR A PICTURE

MARK OUT OF 20

STATION:

_

RESOURCE – ONE PATHOLOGICAL SPECIMEN

OR A PICTURE PER STATION

1. WHAT ARE THE TISSUE / TISSUES/ ORGANS SEEN? – (4) 2. STATE (JUST IN WORDS) THE GROSS PATHOLOGY SEEN – (4) 3. WHAT IS THE DIAGNOSIS? – (4) 4. STATE IN SHORT THE TWO MAIN SYMPTOMS THE PATIENT WILL HAVE – (4) 5. STATE TWO COMPLICATIONS OF THE PATHOLOGY SEEN – (4)

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Surgery OSCE Questions

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