Short cases:

Obstetrics
1. Norm pregnancy at 32 weeks (patient had 2 previous scars).
List indications & how to manage?
How to know if patient had scar tenderness? (answer: in between
contractions)
2. O&G (normal pregnancy but with previous scar of LSCS) - Dr.wan Abu Bakar &
Dr.firas
report the finding
plan of delivery
sign of impending uterine rupture
should elicit scar tenderness
3. Fibroid -dr yusmadi n kuantan ext lectr
Assess anaemia in this patient
hand pallor, eye conjunctiva, oral- glossitis & angular stomatitis
Examine abdomen- 34 weeks, can gt below de mass? Othr features? Y
u think its utrtine origin? What else it can be?
Speculum: what u wanna see, bimanual ex what can be found?
4. Patient present with menorrhagia & lump 2 weeks ago,45 yrs old.
So where do u think it is located? Why submucosal bleeding
Investigation?
How to manage? - Tahbso or Hystetectomy???
5.

Diabetic foot ulcer.

Examination
Classification
Investigations

Surgery

Inguinal hernia

early complication
how to differentiate direct and indirect
management
explain the procedure

Surgery (diffuse thyroid) -Dr. Firas & Dr. Wan

Examine neck
What is kocher's sign, berry sign. what that indicates?
What pamberton sign look for
What other system want to examine
Ddx of anterior neck swelling

Next was thyroid mng wif euthyroid

What indication for FNAC

Do u think there is CA possibility?
What wil be features-???

Abdominal fistula

IM
1. Left sided pleural effusion most likely due to suppurative lung disease (pt got
clubbing).

2. Co-arctation of aorta
explain the condition
how to treat
features of COA
causes of 2ry hypertension
describe inter-scapular murmur
3. CCF

4. Short

DDX of generalized swelling

how nephrotic $ can cause swelling
Other compartment in the body that may cause fluid retention eg: lung
( pleural effusion), lower limb(pitting edema), abdomen (ascites),
upper limb, facial puffiness
case 1. Abdominal examination. Dr zamri, dr mustafa.
Provisional dx (HCC)
Differential dx
Other examinations to offer
Diagnostic investigations

Paediatrics:
1. Thalassemia
investigation and mx

ddx
supporting points for dx
causes of spleenomegally

2. Ventricular Septal Defect

long term complication
other ddx, MR
3. 15y/o boy with heart murmur (dato jimmy and external examiner)
examine CVS
grade of thrill
what is the murmur, grade
probable dx
other ddx
4. Short case 2. CVS examination. Dr mustafa dr zamri.
Provisional dx (VSD)
Diagnostic investigations
Complications
Management