SURGERY

Mini – OSCE
MAJOR C
COLLECTED BY:
KA RA M SHTAYAT
Q1: Child came to
ER with burn caused
by hot liquid
1- What’s the type of this
burn ?

2- Mention two ways to

calculate burned body
surface area ?
1- WHAT’S THE TYPE O F THIS B URN ?
SCAL ED B URN

2- MENTIO N TWO WAYS TO CAL CUL ATE TO TAL B URN SURFACE AREA ?
- ROLE OF NINE
- A REA OF PA LM
 Q2: Patient complain
of left flank pain
1- What’s your diagnosis ?

2- What’s the most common

type ?

3- How you treat this

condition ?
1- WHAT’S YO UR DIAGNO SIS ?
STAGHO RN STO NE

2- WHAT’S THE MO ST CO MMO N TYPE ?

CAL CIUM O XAL ATE

3- HO W YO U TREAT THIS CO NDITIO N ?

PCNL
Q3: 50 Year old patient,
smoker, long history of
NSAIDs use.
What’s your diagnosis ?

2- What’s the most common

cause ?

3- What’s the treatment ?

WHAT’S YO UR DIAGNO SIS ?
PERFO RATED PEPTIC UL CER

2- WHAT’S THE MO ST CO MMO N CAUSE ?

H.PYL O RI INFECTIO N

3- WHAT’S THE TREATMENT ?

SURGERY
Q4: Sialogram to look
to submandibular
gland .
1- What’s the Indication of
usage Sialogram ?

2- Why this gland mostly

affected by disease ?

3-
1- INDICATIO N O F USE SIAL O GRAM ?
O B STRUCTIO N. FACIAL SWEL L ING

2- WHY THIS GL AND MO STL Y AFFECTED B Y DISEASE ?

- SITE
- NATURE O F SECRETED MATERIAL

3-
Q5: 3 months old child presented
with vomiting, cough … after
feeding .
this picture show x-ray after
insertion of gastric tube .
1- What’s your diagnosis ?

2- What you will see on

ultrasound during pregnancy ?

3- Isthis condition associated

with other congenital
anomalies? True or False?
1- WHAT’S YO UR DIAGNO SIS ?
ESO PHAGEAL ATRESIA

2- WHAT YO U WIL L SEE O N UL TRASO UND DURING PREGNANCY ?

PO L YHYDRAMNIO S

3- IS THIS CO NDITIO N ASSO CIATED WITH O THER CO NGENITAL ANO MAL IES?
TRUE O R FAL SE?
TRUE
Q6: Female patient with past
history of laparotomy
appendectomy present with
colicky abdominal pain, and
vomiting .

1- What’s your diagnosis ?

2- What’s the radiological

feature ?

3- What’s the most common

cause ?
1- WHAT’S YO UR DIAGNO SIS ?
INTESTINAL O B STRUCTIO N

2- WHAT’S THE RADIO L O GICAL FEATURE ?

STEP L ADDER PATTERN

3- WHAT’S THE MO ST CO MMO N CAUSE ?

ADHESIO NS
Q7: Child present with
left abdominal mass
1- What’s your diagnosis ?

2- Mention 2 Differential
Diagnosis ?

3- Mention 2 investigations ?
1- WHAT’S YO UR DIAGNO SIS ?
WIL M’S TUMO R ( NEPHRO B L ASTO MA)

2- MENTIO N 2 DIFFERENTIAL DIAGNO SIS ?

- MESENCHYMAL HAMARTO MA
- MUL TINO DUL AR CYST.

3- MENTIO N 2 INV ESTIGATIO NS ?

- UL TRASO UND
- PL AIN X-RAY
Q8:
1- What’s your diagnosis ?

2- Mention 2 complications ?

3- What’s the most common

site to have this condition?
1- WHAT’S YOUR DIAGNOSIS ?
DIVERTICULOSIS

2- MENTION 2 COMPLICATIONS ?
- DIVERTICULITIS
- PERFORATION

- 3- WHAT’S THE MOST COMMON SITE TO HAVE THIS CONDITION?

- SIGMOID COLON
Q9: 4 years old child
1- What’s your diagnosis ?

2- Your management ?

3- What’s the cause ?

1- WHAT ’S YOUR D IA GNOSIS ?
HYD ROCELE

2- YOUR MA NA GEMENT ?
SURGERY

3- WHAT’S THE CAUSE ?

INFECTIO N, TRAUMA, CO NGENITAL , …
Q10: 50y old male,
smoker, presented with
painless hematuria
1- What’s your diagnosis ?

2- What’s the most useful

investigation that consider
diagnostic and therapeutic ?

3- What’s the most common

histological type ?
1- WHAT’S YOUR DIAGNOSIS ?
BLADDER CANCER

2- WHAT’S THE MOST USEFUL INVESTIGATION THAT CONSIDER

DIAGNOSTIC AND THERAPEUTIC ?
CYSTOSCOPY

3- THE MOST COMMON HISTOLOGICAL TYPE ?

TCC
Q11: 5 days after
cannula insertion .

1- What’s your diagnosis ?

2- Mention 2 causes ?

3- First line of treatment ?

1- WHAT’S YOUR DIAGNOSIS ?
SUPERFICIAL VEIN THROMBOPHLEBITIS

2- MENTION 2 CAUSES ?
VARICOSE VEIN
COMPLICATION OF CATHETERS

3- FIRST LINE OF TREATMENT ?

LMWH, NSAIDS, COMPRESSION THERAPY, ANTIBIOTICS “ I DON’T KNOW
EXACTLY WHAT’S THE FIRST LINE”
Q12:
1- What’s your diagnosis ?

2- What you will find on

palpation of epigastric region ?

3- Mention 2 investigations ?
1- WHAT’S YO UR DIAGNO SIS ?
PYL O RIC STENO SIS

2- WHAT YO U WIL L FIND O N PAL PATIO N O F EPIGASTRIC REGIO N ?

TUMO R “MASS”

3- MENTIO N 2 INV ESTIGATIO NS ?

UL TRASO UND
B ARIUM MEAL
 Q13:
1- What’s your diagnosis ?

2- What’s the name of the

affected bone ?

3- What’s the pathophysiology

?
1- WHAT’S YO UR DIAGNO SIS ?
THYRO GL O SSAL DUCT CYST

2- WHAT’S THE NAME O F THE AFFECTED B O NE ?

HYO ID B O NE

3- WHAT’S THE PATHO PHYSIO L O GY ?

FAIL URE TO DISAPPEAR O F THYRO GL O SSAL DUCT AFTER 8 WEEK O F
GESTATIO N
Q14:
1- What’s this tube ?

2- Mention 2 indications ?

3- The best area to

insertion of this tube ?
1- WHAT’S THE NAME THIS TUB E ?
CHEST TUB E

2- MENTIO N 2 INDICATIO N ?
PNEUMO THO RAX
PL EURAL EFFUSIO N

3- THE B EST AREA TO INSERTIO N O F THIS TUB E ?

FIFTH INTERCO STAL SPACE