3/16/2023

PROJECTION 4
OSCE

1.15 DAYS AFTER HIS ARRIVAL, AN OVERSEAS WORKER FROM AFRICA SOUGHT CONSULT AT THE
ER DUE TO HIGH GRADE FEVER AND BODY MALAISE. VS 140/90 HR 120 RR 24 TEMP 39. PE
REVEALED SPLEENOMEGALY.BLOOD FILM WAS DONE AND SHOWED CRESCENT SHAPE
GAMETOCYTES.WHAT IS THE DIAGNOSIS? DRUG OF CHOICE TO GIVE? MOST COMMON
CAUSATIVE ORGANISM? VECTOR?

• 1060-1061

MALARIA
PLASMODIUM FALCIPARUM
ANOPHELES MOSQUITO
ACT

1
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2. 2 YEAR OLD PATIENT WAS BROUGHT TO ER DUE TO

PETECHIAL RASH THAT IS WORSENING. WHAT IS THE
DIAGNOSIS? CAUSATIVE AGENT AND TREATMENT?

2.936
MENINGOCOCCEMIA
N.MENINGITIDIS
CEFTRIAXONE/PEN G9300,OOO UNITS /KG Q6

3.DIAGNOSIS?
CAUSATIVE AGENT AND TREATMENT

2
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777. HAND FOOT AND MOUTH DISEASE

COXSACKIEVIRUS
SUPPORTIVE

4. 3 YEAR OLD FEMALE COMPLAINING OF SORETHROAT

WITH THIS PE FINDING. MONOSPOT TEST WAS DONE AND
POSITIVE. WHAT IS THE CAUSATIVE AGENT?

EPSTEIN-BARR VIRUS
779

3
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5.PEDIATRIC PATIENT DIAGNOSED WITH GASTROENTERITIS

AND PRESENTING WITH SEIZURE. WHAT IS THE CAUSATIVE
ORGANISM ?

10

846 SHIGELLA

11

6. DIAGNOSIS? TREATMENT FOR THE PAIN?

12

4
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HERPANGINA
DIPHENHYDRAMINE AND MAALOX – APPLIED ORALLY SWISH
AND SWALLOW
777

13

7. 2 YEAR OLD INFANT PRESENT WITH PAINFUL CYLINDRICAL

SWELLING OF HAND AND FEET. WHAT DO YOU CALL THIS
CLINICAL MANIFESTATION? WHAT IS THE DIAGNOSIS?

14

945 DACTYLITIS
SICKLE CELL ANEMIA
VASO OCCLUSIVE CRISIS

15

5
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8.CSF ANALYSIS OF PATIENT SHOWED NORMAL OPENING PRESSURE,

NORMAL GLUCOSE AND LESS THAN 200MG/DL PROTEIN. WITH
THESE RESULTS, WHAT IS THE CLASS OF ETIOLOGIC AGENT IN THE
SPECIMEN COLLECTED ?

16

1173 VIRAL

17

9. A 40 YEAROLD SMOKER
PRESENTING HIS HAND WITH
4TH DIGIT CONTRACTURE.
WHAT IS THIS CONDITION?

18

6
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DUPUYTREN CONTRACTURE

• 1919

19

10.WHAT IS THE PROCEDURE

DONE? IF THERE IS A
CIRCUMFERENTIAL BURN TO
CHEST AREA WHERE DO YOU
PLACE THE INCISION?

20

ESCHAROTOMY

• Anterior axilliary line level of 2nd rib to 12th rib

21

7
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11.WHAT VIEW?
POSITIVE OR
NEGATIVE?

22

SUBXYPHOID
NEGATIVE

23

12.POSITIVE OR
NEGATIVE

24

8
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13.MOST COMMON ADVERSE EFFECT OF THIS TREATMENT?

GIVE ONE INDICATION FOR THE THIS THERAPY?

25

140. MIDDLE EAR BAROTRAUMA

26

14. WHAT IS THE SIZE OF

TRACHEOSTOMY AND ET TUBE TO BE
USE IN THIS PROCEDURE FOR ADULT
PATIENT? WHAT AGE WILL YOU
PREFER TO DO THIS PROCEDURE?

27

9
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195

28

15.APICAL FOUR CHAMBER VIEW

OF YOUR PATIENT. WHAT IS THE
TREATMENT? GIVE 1 APPROACH
FOR THE PROCEDURE

29

226.

30

10
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31

32

33

11