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YEAR TWO
UNIT ONE
OSPE
EXAMINATION
2012-2013
Done By: El Balance
GENERAL NOTES:
 Please keep these slides away from any doctor.
 This file is to GUIDE YOU, it’s not the main source for studying.
 Answers of some questions aren’t written here, but you’ll definitely

find them in your slides.
 Study all labs
 All pathology slides ( morphology is very important )

 Study all the anatomy of the unit.
STATION ONE
STATION ONE
 AdenoCarcinoma of the kidney. ( PICTURE FROM YOUR

PATHOLOGY SLIDES.
 Question 1: What’s the type of this carcinoma?
 Answer: ADENOCARCINOMA OF THE KIDNEY.
 Question 2 : name three other locations where this type of tumor

is found. ( read pathology slides of the cancer )
STATION TWO
STATION TWO
 1- what type of cancer in this picture?
 POLYP ADENOMA OF THE COLON( FIGURE)
 2- WHERE ELSE CAN THIS TYPE OF TUMOR OCCUR.
 Liver cell adenoma
 Bile cell adenoma
 ( Check your slides for more accurate answers )
STATION 3

Flexion extension pronation supination of the
hand.( EASY )
STATION THREE
 FROM “HISTOTECHNOLOGY” SLIDES.
 1- WHATS THE NAME OF THE SUBSTANCE USED TO KEEP

THIS TISSUE ( THE TISSUE WAS IN A JAR AND THEY
WANTED THE NAME OF THE FLUID IN. ) THE JAR )
 2-WHAT’S THE NAME OF THE TISSUE?

 3- NAME THE SALINE USED?
 ( ALL ANSWERS ARE FROM SLIDES)
STATION SIX
STATION SIX
 FROM AUTONOMIC NERVOUS SYSTEM :
 Memorize the previous picture very well. They will ask about the

location of the anterior root, posterior root and several nerves
regarding the ANS.
STATION SEVEN:
 Another station about the autonomic nervous system.
 There’s an arrow pointing at a nerve. (sympathetic nerve. )

1- Name the previous nerve.
( if you study the ans figure well, you’ll definitely know which nerve it
is. )

2-What’s the effect of this nerve on : Bronchioles, pupil and heart.
Answer: because it’s a sympathetic nerve, it will dilate the pupil,
increase heart rate and dilate the bronchioles.
STATION EIGHT:
 1-What’s Elisa?
 enzyme-linked immunosorbent assay.
 is a test that uses antibodies and color change to identify a

substance.
 (very easy station. )
STATION NINE:
 A man drank 2L of water, he was 72 kg. His body compartments

osmolarity before drinking was 285.
 1-Calculate: ICF,ECF and total changes in osmolarity after

drinking.
 (from usha’s slides and guyton )
STATION TEN & ELEVEN ( PHARMA
)
 A boy had a bacterial infection, he is restitant to erythromycin and

sensitive to cortimixazole.. ( The good part is, he’ll give you the
name of the drug. )
 Write a prescription.. ( he will tell u how many days u should apply

this medicine )
STATION TWELVE ( PHARMA )
 Write a chart call for a patient with Viral infection type B.
 The drug : Oseltamivir ( in this station, we had to figure out the

name of the drug, but it was obviously oseltamivir ) .
 Note: if you don’t know how to open the book and find the exact

doses, try to memorize them before the test. ( because you have
few drugs so it’s easy to memorize the needed dose for each one
of them )
STATION THIRTEEN:
 Three figures.
 1-Osteosarcoma
 2- lung carcinoma.
 3-stomach carcinoma
 ( You’ll find all of the figures in Dina’s slides for OSPE )
STATION FOURTEEN
THE TYPE OF THIS TISSUE?
WHAT’S THE NAME OF THE
STRUCTURE BELLOW?
NAME OF THIS TISSUE?
STATION FIFTEEN
 FROM WASEEM’S ACID BASE BALANCE LAB ( VERY VERY

VERY IMP. )
 A patient had a tumor in the pancreas, resulted in pancreatic juice

excretion. A low HCO3 Levels appeared in serum test. PH will not
be given. PCO2 Will not be given.
 The way to answer is from both history and HCO3 Level. ( ask for

answer )
 ( we were shocked that Ph and pco2 weren’t given, unlike all the

previous years OSPE )
STATION SIXTEEN
 A women had cerberal disturbance ( not sure what it is but its

something regarding her head ) , she was dehydrated and
breathed rapidly. Her HCO3 level was low.
 NO PH WILL BE GIVEN, NO PCO2 WILL BE GIVEN. READ HER

HISTORY WELL, AND BASED ON THAT AND HER HCO3
LEVELS YOU MUST DECIDE HER DISTURBANCE.
STATION SEVENTEEN
 Acid Base disturbance, it was metabolic acidosis ( but he will not

tell u that )..
 1-calculate the anion gap
 ( it will be normal )
 2- what does it indicate?

 Normochloremia anion gap. ( Cl is apparently increased in serum

results given ) .
STATION EIGHTEEN
 Another axid base balance, regarding relationship between K+

and acid base disorder, and also relationship of ca++ ionized
calcium with that.( sorry can’t remember it that well)
NOTE FOR THE PREVIOUS ACID-BASE
STATIONS.
 They were mostly from the Lab, however, in our year they didn’t

include the Ph and Pco2 levels so you need to be fast to know if
it’s Acid/ base from the history.
 Ask doctor waseem for more explanations.
STATION 19:

Type of dyspasia?

Answer: carcinoma in situ. ( more
figures of carcinoma is situ in dina
slides. )
STATION 20:
 ICD.
 1- WHAT’S ICD?
 International Classification of Diseases (ICD)
 WHAT IS IT USED FOR?
 (epidemiology)
STATION 21
 EPIDEMIC CURVE " PROPAGATED CURVE ”
 1-WHAT DOES X AXIS INDICATE?
 (TIME )
 WHAT DOES Y AXIS INDICATE?


CASES

 (EASIEST STATION )
STATION 22:
 PHARMA.
 1- CALCULATE THE HALF LIFE OF THIS DRUG ( WILL BE

CLEARLY GIVEN )
 2-CALCULATE THE VD.
 ( EVERYTHING YOU NEED WILL BE THERE IN THE

QUESTION. IF YOU KNOW HOW TO CALCULATE THE HALF
LIFE AND VD, YOU’LL EASILY ANSWER IT. )
STATION 23
 AGARS FROM THE “INVADERS LAB “
STATION 24
STATION 25:
 FIGURE OF NEUTROPHILS, BASOPHILS AND

EOSINOPHILLS.
 1- WHAT ATTRACTS THE NEUTROPHILS TO THE SITE OF

ACTION?
STATION 27
 Tube containing RBC’S in different solutions. Why didn’t they

burst?
 (lab of problem 2).
STATION TWO
 A boy was administered to the hospital due to mild dehydration.

His weight was 9.5 kg. The doctor suggested an ORS treatment
for this patient.
 1- calculate the deficit.
 2-calculate the total fluid treatment.

 ( EMTITHAL AL JESHI SLIDES. )
END
 That’s all I can remember. Good Luck!

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Ospe 2012/2013

  • 2. GENERAL NOTES:  Please keep these slides away from any doctor.  This file is to GUIDE YOU, it’s not the main source for studying.  Answers of some questions aren’t written here, but you’ll definitely find them in your slides.  Study all labs  All pathology slides ( morphology is very important )  Study all the anatomy of the unit.
  • 4. STATION ONE  AdenoCarcinoma of the kidney. ( PICTURE FROM YOUR PATHOLOGY SLIDES.  Question 1: What’s the type of this carcinoma?  Answer: ADENOCARCINOMA OF THE KIDNEY.  Question 2 : name three other locations where this type of tumor is found. ( read pathology slides of the cancer )
  • 6. STATION TWO  1- what type of cancer in this picture?  POLYP ADENOMA OF THE COLON( FIGURE)  2- WHERE ELSE CAN THIS TYPE OF TUMOR OCCUR.  Liver cell adenoma  Bile cell adenoma  ( Check your slides for more accurate answers )
  • 7. STATION 3 Flexion extension pronation supination of the hand.( EASY )
  • 8. STATION THREE  FROM “HISTOTECHNOLOGY” SLIDES.  1- WHATS THE NAME OF THE SUBSTANCE USED TO KEEP THIS TISSUE ( THE TISSUE WAS IN A JAR AND THEY WANTED THE NAME OF THE FLUID IN. ) THE JAR )  2-WHAT’S THE NAME OF THE TISSUE?  3- NAME THE SALINE USED?  ( ALL ANSWERS ARE FROM SLIDES)
  • 10. STATION SIX  FROM AUTONOMIC NERVOUS SYSTEM :  Memorize the previous picture very well. They will ask about the location of the anterior root, posterior root and several nerves regarding the ANS.
  • 11. STATION SEVEN:  Another station about the autonomic nervous system.  There’s an arrow pointing at a nerve. (sympathetic nerve. ) 1- Name the previous nerve. ( if you study the ans figure well, you’ll definitely know which nerve it is. ) 2-What’s the effect of this nerve on : Bronchioles, pupil and heart. Answer: because it’s a sympathetic nerve, it will dilate the pupil, increase heart rate and dilate the bronchioles.
  • 12. STATION EIGHT:  1-What’s Elisa?  enzyme-linked immunosorbent assay.  is a test that uses antibodies and color change to identify a substance.  (very easy station. )
  • 13. STATION NINE:  A man drank 2L of water, he was 72 kg. His body compartments osmolarity before drinking was 285.  1-Calculate: ICF,ECF and total changes in osmolarity after drinking.  (from usha’s slides and guyton )
  • 14. STATION TEN & ELEVEN ( PHARMA )  A boy had a bacterial infection, he is restitant to erythromycin and sensitive to cortimixazole.. ( The good part is, he’ll give you the name of the drug. )  Write a prescription.. ( he will tell u how many days u should apply this medicine )
  • 15. STATION TWELVE ( PHARMA )  Write a chart call for a patient with Viral infection type B.  The drug : Oseltamivir ( in this station, we had to figure out the name of the drug, but it was obviously oseltamivir ) .  Note: if you don’t know how to open the book and find the exact doses, try to memorize them before the test. ( because you have few drugs so it’s easy to memorize the needed dose for each one of them )
  • 16. STATION THIRTEEN:  Three figures.  1-Osteosarcoma  2- lung carcinoma.  3-stomach carcinoma  ( You’ll find all of the figures in Dina’s slides for OSPE )
  • 18. THE TYPE OF THIS TISSUE?
  • 19. WHAT’S THE NAME OF THE STRUCTURE BELLOW?
  • 20. NAME OF THIS TISSUE?
  • 21. STATION FIFTEEN  FROM WASEEM’S ACID BASE BALANCE LAB ( VERY VERY VERY IMP. )  A patient had a tumor in the pancreas, resulted in pancreatic juice excretion. A low HCO3 Levels appeared in serum test. PH will not be given. PCO2 Will not be given.  The way to answer is from both history and HCO3 Level. ( ask for answer )  ( we were shocked that Ph and pco2 weren’t given, unlike all the previous years OSPE )
  • 22. STATION SIXTEEN  A women had cerberal disturbance ( not sure what it is but its something regarding her head ) , she was dehydrated and breathed rapidly. Her HCO3 level was low.  NO PH WILL BE GIVEN, NO PCO2 WILL BE GIVEN. READ HER HISTORY WELL, AND BASED ON THAT AND HER HCO3 LEVELS YOU MUST DECIDE HER DISTURBANCE.
  • 23. STATION SEVENTEEN  Acid Base disturbance, it was metabolic acidosis ( but he will not tell u that )..  1-calculate the anion gap  ( it will be normal )  2- what does it indicate?  Normochloremia anion gap. ( Cl is apparently increased in serum results given ) .
  • 24. STATION EIGHTEEN  Another axid base balance, regarding relationship between K+ and acid base disorder, and also relationship of ca++ ionized calcium with that.( sorry can’t remember it that well)
  • 25. NOTE FOR THE PREVIOUS ACID-BASE STATIONS.  They were mostly from the Lab, however, in our year they didn’t include the Ph and Pco2 levels so you need to be fast to know if it’s Acid/ base from the history.  Ask doctor waseem for more explanations.
  • 26. STATION 19: Type of dyspasia? Answer: carcinoma in situ. ( more figures of carcinoma is situ in dina slides. )
  • 27. STATION 20:  ICD.  1- WHAT’S ICD?  International Classification of Diseases (ICD)  WHAT IS IT USED FOR?  (epidemiology)
  • 28. STATION 21  EPIDEMIC CURVE " PROPAGATED CURVE ”  1-WHAT DOES X AXIS INDICATE?  (TIME )  WHAT DOES Y AXIS INDICATE?  CASES  (EASIEST STATION )
  • 29. STATION 22:  PHARMA.  1- CALCULATE THE HALF LIFE OF THIS DRUG ( WILL BE CLEARLY GIVEN )  2-CALCULATE THE VD.  ( EVERYTHING YOU NEED WILL BE THERE IN THE QUESTION. IF YOU KNOW HOW TO CALCULATE THE HALF LIFE AND VD, YOU’LL EASILY ANSWER IT. )
  • 30. STATION 23  AGARS FROM THE “INVADERS LAB “
  • 32.
  • 33.
  • 34. STATION 25:  FIGURE OF NEUTROPHILS, BASOPHILS AND EOSINOPHILLS.  1- WHAT ATTRACTS THE NEUTROPHILS TO THE SITE OF ACTION?
  • 35. STATION 27  Tube containing RBC’S in different solutions. Why didn’t they burst?  (lab of problem 2).
  • 36. STATION TWO  A boy was administered to the hospital due to mild dehydration. His weight was 9.5 kg. The doctor suggested an ORS treatment for this patient.  1- calculate the deficit.  2-calculate the total fluid treatment.  ( EMTITHAL AL JESHI SLIDES. )
  • 37. END  That’s all I can remember. Good Luck!