1. OBJECTIVE STATION CLINICAL EXAM
Prepaired by :-
Dr . Abu Obaida Kamil Mohmmed Yassin
E – mail : drabuyassin @ yahoo . com
Mobile phone No :- 00249922290440
2. 1/ What is this instrument ?
2/ Mention 3 indications ?
3/ Mention 3 complications ?
15. This X – ray of pt with haematological problem
1/ What is this film show ?
2/ What is the diagnosis ?
3 / Mention 2 important further investigation
16. 1/ Osteolytic changes
2/ Multiple myeloma
3 / 2 important further investigation :-
a/ Serum electrophoresis
b/ Bone marrow studies
c/ Bence – Johnes protein ( + ve in 60 %
of pt )
17. 1/ What is this procedure ?
2/ Mention 2 abnormalities
in this film
3/ What is the diagnosis?
4/ Mention 2 complications
5/ What is the
management
18. 1/ Barium swallow
2/ 2 abnormalities :-
a/ Dilatation of esophagus
b/ Narrow gastro – esophageal junction
( rat – tail or pencil appearance )
3/ Achlasia
4 / Complications :- a/ Aspiration pneumonia
b/ Ca
4/ Treatment : -
a/ Medical = Nitrates
b/ Surgical = Cardiotomy
19. What is the abnormality in this CXR & what is indicate
20. Air under the left dome of the diaphragm.
Indicate :-
1.Post-operative,
2/ perforated D.U.
3/ Laporotomy.
21. 1/ Describe
2/ What is the diagnosis
3/ Mention 3 causes
4/ What is the treatment
22. 1/ Rt sided homogenous opacity obliterating costophrenic angle with air fluid
level
2/ Rt sided Hydropneumothorax
3/ Causes :-
a/ Trauma
b/ Lung abscess
c/ TB
4/ Intercostal drainage with underwater seal
23. A 50 year old man was found
unconscious on the floor. An urgent
CT scan was done.
1/What are the likely neurological diagnosis of this patient?
2/ Mention 2 important Qs in his PMH
3/ What is the treatment for this condition?
4/ What are the early complications of this condition ?
24. 1/ Rt sided hemiplegia
2/ Risk factors as :-
a/ DM b/ HTN
3/ Treatment = conservative
a/ ABC
b/ General measures
c/ Tight control of BP
d/ Treatment of increase ICP
4/ Early complications :-
a/ Death
b/ Convulsion
c/ Dehydration
d/ Aspiration pneumonia
e/ Hyperpyrexia
31. 1 / Describe
2 / Mention 3 differential diagnosis
3 / Mention important 2 organs to be examined
4 / Mention single important investigation
5 / how can treat this pt ?
32. 1 / Bilateral protrusion of eye With chomosis ( exophthalmos )
2 / Differential diagnosis :-
a/ Thyrotoxicosis
b/ Familial
c/ Cavernous sinus thrombosis
3 / Important organs to be examined :-
a/ CVS ( Pulse = rate , rhythm & character # Heart = murmur )
b/ Neck ( goiter )
c/ Hand ( tremor , T & sweating )
4 / Single important investigation
a/ Thyroid function test ( T3 , T4 & TSH )
b/ Thyroid radioisotope scan
c/ Ab
5 / Treatment :-
a/ Anti thyroid ( carbamazole )
b/ Steroid
c/ For eye = glass , eye drops & surgery
33. 1/ What is the diagnosis ?
2/ Mention 3 signs to
assess functional state
3/ Mention 3
complications
4/ Mention 3 important
investigation
34. 1/ Goiter
2/ Signs to assess functional state
a/ Hand signs for = Tremor , T & Sweating
b/ Pulse = PR , Rhythm & character
c/ Heart = murmur , pericardial effusion
3/ Complications :-
a/ Compression
b/ Retrosternal extension
c/ Cosmetic
4/ Important investigation :-
a/ Thyroid function test
b/ Thyroid scan
c/ CXR or chest CT
35. This is farmer from
ELGEZIRA
1/ Describe
2/ Mention 2 important
signs
3/ Mention 3 important
investigation
4/ Mention 2 serious
complication
36. 1/ Distended abdomen with full flanks
Visible dilated veins
2/ Important signs :-
Palpation for = liver + spleen
Percussion for = Ascites &liver
Auscultation for = venous hump
Important signs are = splenomegaly , ascites & venous hump
3/ Important investigation :-
a/ Abdominal U / S
b/ Ascetic fluid analysis
c/ Liver function test
4/ Serious complication :-
a/ Bleeding from esophageal varices
b/ Hepatic encephalopathy
37. 1/ What is the abnormality shown?
2/ What is the diagnosis ?
3/ Mention other features of this disorder.
4/ Mention important 2 investigations
38. 1/ Abnormalities :-
a/ Striae
b/ Trunckal obesity
c/ Distended abdomen
2/ Cushing’s syndrome
3/ Other features
4/ Important 2 investigations :-
a/ Cortisol level
b/ ACTH level
c/ Suppression test
42. 1/ Description :-
a/ Mouth deviated to the Lt
b/ Flat nasioliabal fold in the Rt
2/ Rt facial N palsy of UMNL
3/ Causes :- UMNL
a/ CVA
b/ SOL
c/ Demyelination
43. A 38 year old lady presented to
the outpatient clinic with a
swelling over the right
preauricular region.
Excision of the lesion was
performed. The picture shows
the appearance a week after the
surgery.
1/ Explain the phenomenon seen in the right eye?
2/What the diagnosis ?
3/ What is the probable cause of this lesion?
4/ What is the best immediate management?
5/ What long-term complications may result from this if left untreated?
51. 1 / What is the finding ?
2 / How can grade it ?
3 / Mention 5 causes
52. 1 / Clubbing of finger
2 / Grades :-
Grade I = loss nail bed angle
Grade II = Fluctuation
Grade II = Increase curvature
Grade IV = Drum stick appearance
Grade v = PODT
3 / Causes :-
a/ Respiratory = I / Suppurative lung disease
II / Ca III / CFA
IV / Asbestosis V / Cystic fibrosis
b/ Cyanotic CHD
c/ GIT = I / Inflammatory bowel diseases
II / Liver cirrhosis
III / Ca
d/ Familial
53. This is a 50 years old diabetic male with blurring of vision
1 / What is the diagnosis?
2 / What one other complications ?
4 / Mention 2 differential diagnosis
3 /What is the treatment of choice?
54. 1 / Acromegaly
2 / Other complications :- HTN
3 / Differential diagnosis :-
a/ Marfan
b/ Homocysteinuria
4 / Treatment :-
a/ Medical = Bromocriptine
b/ Surgery
60. An elderly heavy smoker male with history of
respiratory manifestation .
His pulmonary function test as follow
FEV1 = 40 %
FVC = 88 %
1 / What is your comment about the result
2 / What is pattern of respiratory disease
3 / What is the diagnosis ?
61. 15 – year old male with yellowish discoloration of
sclera show the following CBC result
Hb = 6 g / dl
MCV = 60 ( low )
MCH = 25 ( low )
MCHC = 23 ( low )
1 / Comment about this result
2 / What is the diagnosis ?
3 / Mention 3 differential diagnosis
62. 45 – year old male known to be case of CRF his
renal profile as follow :-
B . Urea = 123 mg / dl ( 15 – 45 mg / dl )
S . Creatinine = 4.5 mg / dl ( 0.1 – 1.1 mg / dl )
S . K = 6.6 mmol / l ( 3.5 – 5.3 mmol / l )
S . Na = 133 mmol /l ( 130 – 140 mmol / l )
S . Ca = 6.5 mg / dl ( 8 – 11 mg / dl )
1/ What is abnormalities ?
2 / What is the immediate management ?
3 / What the cause of low Ca ?
