askaderm.net

1. OSCE 4
Ameen Alawadhi
February 2016

2. Question 1: patient is
pregnant
• Name 2 lifestyle modifications, 2
local treatments and 2 systemic
treatments that are considered
safe for this patient

3. Question 2
• What is the diagnosis?
• What is the defective protein?
• Name 2 triggers?
• Name 2 treatments

4. Question 3
• Name 4 conditions/scenarios
where you may encounter such
a clinical finding

5. Question 4
• Name of the disease?
• Name of each of the
clinical findings

6. question 5
• Name the mode of
inheritance of each?
• Name the defective
gene in each

7. Question 6
• Diagnosis?
• treatment?

8. Question 7: diagnosis?

9. Question 8
• Diagnosis?
• Name 5 variants?

10. Question 9
• Name 5 causes of this
pathological reaction

11. Question 10
• diagnosis?
• Cause?
• Treatment?
• Consequences?

12. Question 11: patient is having bloody
diarrheoa, oral ulcers, and posterior uveitis
genital examination shows no lesions
• What do you call these clinical lesions?
• What is the underlying disease?

13. Question 12
• Name three causes of the
reactions of this disease
• Name three non-cutaneous
complications of this condition

14. Question 13
• 2 infectous
causes
• 2 intraluminal
causes
• 2 vessel wall
causes
• 2 medications

15. Question 14: patient is also having chest pain
and cough
• Diagnosis?
• Treatment?

16. Question 15: spot diagnosis

17. Question 16
• List three possible differential
diagnosis?
• List three investigations that
would assist you in your
diagnosis?

18. Question 17
• List 5 possible causes for this
clinical finding
• Name one clinical test that you
could do to confirm this clinical
finding

19. Question 18: this patient
is a 37 year old lady, who
presented to your clinic
with a 5 week history of
this non painful swelling
in her earlobe. She has no
history of any chronic
illness, she does not take
any medications. She is a
Ukrainian who moved do
Bahrain 3 months ago.
What is the diagnosis

20. Question 19
• Diagnosis?
• Name one associated diseases?
• First line treatment?

21. Question 20
• Diagnosis?
• First line
treatment?

22. Question 21
• Nme one renal feature?
• Name one cardiac feature?
• Name one pulmonary featue?
• Name one neurological feature?
• Name one ophthalmic feature?
• Name one cutaneous feature
other than the two features on
this slide

23. Question 22
• Spot diagnosis

24. Question 23
stain is orcein giemsa
• Diagnosis?
• Treatment?

25. Question 24: patient is not a known case of any previous
illness, not taking any medications. Blood pressure and heart
rate are within normal levels. Family history unremarkable.
Only complains of a fever that is on and off.
• Diagnosis?
• Name one treatment option?

26. Question 25: spot diagnosis

27. Question 26
• Inheritance?
• Gene involved?
• Name 2 malignancies?

28. Question 27: patient is taking penicillamine
• Name 3 other cause of this
condition?
• Name one treatment
option (other than treating
the underlying cause)?

29. Question 28: patient complains of lesions in
the scrotum. Spot diagnosis.

30. Question 29: spot diagnosis

31. Question 30: thispatient has been referred to you from a pulmonologist for a few
crusted lesions on the elbow. Upon further history taking you also note that the
patient suffers from distal neuropathy. What is your diagnosis?