Surgery OSCE slides

1. STATION 1-
MCQ -PICTURE SLIDES
Department of surgery
College of Medicine of mosul
OSCE course examination in clinical
Surgery for the 6th year medical students-
2017/2018

2. Instructions
1- This station composed of 15 slide questions.
Each slide question contains 5 choices, write only a single
best answer a, b, c, d, or e on your answering sheet .
2-The answer should be not more than one choice for each
question.
3.The slides will change automatically in 2 minutes/slide
&there will be no return back to previous slides.
4-There will be 2 marks for each slide, total mark of this
station is 6 out of 20 of the course exam. mark .
5-Be sure of writing your full name, number of the slide and
the answer of the question.

3. a- Graves Disease
b- Solitary thyroid nodule
c-lingual thyroid
d- Thyroglossal duct cyst
e- Laryngocele
Slide 1
This is a picture of a 12 year- old boy
with a painless mass in his neck for
several months that moves with
tongue protrusion. The most likely
diagnosis is:

4. Slide 2 This finding was observed in the abdomen of this patient 5
days following severe abdominal pain,the likely diagnosis would be:
a- Ecchymosis
b- Bleeding tendency
c- Pancreatitis
d- Rupture aortic aneurysm
e- Septic shock

5. Slide 3 A groin lump that increases in size during child crying. The
most likely diagnosis is:
a- left hydrocele
b- left inguinal lymph node
c- left direct inguinal hernia
d- left undescended testis
e-Left indirect inguinal hernia-

6. Slide 4 This lady developed this complication 7 days after
abdominoplasty surgery, the best treatment would be:
A- Wide excision and
primary suture.
B-Wide excision with
immediate skin graft
C- Wide excision with
delayed suture
D- Heavy dose antibiotic
E- Local antiseptic dressing

7. Slide 5 The nerve injured in this gentle man is
mostly: -
a- Right 7th cranial
nerve
b- Left 7th cranial nerve
c- Right 6th cranial
nerve
d- Right 5th cranial
nerve
e- Left 5th cranial nerve

8. Slide 6 A 25 years old woman
get car accident 3 weeks ago, The
common early complication is
A- Malunion.
B- Nonunion.
C- Infection .
D- Gas gangrene.
E- Tetanus

9. 9
Slide 7
The common serious early
complication of
application of this
material is
A- Joint stiffness.
B- Muscle wasting.
C- Local osteoporosis.
D- Compartment
syndrome.
E- Skin blister.

10. Slide 8 The expected weight to be applied in a 30 kg
weighing boy using this material is
A- 6 kg.
B- 5 kg.
C- 4 kg.
D- 3 kg.
E- 2 kg.

11. Slide 9
The anal lesion shown in this
picture is typical of:
A- Internal hemorrhoid
B- Thrombosed hemorrhoid
C- Carcinoma of rectum
D- Strangulated hemorrhoid
E- Prolapsed rectum

12. SLIDE 10 This condition in
newborn is typical of 1
A- Gastroschisis
B- Omphalocele
C- Ectopia vescicae
D- Prune belly syndrome
E- Strangulated umbilical
hernia

13. Slide 11 A 40-year-old man presented with marked shortness of
breath. The most likely diagnosis from his chest x ray is
A- Encysted pleural effusion
B-Ruptured hydatid cyst
C- Emphysematous bullous
D- Hemopneumothorax
E- Bronchogenic carcinoma

14. Slide 12 In a Lactating lady with fever & a surgical condition shown
in picture below , the best treatment required is
A- Heavy dose antibiotic
B- Mastectomy
C- Repeated aspiration
D- Surgical drainage
E- Vacume evacuation of milk

15. Slide 13 A growing lesion in a 6 month infant male, the most
likely diagnosis is :
A- Basal cell carcinoma
B- Strawberry hemangioma
C-Cavernous hemangioma
D- keloid
E- Tenia capitum

16. Slide 14 70 year- old male with painful desire to urinate, the best
treatment in the emergency unit is
A- Suprapubic cystostomy
B- TUR
C- Insertion of folyes
catheter
D- Open prostatectomy
E- ESWL

17. Slide 15 - A- 70 Year- old women presented with pain in hip
following simple fall on the ground. The diagnosis is -
A- Intertrochanteric fracture.
B Displaced subcapital femoral
neck fracture.
C- Displaced transcervical
femoral neck fracture.
D- Displaced basal femoral neck
fracture.
E- Stress fracture.

18. ‫هللا‬ ‫وفقكم‬.