This document provides guidance for an OSPE examination, summarizing the content that may be covered in each of 26 stations: 1) Stations will cover topics from pathology slides, labs, and lectures on anatomy, cancer types, the autonomic nervous system, acid-base balance, pharmacology, and more. 2) For acid-base balance stations, the key information of pH and PCO2 may not be provided, so answers must be inferred from history and lab results like HCO3 levels alone. 3) Stations will test knowledge of disease types, anatomy, laboratory tests, prescribing medications, and interpreting graphs and case studies. Memorizing key slides and practice problems is recommended for preparation

1. YEAR TWO
UNIT ONE
OSPE
EXAMINATION
2012-2013
Done By: Abdallah AL Tabtabae

2. GENERAL NOTES:
 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.

3. STATION ONE

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 )

5. STATION TWO

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 FOUR
 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)

9. STATION 5
 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. )

10. STATION 6:
 ICD.
 1- WHAT’S ICD?
 International Classification of Diseases (ICD)
 WHAT IS IT USED FOR?
 (epidemiology)

11. STATION 7

12. STATION 7
 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.

13. STATION 8:
 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.

14. STATION 9:
 1-What’s Elisa?
 enzyme-linked immunosorbent assay.
 is a test that uses antibodies and color change to identify a
substance.
 (very easy station. )

15. STATION 10:
 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 )

16. STATION 11&12( 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 )

17. STATION 13( 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 )

18. STATION 14:
 Three figures.
 1-Osteosarcoma
 2- lung carcinoma.
 3-stomach carcinoma
 ( You’ll find all of the figures in Dina’s slides for OSPE )

19. STATION 15

20. THE TYPE OF THIS TISSUE?

21. WHAT’S THE NAME OF THE
STRUCTURE BELLOW?

22. NAME OF THIS TISSUE?

23. STATION 16
 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 )

24. STATION 17
 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.

25. STATION 18
 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 ) .

26. STATION 19
 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)

27. 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.

28. STATION 20:
Type of dyspasia?
Answer: carcinoma in situ. ( more
figures of carcinoma is situ in dina
slides. )

29. STATION 21
 EPIDEMIC CURVE " PROPAGATED CURVE ”
 1-WHAT DOES X AXIS INDICATE?
 (TIME )
 WHAT DOES Y AXIS INDICATE?

CASES
 (EASIEST STATION )

30. 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. )

31. STATION 23
 AGARS FROM THE “INVADERS LAB “

32. STATION 24

35. STATION 25:
 FIGURE OF NEUTROPHILS, BASOPHILS AND
EOSINOPHILLS.
 1- WHAT ATTRACTS THE NEUTROPHILS TO THE SITE OF
ACTION?

36. STATION 26
 Tube containing RBC’S in different solutions. Why didn’t they
burst?
 (lab of problem 2).

37. END
 That’s all I can remember. Good Luck!