osce for medical students

1. Lusaka Apex
Medical
University
END OF ROTATION OSCE EXAMINATIONS
Department of Surgery – SGY 310
3RD YEAR – July 2017
23rd March 2020

2. Instructions
• There are 10 stations in this Examination.
• Each station presents a different task you are expected to
fulfil.
• Each station carries equal marks and 6 minutes are
allocated to each station.
• Use your answer sheet to write your answersand indicate
both the station and computer numbers clearly at the top of
the answer sheet.

3. Station 1
1.Describe what you
can see
2.List 4 possible
causes of this condition
4. Give two (2)
investigations you would
order to make a
diagnosis

4. Station 2
1.What is the
diagnosis (1 mark)
2.Name at least two
symptoms and
signs (2 marks)
3.What are the
complications (2
marks)

5. Station 3
Picture shows breast of a
lactating mother
1. What is the most likely
diagnosis? (1 mark)
2. What will be the
symptoms? (2 marks)
3. Give 2 differential
diagnosis (2 marks)

6. Station 4
1.What examination
is this slide
showing? (1 mark)
2.What is the
examiner trying to
demonstrate? (2
marks)
3.What is the most
likely nature of
the lump? (2
marks)

7. Station 5
Picture shows a client
donating blood
1. Give at least three
contraindications for
donating blood (3
marks)
2. Give two indication for
blood transfusion (2
marks)

8. Station 6
A patient presents with a
painless lump
1. Describe the lump (3
marks)
2. What is the most likely
diagnosis (2 marks)

9. Station 7
The slide shows intra-
operative findings of a
patient presenting with
small bowel obstruction
1. What is the diagnosis?
(1 mark)
2. What will be the
symptoms (2 marks)
3. Which investigation
would you order? (2
marks)

10. Station 8
A patient presents with a
painless lump in the neck
1. Describe the findings of
your examination on
inspection and
palpation (2 marks)
2. What is the most likely
diagnosis (1 mark)
3. What is the differential
diagnosis (2 marks)

11. Station 9
1.What is the
diagnosis? (1 mark)
2.What are the
different types of this
condition (2 marks)
3.Name at least two
complications (2 marks)

12. Station 10
1.What
abnormality is this?
(1 mark)
2.What symptoms
will present (2 marks)
3.Name some
possible
complications (2
marks)

13. Station 11
1. Describe what you
see? (2 marks)
2. What would be the
local findings on
examination? (4
marks)
3. How would you treat
the condition (4
marks)

14. Station 12
The picture shows the
anal region of an adult
patient
1. What is the most likely
diagnosis (1 mark)
2. Give two complaints
from the patient (2
marks)
3. Give two
complications of the
condition (2 marks)

15. Station 13
1. Identify the specimen
(1 mark)
2. what is the most likely
diagnosis (1 marks)
3. What will be the
clinical presentation of
the above diagnosis (3
marks)

16. Station 14
The picture shows an
endoscopic examination of the
stomach
1. What is the diagnosis? (2
marks)
2. Most likely symptoms? (2
marks)
3. Give the name of the
endoscopic examination
done in the patient (2 marks)
4. Which other investigation
may be done to confirm the
diagnosis
5. Possible Complications (2
marks)

17. Station 15
Picture shows burns dorsum of
left hand
1. Give two methods of
assessing severity of burns (2
marks)
2. Which special areas of the
body are considered when
assessing complications of
burns (5 marks)
3. Why are fluids given in the
treatment of burns ( 1 mark)
4. How do you determine how
much fluids should be given
(2 marks)

18. Station 16
A patient presents with high fever
with a swollen, painful right leg for
one week
1. What is the most likely
diagnosis? (2 marks)
2. Which investigations
would you
do? (2 marks)
3. What is the differential
diagnosis? (2 marks)
4. What are the likely
complications? (2 marks)
5. What treatment would you
recommend? (2 marks)