OSCE Cards 2021 Flashcards
Diagnosis?
Colle’s fracture
Diagnosis?
Treatment if unstable?
Paroxysmal SVT
Synchronized Cardioversion
Identify Image?
possible diagnosis?
Sonographic B-lines
Pulmonary edema
Diagnosis?
Treatment if px is unstable?
Cardiac Tamponade
Pericardiocentesis
Diagnosis?
In patient treatment for these patients?
Staphylococal Pneumonia
Diagnosis?
Most common cause?
Acute cholecysistitis
Gallstone
Diagnosis?
most common cause?
Hepatic Abscess
Pyogenic, amoebic or fungal
Treatment for amoebic hepatic abscess: Metronidazole 750 BID x 7-10 days
Diagnosis?
Most common cause?
Treatment?
Acute Pancreatitis?
Gallstone and Alcohol consumption
Supportive care: aggressive hydration
Diagnosis?
Name two types for this disease that are NOT radio-opaque on plain film?
Ureteral stone at the Ureterovesical Junction
Uric Stones and Indinavir stones
Diagnosis?
Treatment if px is presents with complicated UTI?
Acute Pyelonephritis
Ciprofloxacin, 400 milligrams IV every 12 h
• Ceftriaxone, 1–2 grams IV once daily
• Cefotaxime, 1–2 grams IV every 8 h
• Gentamicin or tobramycin, 3 milligrams/kg/d divided every 8 h, ± ampicillin, 2 grams
every 6 h
• Piperacillin-tazobactam, 3.375 grams IV every 6 h
• Cefepime, 1–2 grams IV every 8 h
• Ertapenem, 1 gram IV every day
• Imipenem, 500 milligrams IV every 8 h
• Meropenem, 1 gram IV every 8 h
Diagnosis?
Name one predisposing factor for such condition?
Ruptured AAA with Retroperitoneal hematoma?
Therapeutic anticoagulation or antiplatelet therapy
Inherited or acquired coagulopaty
thrombocytopenia or inherited platelet dysfuntion
chronic renal or chronic liver disease
Diagnosis?
Treatment?
Acute appendicitis
Emergent appendectomy
Diagnosis?
most common location?
A 45 year old female presents with fever, leukocytosis and pelvic pain?
Diagnosis?
Treatment?
Tubo-ovarian abscess
Empiric antibiotics then when symptoms improve CT-guided drainage done, Laparotomy is indicated if abscess is ruptured
A 25 year old female presents with pelvic pain, vaginal bleeding and a positive pregnancy test.
Diagnosis?
Most common site?
Ectopic pregnancy
Fallopian tube, ampulla
Brugada Syndrome
Salter-Harris Type I fracture of the distal tibia
Lunate Dislocation
Smith’s Fracture
Volar Barton’s Fracture
Anterior and posterior fat pad signs. Indicates presence of effusion
A. Biceps tendon rupture
B. Sling, ice on the affected area, analgesics and referral to Orthopedic surgeon
Erysipelas
A. Sporothricosis
B. Itraconazole (100 to 200 mg daily for 2-4 weeks)
A. Chlamydial Cervicitis
B. Azithromycin 1gm PO single dose or Doxycycline 100 mg PO BID x 7days, treat for N. gonorrhea infections
A. Bladder rupture secondary to Blunt abdominal trauma
A. posterior hip dislocation, left
A. Thompson test
B. Second Degree Frostbite
A. Lichtenberg figures
B. Lightning Injury
