Past paper OSCE Flashcards
Study the following CXR. How would you confirm the diagnosis?
Sputum for acid fast bacilli
Mr. X presents with a cough, fever and chest pain for 2 days. On admission he is in respiratory
distress with a respiratory rate of 32/min. This is the patient’s chest x-ray photo. The most likely diagnosis is?
Bacterial lobar pneumonia
Mr. Z presents with complaints of weight loss and a “black mole” that worries him. He
also developed a dry cough over the past few weeks. His HIV test came back negative.
Study the following X-ray photo. What is his diagnosis?
Lung metastases
Choose the correct treatment regime for a female, non-pregnant patient and with no allergies,
presenting with a vaginal discharge:
a) Doxycycline 100mg bd po x 7 days.
b) Erythromycin 500 mg qid po x 7 days.
c) Ciprobay 500 mg stat po.
d) Flagyl 400 mg bd po pc x 7 days.
e) Amoxil 500 mg tds po x 7 days.
Doxycyline 100mg bd po x 7 days
Ciprobay 500mg stat po
Flagyl 400mg bd po pc x 7 days
A 81-year old female presents for a yearly follow-up visit for her hypertension. The
following is a copy of her routine ECG. The most probable diagnosis is:
LVH
To determine visual acuity, the following instrument is used:
Snellen cart
The following is an image of:
Diabetic retinopathy
Johnny (6 years old) presents in casualty unit with shortness of breath and coughing.
Listen to his breath sounds: Wheeze and long sounds. Johnny has a respiration rate of 35/min and a pulse rate of 110/min. Your initial
treatment will be:
Beta 2 stimulant inhalations
Mr. B, 50 years old, is a known asthmatic patient. He is 180cm tall and presents for a
follow-up. He is on Ventolin (ß 2 -stimulant) 2 puffs 6 hourly and Becotide (steroid) 50 μg
bd. He has night symptoms more than twice a week and easily tires on exertion.
This is his best peak flow result for today. On examination he has diffuse, bilateral expiratory wheezes. His respiration rate is 20/min and he is not in acute respiratory distress. How would you interpret the peak flow result?
His peak flow is above 80% of his predicted value. His asthma is not optimally
controlled.
Mr. X, a healthy 55-year-old man, was send by his insurance company for a routine
check-up. Study the following result of his urine dipsticks test, read at 60 seconds. What investigation would you do next?
Do a random blood glucose test.
Mr. X, a healthy 55-year old man, was send by his insurance company for a routine
check-up. Study the following result of his urine dipstick test, read at 60 seconds. What
investigation would you do next?
Do a 24h creatinine clearance test
A patient has a random plasma glucose level of 10.8 mmol/ℓ. Which one of the
following steps is most appropriate to confirm a diagnosis of Diabetes Mellitus?
Perform a fasting plasma glucose test
Which one of the following is the most sensitive test for diagnosing diabetic nephropathy?
Urine albumin measurement
To make the diagnosis of pelvic inflammatory disease, you have to do a:
Vaginal examination
Which one of the following is NOT a contraindication to postmenopausal Hormonal Replacement
Therapy?
Impaired glucose tolerance
Mr. J is 55 years old and presents with severe left big toe pain for a few hours. This is a picture of his left foot. He likes to take a drink when having a barbeque, as he did last night at his birthday party. What is the most likely diagnosis?
Gout of the left big toe.
What is the most likely diagnosis?
Rheumatoid arthritis
Identify the following clinical sign:
Digital clubbing
What is the BMI of the following patient?
47
How do you interpret a BMI of 41?
Obese
This is a middle-aged man with acute renal failure. What is the most obvious abnormality on this ECG?
Peaked T waves
The following patient presented with pain and a tingling sensation under his right breast for a few hours before the rash appeared. What is the diagnosis?
Varicella zoster (HHV3)
The following child presents with an itchy skin rash as shown in the pictures. His siblings are also affected. What is the most likely diagnosis?
Scabies
The following growth chart reflects data of a child presenting for his routine immunizations. According to the mother the child has no complaints. Today he weighs
10kg. How would you interpret the growth pattern of this child?
Growth pattern is abnormal possible due to chronic malnutrition
The following is a growth chart of a child presenting for his routine immunizations. He has no complaints today. How would you interpret the growth pattern of this child?
Child is normal in all aspects
Which of the following communication and consultation skills did the doctor apply correctly?
Mr. Z presents in casualty unit after being involved in a motor vehicle accident. He is in severe respiratory distress. This is his chest X-ray photo. Your initial management
would be:
Do a needle decompression
You perform the following test on a 55-year old diabetic patient. The patient can feel everywhere except under his big toe. What does this result mean?
Patient is at risk of developing an ulcer under his big toe
You did a full blood count on a 36-year old woman with palpitations who also appeared anaemic.
This is her result:
Iron deficiency anemia
K is a 12-year old boy with a longstanding history of allergies. He presents with the following rash
which has intermittently appeared since his childhood. The most probable diagnosis is:
Atopic ezcema
The following is a picture of:
Hypertensive retinopathy
In which patient would you expect the following physical sign?
Patient with cardiac tamponade
What is this sign commonly known as?
Swan neck deformity
John is 25 years old and injured his right knee in a soccer game over the weekend. You perform the following test (shown in the picture) on him and it is positive. What is the
most likely diagnosis?
ACL injury
The mother brought this child to the clinic for treatment of his mild diarrhoea. She also says he looks puffy to her. After studying the growth chart – what is your assessment?
Child has marasmic kwashiorkor
This child presented with an itchy and painful skin rash shown in the pictures. His siblings are also affected. What is the diagnosis?
Impetigo
The following picture is from one of your patients. What is the possible diagnosis?
Osteoarthritis
The following is a picture of:
Papilloedema
John is 25 years old and injured his right knee in a soccer game over the weekend. You perform the following test (shown in the picture) on him and it is positive. What is the most likely diagnosis?
PCL injury
Mr. X, a healthy 55-year-old man, was send by his insurance company for a routine check-up. Study the following result of his urine dipsticks test, read at 60 seconds.
Send urine for MCS
