TATE TE TT cessed aed TUTTE Surgery, MBBS Final Professional =i Surgery >rning 26.03.2024 Morning Annual Examinations 2023 | Objectively Structured Performance Evaluation (OSPE) Jon fete vise Above or eae [eirsctereos oe scrable Chale /Stot Topic Specification: General surgery Please cut along the dotted line and place the following photograph on this station. Static Station 5 nutes Marks: 05 Time Allowed: 05 minutes j For Candidate: asing 50 year old security quard with five years t leg is being shown in the picture. | Task: the Carefully read the scenario, observe the given Photograph and answer the | following questions: |) 1. What is your spot diagnosis? 01 2: Name three relevant clinical tests ot tive ||) 3. What is non-surgical management? ot 4. Give standard surgical management plan in three lines 02 (Cut along the dotted line) 3. Shwartz tear, Perthes test, Tourniquet test etc., any other OL a ‘Avoid long standing, Application of compression bandage, local invascular sclerosing 1 ‘agent injections, any other on 1 rendelenberg operation at saphenous opening ligation of all tributaries of saphenous, 4.7 1 stripping multiple ligations 02 2ery 19 inutes a 8 & & s a] ton MBBS Final Professional ‘Surgery 26.03.2024 Morning Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Marks: 05 ‘Time Allowed: 05 minutes Requirements: 1. Response Sheet _2.Pen/ball point 3.Table 4.Chair /Stool Topic Specification: Urotosy eases a esl he dotted line and place the following photograph on this station. Marks: 05 For Candidate: ‘® 40 year old car driver has presented with hematuria, low lump in his left flank. After complete case 2: with explained consent from patient. Task: Carefully read the scenario, observe the following question: 1. What is this specimen and the lesion shown? 2. During procedure via peritoneal cavity which : is evaluated first and taken care of? 3, At histopathology what.is the most likely 4. What is the expected prognosis? 5. What other treatment options areMBBS Final Professional "7 Surgery MBBS Final 26.03.2024 Morning Annual Examinations 2023 a Objectively Structured Performance Evaluation (OSPE) Static Station 1 Wnaee Marks: 05 a Time Allowed: 05 minutes For Organ For Organizer: | Requirements: 1, Response Sheet _2.Penyball point 3.Table 4.Chair /Stool is jon: Anaesthé Please cut along the dotted line and place the following photograph on this station. Marks: 05 ‘Time Allowed: 05 minutes. For Candidate: A 20 year old college student is brought to emergency after a road traffic accident on. motor way. Urgent surgical intervention is planned after a primary survey. The anaesthetist is checking his equipment especially on top of his anesthesia machin Carefully read the scenario, observe the given Photograph and answer the following questions: What is this component? @" o1 What do the numbers represent printed on glass? on What is the principle of application of this component? o1 What premediation is mandatory for its use? on How can you ensure good working when in need? OL (Cut along the dotted line} Marks: 05 For Examiner; Key: 1. Ventilator (respirator) 2. Volume of air in inflatable balloon 3. Intermittent positive pressure ventilation 4. Muscle relaxation 5. Regular check & maintainanceMBBS Final Profes MBBS Final Professional ‘Surgery, Y 26.03.2024 Morning ‘Annual Examinations 2023 Objective Objectively Structured Performance Evaluation (OSPE) z Marks: 05 5 ‘ime Allowed: 05 minutes 7 al For Organizer: : Requirements: Requirements: 1. Response Sheet e 3.Table 4,Chair /Stool s 1. Response Sheet _2.Pen/ball point Please cut along the do is ification: General surgery Raa ae ee the dotted line and place the following photograph on this station. a Marks: 05 ‘Time Allowed: 05 minutes dances a ‘or Candidate: A 70 year old lady has developed thi robii harsh winte ht. She has bee & iy cand AES: < developed this problem in 2 harsh winter night. She has been re Compleining of intermittent claudication, peueunaiee Task: : ; = TASK ead the scenario, observe the given Photograph and answer the ae eecahen ae questions: following questior What is the problem? o1 ‘1. What pathol E Mhatie he pro? agement after physkal examination? Ot 1 What patetogy 3. What is the medical management for complete cure? o1 2 Whee principle gu So ee nent = wnat importa 01 es ut along the dotted tne (cat along the 28800) ee nmmmacng + What long ter nares 05 StaticStation? =— me allowed: For Examiner: Serres ee eucatee Key: marks: OF 1. Dry gangrene left 3° toe 2: Reassurance and counseling a 3. No medial management at the stax 5 ; No medal managen efor ire (vasodators ord asprin help reauce rea ua rvative but in Dios 4, Conservative amputation and proximal vascular bipass 02 5 Leakage of an 4, Radiochemothsurgery MBBS Final Professional 26.3.24 afternoon Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Marks: 05 Requirements: 1. Response Sheet —_2,Penyball point 3.Table 4.Chair /Stoo! : General Surgery Please cut along the dotted line and place the fellowing photograph on thi station Static Station 9 Time Atlowe Examine the given photograph and answer the following questions: 1. What Is your clinical diagnosis? on 2, What complications can arise? 1s 3, What is the management of the condition?_ o 4. What is the modern method.of management? ~ 4s Time Allowed: 05 minutes 4. Para umbilical hernia 2. Irreducibilty, obstruction, strangulation 3. Surgery- Hernioplasty. 4. Laparoscopic mesh repair.MBBS Final Professional Surgery 26.3.24 afternoon Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Static St 3 Marks: 05 marks: 05 Time Allowed: 05 minutes Requirem 1, Respon! Requirements: 1. Response Sheet _2.Pen/ball point 3.Table 4.Chair /Stool ion: General surgery Please cut along the dotted line and place the following photograph on this station. Static Station 3 Marks: 05 ark 08 minutes . A35iveard Identity the above mentioned condition. usually late Task: Task: . Carefully Carefully read the scenario, observe the given photograph and answer the following following questions: 1, Which t 1, What Is your diagnosis? 01 2 Wee 2: What is strongest predisposing factor? 01 Ep 3. Macroscopically, condition can be divided in to many types, mention? St a wine 4 Can it recur? 01 ScWhaee 5. What is treatment? 01 ee (Cut atong the dot Marks: 9 1. Basal cell carcinoma 01 i = 2 UVR (ultra violet rays) o1 2. secna 3. Nodular o1 perfor Nodulocystic second Cystic 3. Maree Pigmentid di Moat Naevoid i 4. Yes, if there is incomplete excision and if margins are grossly involved 5. MOH's micrographic surgeryMBBS Final Surgery nal en | arnt BY cane oy Annual Examinations 2023 Ob Objectively Structured Performance Evaluation (OSPE) Static Station 6 es are: 05 Time Allowed 05 minutes For Organi ae i 1, Response SI : Requirements: L.Response Sheet 2.Per/ball point ——_3.Table 4.Chalr /Stool Pease cut som i General surgery Please cut afong the dotted line and place the following photograph on this station. Static Station 6 Marks: 05 nutes Marks: 05 Time Allowed: 05 minutes For Candi 50 year old been A 35 Year ld village house wife underwent abdominal operation for increasing secu! constipation and loss of weight. Her resected gut specimen is shown in this picturs, ‘ Task: Carefully rn the Carefully read the scenario, observe the given Photograph and answer the following q following questions: 1. What is y 1. What pathology is shown here? o1 2. Name thr 2. What principle guides the resection of gut ja teres of extent? 01 3. What is n 3. what important complication can arise after °2 successful first line” operative 4. Give stan procedure? o1 4. What is long term adjuvant to surgical treatment? el (Cut along the dotted tine) Wes parks: 05 7. Circular tumor involving gut (most likely color) o1 2. Long of gut 5 cm across along with driving lymph nodes 01 ° 3, Leakage of anastomosis (or stenosis in late cases) 01 4, Radiochemotherapy, Follow up endoscopy, Contrast studies, CEA estimationsurgery MBBS Final Professional @® $6.03:2024 Moning a ions 2023 Objectively Serectured Performance Evaluation (OSPE) ‘Time Allowed: 05 minutes Marks: 05 For Organizer: Requirements: 1, Response Sheet 2.Pen/ball point 3.Table 4.Chalr /Stool : General Surgery Please cut along the dotted line and place the following photograph on this station. Static Station 8 Marks: 05 Time Allowed: 05 minutes Marks: 05 While reporting to outpatient department this construction worker is disturbed by 70 year old lady remarks of his colleague about right side of his chest. complaining of inter Task: Task: Carefully read the scenario, observe the given radiograph and answer the Carefully read th following questions: following questior 1. What is the problem? on 1. What is the prob! 2-What is the immediate advice after complete examination and treatment plan? 01 2. What is the first 3. Which other area is of extreme interest for the surgeon and why? o1 3. What is the medi 4. In one line give surgical treatment pian? 02 4. What is definite (Cut along the dotted ti Time Allowed: 05 minutes 1. Right aynacomastia on 1.0 ! 2. Counseling and reassurance ot 2 Resear 3. Testis, o1 . i 3. Ne 4. Submammary excision, Suction drainage, crepe bandage application, one:day hospital lever sunea stay, follow up histopatholgy, removal of sutures etc, 02 ras Conservative ameet Surgery 26.03.2024 Morning MBBS Final Professional 7 Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Inter: Marks: 05 Time Allowed: 05 minutes 9 Requirements: 1. Response Sheet 2.Pen/ball point 3.Table 4.Chair /Stool Topic Specification: Instrument : Please cut along the dotted line and place the following photograph on this station. Interactive Station 11 See the picture and respond: 1. What is shown in this picture? o1 2. Give two uses of this item. o1 3. Discuss the management option for a satisfactory working of this important life surg al item. is 03 a : ao} . Cuffed tracheostomy tube I a) Serious head injury requiring patent air 5 Permanent option in laryngeal fearon Que ‘to malignancy é . Regular cleaning, change of balloon pressure at regular intervals, hu regular washing with soda 5 wMBBS Final Professional ‘Surgery, 26.3.24 afternoon PE) ed: OS minutes Requirements: 1. Response Sheet 2.Pen/bail point 3.Table 4.Chair /Stoo! : Trauma (nerve injury) {ine and place the following photograph on this station, Please cut along the dotted’ [Static Station 6 varea is Marks: 05 Time Allowed: 05 minutes For Candidate; er the Carefully read the scenario, observe the given radiograph and answer the following questions: 3 What Is the clinical sign shown and what is abnormality? o1 2. Which nerve Is.dartfaged and which muscle is aftectony o1 3. What is the root value of the affected nerve? a1 4. At which point itis most commonly damaged? in a 5. What Is ulnar paradox? o1 {cut 2 tes Time Allowed: 05 minutes 1. Froment, sign, difficulty in adduction 2. Uiner nerve, adductor pollicis oe of en on ae 4. Medical epicondy! of humerus 01 5. Higher the lesion, lower the effect and lower the lesion, higher the effect 01MBBS Final Professional eueey MBBS Final P 26,3.24 afternoon Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) bee ‘Static Station 1 Marks: 05 Marks: 05 ‘Time Allowed: 05 minutes For Organiz Requirements: Requirements: 1, Response Sheet 2.Pen/ball point 3.Table : Arterial disease Please cut along the dotted line and place the fellewing photograph on this station. 4.Chair /Stoo) leet) Static Station 1 ‘Time Allowed: 05 minutes 530 years o1d m Task: Carefully observe the given Photograph and answer the following questions: Ronen 3. Identity the above mention condition and give Is two causes? o following 2; Give the cinical features of above mentioned contin? on 1. What abnon 3. What are cantraindittions for thrombolytic therapy? Wie two? — ot 2. Patient nas 4. What is ABPI and fs significance? o1 3. What's ma 5. What is embolectomy? o 3. Wate (Gut along the 5 What is sp ‘Time Allowed: 05 minutes Dry gangrene of leg, causes Arterial occlusion Key: Embolism 1. Humeral s 2. Pain, pallor, pulselessness, paraesthesia, par on 2. Radiat ner ge Pain ° ° ot 3. Provide ar Recent stroke Provide a Pregnancy Tetanus t Recent surgery Definitive 4. Itis quick test & used to assess severity of arterial occlusion and it is ratio of systolic pressure 4. Open fra at arm(bracnial) and ankle (anterior tbval) ot Poly tram 5. In this procedure, femoral artery is exposed, and arteriatomy is made directly and thrombus is. Failed no removed. 01 5. Intra me Advantac Disadvannoon MBBS Final Professional sm 26.3.24 after Annual Examinations 2023 objectively Structured Performance Evaluation (OSPE) i a ark 08 Requirements: Response sheet 2,Pen/ball point 3.Table ‘Time Allowed: 05 minutes Task: aa the the given photograph and answer the following questions: on What is your clinical diagnosis? What complications can arise? 15 What is the management of the condition? o 1od-of management? ~ 15 What is the modern meth (cut along the dotted tine) Marks: 05 For Examiner: 1, Para umbilical hernie 2. Irreducibility, obstruction, strangulation 3. Surgery- Hernioplasty. 4, Laparoscopic mesh repair.MBBS Final Professional ‘Surgery 26.03.2024 Morning | Annual Examinations 2023 | Objectively Structured Performance Evaluation (OSPE) 2S minutes | sacks: 05 I | : Time Allowed: 05 minutes Requirements: 1. Response Sheet _2.Pen/ball point 3.Table 4.Chair /Stool ion: Neurosurgery line and place the following photog § o inutes | | Marks: 05 urbing Fi ormed After a road traffic accident this 35 year old house manager is brought to emergency bleeding from scalp and she is unconscious. After a primary surgery and aca Patient is being managed by surgical team. te Task: Carefully read the scenario, observe the given Photograph following questions: a cau 1, What is this investigation and its findings? _ cata 2. Who is the person immediately required to | 5 3} What wil be te striae amProfessional ‘Annual Examinations 2023 (ome) 4, Response Sheet 2,Pen/ball point ©——3.Table 4.chair /Stool ‘Topic Specification: Investigation Prense cit slong the dovted line and place the following photograph on this station. Static Station 7 Marks: 05 ‘Time Allowed: 05 minutes 28.35 years 01d man presented to OPD with complain of severe pain in right lumber region radiating to right flank. Pain is severe on moment particularly on climbing stairs. Patient elso complains of burning rmietuintion. Diagnosed as renal calculus. Task: Carefully read the scenario, observe the given Photograph and answer the Task following questions: Carefully obs¢ 41. What Is investigation shown, what ace findings? o1 1. What is the Name two types of renal stones, or EP iia Cine! sngon ‘tthe condition? ot 2. What is tt us Name two other coiclusive investigations in this case? o1 5. Nome modern methods of treatment? 0 3, What are tr canta 4. Wht are t Time Allowed: 05 minutes | Marks: 05 For Examir "1X ray kub, staghorn calculus 1 3 Be Xray ha, stag 0 Key: at 2) Onaate eat ae 8) Pophote cael : aa 2. Maintaining 4) Calcite mesertere mon nodes 1) Calcified adrenal gland 3. Easy to ins 9 this itbereuB on ney 4 Proll ai - Prolonge 2) Const enhanced CT scan i : 5) craton soon Qa ey 5 o1 3 1) Percutaneous nephroithatomy b) Extracorporeal shockwave ittripsy ©). Pylolithotomny 4) NephrolitnotomyStatic Station 3 MBBS Final Professional 3 26.03.2024 Morning Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Static Station 4 ‘Time Allowed: 05 minutes Requirements: 1. Response Sheet —_2.Pen/ball point 3Table 4.Chair /Stool : Orthopaedics Please cut along the dotted line and place the following photograph on this station. Static Station + Marks: 05 ‘Time Allowed: 05 minutes For : A six month old baby is brought to orthopaedic outpatient department with this problem of right foot. Task: Carefully examine the given photograph and answer the following question: 1. What is the abnormality? 01 2. What is the advice if the problem Is recognized at birth? o1 3. What is management at this relatively earlier stage? o1 4. What is the surgical management or prognosis? 02 (Cut along the dotted tine) Static Station 4 Time Allowed: 05 minutes 1. Telepes equino varus (club foot) 2. Maniputation by mother surprised 3. Correction and application of plastic in neutral position 4. Medical release -partial arthrosclerosis and plaster with good resultsmbus Is MBBS Final Professional ‘Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Static Station 2 oe 1. Response Sheet _2.Pen/ball point 3 Table 4.chair /Stoat : Orthopeadics Please cut along the dotted line and place the following photograph on this station. Static Station 2 Marks: 05 Time Allowed: 05 minutes ‘30 years cla man presented with RSA te AB E department. His xray is showing above. Carefully read the scenario, observe the given Photograph and answer the following questions: What abnormality i on tis x-ray? Patient nas developed Wnst Op, whien structure darnaged ® at whieh polnt? o wnat is management? - o Uirte two incietions for surgery in humeral shaft fracture What is specific treatment and wnite one advantage & one csadvantage of specific treatment? OL ot ‘Time Allowed! 05 minutes 1 Horveral shaft racture 2 Rasa nerve damage, at racial groove 3. Provide analgesia = 5 Provide ancbtes Tetanus taxa Detinive treatment Open fracture Poy ‘rama paint Faled on operative management 5. Ine medullary naling Advantage: Miimal asive Disedvantge! Alek of ot embolism‘Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Marks: 05 ‘Time Allowed: 05 minutes Requirements: i. Response Sheet _2.Pen/ball point 3.Table 4.Chair /Stoo! : Venous system eee ee the dotted line and place the following photograph on this station. static Station + Marks: 05 “Time Allowed: 05 minut Fe maces patient presented to OPD with dragging pain & heaviness in the legs igh eres tee year at right, Oederna feet and prominent ves of foot, diagnosed as varicosities of veins cae tally read the scenario, observe the given Photograph and answer the following questions: so nceh yout Is being performed in above mentioned condition and what is significance? on What is difference between primary and secondary varicose veins write two? Name other tests to check position of varicosities? what is duplex scanning &what is its significance? 5. What is trendlenburg operation? (Cut along the dotted line) Static Station 4 Marks: 05 ‘Time Allowed: 05 minutes For Examiner: Key: Trendlenburg test & to evaluate the incompetent sephenofemoral junction. 01 ‘Sephahanous system involved in primary. jin secondary sephanous, deep veins and perforators involved in secondary, no ankle edema in primary, ankle edema in secondary varicose veins o1 . Morrissey's test, Perthes’s test, Fegan’'s test o1 Most important investigation to check patency of veins of leg, by this we get anatomical, physiological , and functional details O1 . Operation to remove tortous, incompetent varicose veins of leg. o1surgery rofessional surgery eee 2 26.3.24 afternoon 26.3.24 afternoon Annual Examinations 2023 objectively Structured Performance Evaluation (OSPE) stfon (OSPE) Static Station 8 ‘rime allowed: 05 minutes ares: 03 ‘Time Allowed! 05 minutes Requirements: sponse Sheet 2.Peny/ball point 3.Table 4.Chair /Stool ES scat 1. Response sn/ball point : Anesthesia n this station. Pleare cut slong the dotted line and piace the following photograph on this station. © Allowed: 05 minutes region radiating to ront Static Station 8 coma of borne “Time attowed: 05 minutes, and answer the Task: Carefully observe the given photograph and answer the following questions. Pwnats the ister ot 2. Whats used for? ot 4. wnat are the advantages ofits uSSPy 15 F 4. wnat are ne contraindication of ts ie? is (Gut aiong the dotted line) owed: 05 minutes Time Allowed: 05 minutes 1. Laryngeal mask airway on 2, Maintaining airways and artificial ventilation o1 3. Easy to insert, less traumatic, does not require a laryngoscope 15 4. Prolonged ventilation, deep anaesthesia 15Ta 26.03.2024 Morning. Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Interactive Station 10 Marks: 05 Time Allowed: 05 minutes rgani: Requirements: 1. Response Sheet _2,Pen/ball point 3.Table 4,Chair /Stool Topic Specification: volvulus sigmoid colon Please cut along the dotted line and place the following photograph on this station: Interactive Station 10 Marks: 05 For A 40 year old vendor from Khyber Pakhun Khawa (KPK) has presented to emergency with distended abdomen vomiting and absolute constipation with severe abdominal pain. On exploratory laporotomy the finding is shown in photograph. Task: following questions: 1. What Is the most likely problem? 2. What is the most useful imaging technique for diagnosis? 3. Give maximum 5 line management plan. Plain x-ray abdomen shows distended gut shadows like filled tys . Reassurance, fluid electrolyte resuscitation, prepare for G/A, e) untwisting and fixation if gut is healthy, resection anastome double barrel colostomy Key: 1. Sigmoid colon volvulus 2. 3.MBBS Final Professional Annual Examinations 2023 ‘Objectively Structured Performance Evaluation (OSPE) seares: 05 Time Allowed: 05 minutes Requirements: 4. Response Sheet 2.Pen/ball point 3.Tabie 4.chale /Stoo! P. Prease cut along the dotted tine Interactive Station 11 Time Allowed! OS minutes Symptons ed NOTIN presented to OPD with complaint of nonspecific and psyehlatie alvcosuna’ are ial Problems, Sie also complains for myalgias, artharalgise fetes glycosuria, and hypertension, Her skull x ray shows salt pepper sopestane Task: Carefully examine the given radiograph and answer the following questions: 1. What is your diagnosis? on 2. What is the classic quartet of the above condition? o1 3. Name two investigations? o1 5 Name ene cenetically conctions associated with above mentioned pathology? ot 5. Name the surgical operation avahable and one indication? 1 Time Allowed: 05 minutes 1. Hyperparathyroldism oO 2 Classic quartet stones, bones, abdominal groan and psychic moans, oO 3. Serum calclum, serum phosphate, urinary calcium, o1 4, Mens-1, Mens-2a, Mens2-b oO 5. Parathyroidectomy. Indication: High serum calclum and Urinary tract calculi 02Time Allowed: 05 minutes +. Stube cholangiogram, dye is going visible into duodenum, Negative shadow at lower end of CBD Dye in intrahepatic ducts. ‘T-tube cholangiogram,7-14 days Stone remaining in CBD after surgery. Two methods Burhennie’s technique ERCP removal }. Pancreatitis, Ascending cholangitis Dilated cap Visible stone in CBD Obstructive jaundice Raised LFT's2 Ee ih =r ¥ Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Static Station 9 Marks: 05 Time Allowed: 05 minutes Requirements: 1. Response Sheet 2. Pen/balll point 3.Table 4.Chair /Stool i jon: General Surgery Please cut along the dotted line and place the following photograph on this station. Static Station 9 is noted (arrow). Task: Carefully read the scenario, examine the given photograph < following questions: 1. What is the diagnosis? 2. Which clinical tests are of importance? (give two) 3. What is the liné of treatment? 4. What is the complication given surgery of this disease a bad name?” =a --- For Examiner: Key: 1. Ganglion right wrist 2. Flucturation test, transillumination test 3. Reassurance, excission under G/A and tourniquet. 4 . RecurrenceMBBS Final Professional Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) Static Station 5 marks: 05 Time Allowed: 05 minutes For Organizer: Requirements: 1. Response Sheet _2.Pen/ball point 3Table 4.Chalrr /Stool ; Burns (General Surgery) Please cut along the dotted line and place the following photograph on this station. Static Station 5 Marks: 05 ‘Time Allowed: 05 minutes A patient presented to A and E department with H/O second degree burn and burn area is 60%. Diagnose as secand degree burn Task: Carefully read the scenario, observe the given photograph and answer the following questions: 1, Enlist major determinants of burn? 2. What is wallace’s rule of nine? 02 3. Name one regime for fluid resuscitation & most common fluid used? 01 4. What is escharotomy? > 7 01 (Cut along the dotted Marks: 05. |. Percent burn area involved ii, Depth of burn ili. Presence of inhalational injury 2. It accounts 9% area to head and neck, 9% to each front of chest and abdomen, back of chest and abdomen, arms, front of thigh and back, front of leg and back, 1% to perineum. 02 3. Parkland regime and ringer lactate 01 4. Circumferential full thickness burns require emergency surgery, incision in whole t of burn done in mid axial line avoiding major nerves compression 01 ‘Carefully followin 1, What 2. Which 3. What 4. At wt 5. Whatmaps Final Profe: 26.3.24 afternoon ‘Annual Examinations 2023 Objectively Structured Performance Evaluation (OSPE) ares: 05 Static Station Zsa osminses Requirements: 1, Response Sheet 2.Pen/ball point 3Table 4.Chalr /Stoo! ‘Tonic Specification; Investigation Please cut along the dotted line 2nd piace the following photograph on this station. Marke: 08 £95 yers ol! man presented to OPO with complain of severe pein in ght umber regan radisting to ant fonk."Pein Is severe on" moment paricaleny on cmt tals, Pert SB) ESM: OF Bata Iictuirtion: Diagnosed as renal ealohis, 5 ee Task: Carefully read the scenario, observe the given Photograph and answer the following questions: z 1 wat investigation shown, what are findings? Narme two types of renal stoneay SP Wat is ciferentaldagnests of he condition? CO tame to ter covelusve investigation this ease? 5. tame modern methods of treatment? (Cut along the dotted Marks: 05 For Examiner: 1 Xray hub, staghor cleus 2) Oxalate cael 5) Phowphote esl 2) Called mesenteric ymph nodes 3) Caeied acrenal gland ©) Galen tubercles lesion in kidney 2). Contast enhanced CT sean 5) Exeretion urography 2 SG 2 Erctarcous neat tacorporeal shockwave MSY Pylothotomy