SURGERY OSCE

REVISION

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Q1. Inspect this lady's abdomen.

a.What is this procedure

called?

b.What are the indications

for this?

c.What are the likely

complications?

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Q2. This is a x-ray pelvis of a 65
year old lady.
a.What is abnormality?

b.What is the treatment?

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Q3. This is a fever chart of a post
operative patient.
a.What could be the cause FEVER CHART

for fever? 101.5

101

100.5

b.How will you invetigate? 100

99.5

99

98.5

98

97.5

97
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7

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Q4. Select the instuments needed
for suture removal.

A C D
B

E F G H

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Q5.
a. Select the items needed to
catheterize a 60year old adult male.
b. what are thing that are not here
but needed?

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Q6.
• A patient was brought to the ward following open
cholecystectomy. What are thing you should do as
the house officer?

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Q7. In CPR

a. What are the shockable rhythms?

b. where will you place the pedals of defibrillator?
c. What is the sequence of shock?

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Q8.

• What is the most probable cause for this lump?

• What are the conditions that give rise to this lump?

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Q9.

a. Identify this
b. How do you calculate the
correct length to be inserted?
c. Name 2 uses.
d. What is the external diameter?
e. Name two long term
complications.
f. List two ways that you would
confirm its position

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Q10. This a CT- arteriogram of a
male
• It showed more than 70%
stenosis of the left internal
carotid artery.
a. Name 2 ways that he would
have presented.
b. What are the principles of
management?
c. What is the definitive
management?

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Q11
a. Identify this equipment
b. Name 2 uses of it.
c. What are the appropriate sizes for the
following
a. Sri Lankan adult male
b. Sri Lankan adult female
c. 8 year old boy
d. Identify and give one use of A and B
e. How do you check whether A
instrument is correctly placed?

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Q12.

These are x-ray of a male patient.

a. What are the x rays?
b. What are the abnormalities seen?
c. Name 3 clinical presentations
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Q13.

a. Identify this.
b. Give one indication.
c. Briefly outline the
advice given to the
patient regarding its
use.

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Q14.
What is the indication for its use?

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Q.15.

a. What is this investigation?

b. Name 2 abnormalities you see
c. Give 3 important steps in
preparing the patient for this?
d. What are indications for this?
e. What are complications for this
procedure?
f. What is the alternative available
for this?

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 • Mr.X. is on a blood transfusion. He
Q16. suddenly collapsed with thready pulse and
unrecordable BP. There were B/L rhonchi.
a. What is the diagnosis?
b. Select the life saving drug.
c. What is the dose and route of
administration?
d. 3 other steps in the management.

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Q17.
a. Identify this instrument.
b. Name 3 indications.
c. Draw the place where will
insert it.
d. Clinically how do you
evaluate the patency of the
tube?
e. What are the likely
complications?
f. What equipment should be
kept near this patient and
why?

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Q18. Regarding colonoscopy

a. Name the used for bowel

preparation
b. What is/are the IV sedatives
used?
c. What is/are the antidote/s for
the above sedatives used?
d. Give 3 reasons for tachycardia
in this patient?

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Q19.
a. Identify the instrument.
b. Is the material used to
make it, important? B
Why?
c. What is 22FG
d. Give 3 reasons for
catheter blockade in post
prostatectomy patient?
A
e. Identify A and B.
f. Write 2 long term
complications of using
this device.

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Q20.
a. Identify the instrument.
b. Give 2 clinical uses.

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Q21.
A. Identify the instrument.
B. What is the parameter
measured using this
one?
C. What is the normal
value of this parameter?
D. What are the other uses
of this one?
E. What are complications
associated with this?

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Q22
• This is a x-ray of a neonate
who presented with green
colour vomitus since 6
hours of birth.
a. Describe 2 characteristics
of this x-ray?
b. What is the diagnosis?
c. State 3 things that should
be done before
transferring this child to
paediatric surgical unit?

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Q23.
• Fill the following request form for CT-angiogram
after interviewing this patient.

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Q24.
• 30 year old male presented after a RTA. His GCS
was gradually reducing. L/S pupil was dilates. Pulse
gradually reducing. BP gradually increasing.
a. What is the probable diagnosis?
b. What is the investigation to confirm the diagnosis?
c. Give 3 steps to prevent complication until
definitive management.

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Q25.

a. Describe the
ulcer
b. Clinical
features
supportive of
probable
aetiology?

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Q26.
a. What is this?
b. How will you prepare the
patient?

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Q27.

A. Identify
B. Write a clinical
condition where it
is used.

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Q28.
• A 30 year old male patient awaiting herniotomy for
uncomplicated inguinal hernia under spinal
anesthesia. Get the consent from the patient.
b. Write the post operative management.

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Q29.
a. Identify
b. Name 2
indications
c. Where will you
insert it?
d. How will you
remove it?
e. What will you
monitor after
insertion?
f. What are the
complications?

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Q30.

• A 16 year old tall thin girl

presented with sudden onset
right sided chest pain with
sever dyspnea for last 1 hour. X-
ray is given as below.
a. Describe the x-ray.
b. What is the likely diagnosis?
c. Write 3 clinical features to
support your diagnosis?

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Q31.

a. Describe the ulcer.

b.Give 2 possible causes

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Q32.
• This patient is an unmarried male with DM
controlled with insulin and hypertension. He is
about to be discharged after right leg below knee
amputation.
• What things would you consider before
discharging?

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Q33. Identify the following & give
one use of each.

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Q34.
a. Fill a blood request form.
b. State 5 blood components and one use of each.
c. State 5 complications of blood transfusion.
d. What is massive transfusion?
e. What are the complications of massive
transfusion?
f. What measures should be taken before starting a
transfusion?

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Q35.

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g. Arrange the cannulas according to the ascending
order of gauge.
h. Which cannula would you use for
a. Fluid replacement in severe hemorrhage
b. small child

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Q35.
A 50 year old lady presented with numbness of
lateral 3 fingers of right hand. She also gets pain
radiating upwards along the arm which is worse at
night. O/E her right thenar eminence is flat.
a. What is the most probable diagnosis?
b. How do you manage her surgically?
c. If you want to confirm your diagnosis, what is the
single investigation you would do?
d. What are the different types of anesthesia used in
this surgery?

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Q36.
A patient presents to the casualty ward with sudden
onset, severe abdominal pain for 12 hours duration.
a. What further questions you would ask to come to
a diagnosis?
b. What are the crucial point in the history?
c. Give 3 investigation that will help you to arrive at a
diagnosis?

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Q37.
This is an X-ray KUB of a
patient who presented with
right sided abdominal pain.
a. How do you prepare a
patint for X-ray KUB?
b. Give three possible causes
for the opacity shown by
the arrow.
c. What further investigations
are needed?

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Q38.

A. Identify?
B. What is the procedure to
connect this instrument to
the patient?
C. What are the other
indications?
D. List the possible
complications.

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 Q39.
A 40 year old male admitted to
asualty war complaining sudden
onset, severe, constricting type loin
pain lasting 2 to 4 hours and a. What is the probable
radiating to groin area.
diagnosis?
His UFR finding are as follows;
b. State two other
investigations you
RBCs 10-15 cells/hpf would do to confirm
pus cells 20-25/hpf
your diagnosis?
no casts
c. List the treatment
options available?
crystals – few calcium oxalate d. List possible
sugar nil complications.
protein nil

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Q40.
A 40 year old mother presented to the clinic with a
right sided breast lump for 2 months duration?
a. List the features of an malignant breast lump.
b. What are investigations you would do?
c. What are the instruments needed for cytological
diagnosis?

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Q41.
a. Name the equipment for venous cut down?
b. What are the indications for it?
c. List the main sites used.
d. List the points to look in after cut down?

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Q42.
a. Write 2 findings.
b. Name 2 clinical presentations.
c. Write 2 complications.

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Q43.
Choose which you would use to clean a wound of
amputated big toe.

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Q44.
A patient following 2 days after a road traffic
accident with only brain injury, was transferred to a
surgical ward.
a. 4 things that need to be needed.
b. Write 3 things that you write on the BHT.

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Q45.
Young male patient with severe pain on defecations
for 3 days.
a. What is the condition?
b. Name one other clinical feature.
c. List 3 management options.

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Q46.
a. Asses this patient clinically.
b. What would you do to the procedure?

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Q47.
a. Describe what you see.
b. Give 2 causes.
c. Name two drugs to this patient to prevent further
occurrences.

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Q48.
a. Name the deformities.
b. Name 3 physical sign you would look for.
c. Give 3 possible causes.

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Q49.
a. Describe the abnormality seen.
b. What can cause this?

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Q50.
A. Interpret this ABG report.
pH = 7.2
PaCO2 =35mm Hg
PaO2 = 100mm Hg
HCO3- = 20mmol/l

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Q51.
a. Identify this.
b. What are the clinical uses?
c. What are precautions in giving this?

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Q52.
a. What are the clincal implications of post operative
hypokalaemia.
b. What are ECG changes?
c. How will you manage?

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Q53.
a. Identify A and B. A B
b. Write five advices about its use?
c. What are necessary diet modifications?

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Q54.
A patient after right sided modified radical
mastectomy with level II axillary clearance is going to
be discharged.
a. What advice would you give regarding
lymphoedema of the right arm?
b. What is her follow up plan?

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 Q55.
This is an erect abdominal x-ray of a
newborn who had billous vomiting,
abdominal distension and failure to
pass meconium.
A. What is your immediate
management?
B. What is the probable diagnosis?
C. What are the other associated
abnormalities?

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Q56. This a x-ray of left wrist joint of a 59 year old lady
who presented following a fall.

a. Describe the
abnormalities
b. What is the
management?
c. What advice would
you give on discharge?
d. What are
complications
following this
fracture?

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Q57. This picture shows a radiological investigation done in a
patient presented with difficulty in breathing.

a. What is the radiological procedure?

b. How will you prepare the patient for this?
c. Describe the appearance.
d. What is the most probable diagnosis?
e. What are complications of this condition?

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Q58. A 25 year old male following a burn injury.

a. Calculate the burn surface area.

b. How will you manage initially?
c. How will you give fluid?
d. What are the likely complications?

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Q59.
A 50 year old diabetic patient
presented with sudden onset painful
left leg swelling for 2days duration.
a. What is the probable diagnosis?
b. What is the immediate
management?
c. Following the drug patient
developed breathlessness and
sweating.
a. What is the probable cause for this?
b. What is the management?

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Q60.
A 42 year old male presents with a black eye following
road traffic accident.
a. What are the possible causes for black eye in this
patient?
b. What features at the site of injury would help you to
determine the cause?
c. The patient was found to have a blood stained
discharge. How will you determine whether this is CSF
rhinorrhea?
d. If that is CSF rhinorrhea, what advice would you give
to that patient?

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Q61.
a. What are the types of drains used in surgical
wards?
b. Name one example each.
c. Name 3 complications of drains.

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Q63.

A. Name three tumors

that can be removed
via this incision.
B. Name one nerve at
risk during the
surgery.

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Q64.
a. What is this?
b. Give the anatomical basis for this.

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Q65.

This show the lower limbs of a

40 year old lady.
a. Describe the appearance
b. What are the important
point in the history and
examination?
c. What are the management L
options available?

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