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MRCS OSCE Recalls PDF

The document contains 18 multiple choice questions covering various topics in medicine including communication, pathology, clinical skills, history taking, anatomy, critical care, and clinical examination. The questions require identifying diagnoses, management plans, anatomical structures and relationships, and clinical reasoning.

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Hina Malik
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334 views

MRCS OSCE Recalls PDF

The document contains 18 multiple choice questions covering various topics in medicine including communication, pathology, clinical skills, history taking, anatomy, critical care, and clinical examination. The questions require identifying diagnoses, management plans, anatomical structures and relationships, and clinical reasoning.

Uploaded by

Hina Malik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MRCS OSCE QUESTION

1. Communication-
 Barium swallow X ray shows benign stricture, counsel for OGD and dilatation.
(Alcohol/smoking history + bloods all screwed up Hb low, LDH high, bilirubin high.
counselling for ogd + biopsy + dilatation, counsel for likely blood transfusion, and advise
management of smoking/alcohol.

2. Pathology- lump in neck of woman who went Saudi arabia.


 2 diagnoses
 What’s granuloma? 3 causes of granuloma?
 What patho test for TB?
 What other organisms can cause?

3. Skills- IV drip station


 Fluid management
 Management of trauma patient

4. History taking- First seizure, turned out to be brain tumor management

5. Skills- Trauma patient motorcyclist hit by car. ATLS principle


(Got oropharyngeal airway, got c-collar apply).

6. Communication- Patient likely perforation of viscus, need pre-op advise from ICU reg and need
to book bed).
 Call on phone and speak to reg.
 damn sneaky he’ll ask you to do invx/procedure for patient at the end, and just before you
put down, he’ll ask you to repeat all the stuff he ask you to do, so better copy down
everything.

7. History taking- Patient here for pre op assessment for cholecystectomy. Has shortness of breath.
( just go through cardiac/respiratory, then ask stress or turned out to be anxiety
 Dx?
 Management

8. Pathology- show picture of colon with numerous polyps.


 What condition? FAP
 What behaviour/lifestyle modification will you advise his siblings?
 What kind of gene?
 What kind of expression?
 List 3 extra-intestinal manifestations of FAP?
 What is dysplasia? What is ulcer

9. Anatomy- stomach/pancreas
 Cardia/fundus/pyloric antrum
 Name blood supply of stomach and pancreas
 What are space behind stomach?
 Point where is pancreas, Show ducts of pancreas
 What is peritoneal relation of head/body/tail of pancreas?

1
 What is peritoneal relation of 1/2/3/4th part of duodenum?
 What substances are produced by tumours of islet cells? (Name 3 substances)
 What vessel goes anterior to 3rd part of duodenum and what vessels are posterior
 If you do whipples, what vessels do you encounter?

10. Anatomy- Neck region


 Name the triangles and borders
 Name anterior triangle and the 3 sub triangles
 What is this muscle- omohyoid- what is innervations?
 What are the external muscles of tongue- what are their innervations?
 Submandibular gland- what 3 nerves pass?
 What kind of secretion does submandibular gland produce
 Show ECA, what nerve passes just anterior to ECA?
 Show spinal accesory nerve, what msucles do they innervate?
 Some lymph nodes -> what drains -> exclue head and neck maligancy-> list all the
possible malignancy. Shown photo of patho slide -> apparently malignant melanoma!

11. Anatomy- Foot anatomy


 Shown bones of foot, name the arches and constituents.
 Fix tibia/fibula together with talas
 Which position is most stable?
 Deltoid ligaments of ankle
 Lateral collateral ligaments of ankle
 List all the tendons present on anterior foot
 Which muscles cause inversion?
 Where are the PTA and dorsalis pedis artery?

12. Critical care- Trapped in burning room


 Calculate total surface and fluids regiman
 Shown CXR -& gt; ARDS
 What is ARDS? Managment of ARDS

13. Clinical exam- Post op day 8. Now complain of right inferior chest pain -& gt; but pointed like
right hhc. so in the end, did respi, abdo, cvs but i knew most likely DVT AND PE. so last minute go
check limbs, painful left limb when squeezed
 DVT
 Management of PE

14. Clinical exam- Lump on arm (lipoma)


 Dx, D/D, Managment of lipoma

15. Clinical exam- supposed to come for some surgery but preop assesment felt leg cold. Do
arterial exam.
- Really Buerger’spositve 30 degrees, cannot feel any pulse except femoral, but Doppler Positive in
DP and popleteal artery bilaterally, negative in pt. I have to rush -> not enough time, i just
managed to do brachial BP but not ankle BP.
 Managmenet of PVD

2
16. Clinical exam- Patient here for preop assesment for hernia repair but complaining of SOB.
Respiratory system exam?
 Really got signs- nicotine stains, and expiratory wheeze bilaterally.
 Will not recommend for hernia repair but patient adamant for surgery; how to manage? Use
open surgery, not laparoscopic because of CO2 pneumoperitoneum and COPD
 Use regional, spinal anesthesia but not GA.
 Preop care- chest physio, stop smoking, incentive spiro, anaesthetist consult, respiratory
medicine specialist.
 Postop care- early mobilization, chest physio, incentive spiro, manage in HDU.

17. Critical care: 2 scenarios


Post operative patient has SOB, CXR shows pneumothorax
 What kind of pneumothorax?
 Diagnosis- clinical, CXR
 Management- chest tube
 Examiner wants step by step how to do chest tube insertion, triangle of safety etc, why?
 Not trocar, blunt dissection with forceps and finger etc
 Suddenly worsening SOB, hypotension- tension pneumothorax
 What will you do now? Needle decompression

Can’t remember 2nd scenario………………

18. Patho/critical care- Diverticular abscess, septic shock, metabolic acidosis.


 Management

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