viva-1
viva-1
Chest e dekhan
Investigation
Treatment
----Short case(Medicine)
3.Bell's palsy(Jahangir Sir)(Inspect & Examine the face,Finding bolen,eyelid open korchen ki
jonno?-eyelid r muscle power dekhar jonno koislam mansoin na,What is Bell's sign?Bell's
sign kivabe dekhe?Ear e ki deksen?Hyperacousis keno hoi?)
Short Case(Paediatrics)
---Viva
1A.(Nazmul Sir)-Read the ECG & tell the diagnosis(Extensive anterior MI),Feature of
MI,Immediate complication of MI,What is used to reduce pain in MI)
Short case -sob board a sudu examination and findings ,splenomegaly er cause ekta board
e daksen.
Viva-
Kamal sir-nerologic dsz name,infectious dsz name,poisoining dsz name,geriatric dsz name.
Pedi-
Skin-psoriasis,treatment.
Dx- Asthma
(Jahangir sir)
Short case
1. Najmul sir : General examination of face and neck, ki ki finding, puffy face cause
Facial nerve examination,what is Bell's sign, Bell's phenomenon mane ki ,kivabe dekhi ?
Hyperachoisis ki?kno ? Which nerve ?
Board viva :
Najmul sir - ecg dx, extensive ant MI chilo,pore sir finding ki ki ase dekhaite bolse,pore lead
change kore abar dx ask korse then MI c/f, mx , complications,every complications devlp
kortese kina kivabe bujba..DM - dx kivabe korba
Ata kisher x-ray -COPD , d/d ki hobe? Treatment ki diba? Fe defi anemia ki cz , thalassemia
kun type er anemia? Fe def anemia specific finding ki paba? CVS examination a ki paba?
Nail a ki paba?
Kamal sir : Name some Neuro dsz , MND ki ?scenario bole d/d ask koren.. genetic koyekta
dsz er name bolo ? Duchene muscular dys ki type dsz ? Geriatric dsz er name bolo? OPC
poisoning c/f, mechanism ..pic - hyperthyroidism ( c/f, cz )
Shiddharto sir
Pic-psoriasis, finding dekhao,rx bolo , scabies agent name,rx , leprosy type ,rx ,
schizophrenia scenario, feature,rx, mania feature,rx
Pedi - card q and instrument ( percussion hamer dhoraisen,use);xray(consolidation -d/d )
Long case(COPD)
History present ,findings: chest normal shape r expandability reduce asil,sir koisoin
dekhaw
Investigation,treatment
Short case:
1:jahangir sir: spleen palpation,findings ,spleen kne, spleen r kidney difference, spleen
balotable oy ni?
2:kamal sir: facial nerve palsy ,findings,UMN and LMN palsy difference kita,why not UMN ?
:peadi
Viva:
Findings ,kmne bhujbay old na new?bp def,HTn def,complications, AGN features, cushing
syndrome kita ,investigation
Long case--
PUD,Najmul sir
What is Ur case...DD ki
And point against in Ur DD...usg of pancreas krle ki finding deke bujbo eta pancreatitis --
gallstone deke bujbo.
Short case--
1.Bell's palsy ,(jahangir alam sir) inspect na PT and do the relevant,facial nerve er
function,facial nerve kun dhoroner nerve--mixed cranial nerve
2.Foot examination (Najmul sir) inspection and check temperature..Jodi ak paye temp
normal r arekta te thanda thake sthe bluish discoloration dx ki---peripheral vascular
disease.
3.Abdomen examination (Kamal sir) inspect the abdomen..spleen Vs kidney Vs intestinal
obstruction.
Board viva
2.najmul sir
X ray--low flat diaphragm and collapse lung margin,dx COPD with pneumothorax, causes of
IDA and how will u dx clinically.
3.kamal sir
ECG--AF ,cause,CCF mane ki,cause of CCF,angina theke kicu akta qstn chilo akn mone
astece na...bt Ami answer dicilam central chest pain,what is DKA and cause,upper UTI er
urine rme te ki pabo-RBC cast pabo ..tahole upper UTI Hoi amn akta disease bolo-
AGN,lower UTI Hoi amn akta disease -BEP,
4.siddhart sir
Scenario--dementia
Scabies er agent, complication,acner agent.
X ray ricket ,X ray te widening cupping fraying eisob dekano lage...Ami pari nay ..sir onk
mind krcen..tmra aktu valo kore deke jaio X ray te sign gula,ricketic index,card qstn,sudhu
akta nije jiggasa krcen j LBW baby te GIT te ki complication Hobe.
2hand e korte hoy dekhe niyo , sir 1ta hand diye korle mane Na )
Ca cervix er screening test Ki, Kun jayga theke ney, Ki ney (cell)
Short case
2. Nazmul sir
Findings bolo
4. Sultana maam
Neonatal jaundice
Inspect the baby- back side o dekhte hobe kunu abnormality ache Ki na
Findings Ki Ki
Spleen palpation
Viva
Card
2 . Sultana maam
Card qstn
3. Nazmul sir
X-ray: findings Ki Ki ache (collapse lung margin on left side, low flat diaphragm ,
tubular heart shadow)
Scenerio- dx (copd)
Rx ki Dibo
Causes of IDA
Causes of AWD
4. Jahangir sir
Atropine dose
What is delirium
5. Psychiatry
Picture- H zoster
Organism Ki
Treatment Ki Dibo
Scenerio- dementia
Rx
S/E of antipsychotic
6. Kamal sir
Causes of hypothyroidism
Spleen, why spleen. Is Spleen always non ballotable. Spleen with respiration move or not
2.hand examination, , liver cirrhosis ki ki pawa jay hand e.alcoholic liver cirrhosis e ki pawa
jay hande.
Presentation. Type uti,tumer case kunta (cystitis) feature. stranguary.investigation. Kun test
specific -culture /sensitivity.
Investigation ki korba.
Treatment ki dibo.
D/d.
Methotrexate dose.
2.hand examination, ki ki deklam, liver cirrhosis ki ki pawa jay hand e.alcoholic liver
cirrhosis e ki pawa jay hande.
Presentation. Type uti,tumer case kunta (cystitis) feature. Stranguary.investigation. Kun test
specific -culture /sensitivity.
Investigation ki korba.
Treatment ki dibo.
D/d.
Surgery
-d/d
-complications if untreated
Board 1 :
-ulcer classification
-what is ercp,indication,contraindications,complications,procedure
-volvulus?common site?
Board-2
-haemothorax?causes?treatment?
-pneumothorax?cause?findings?treatment?
Short case:
Short case:
Guljar sir:a patient come with sever abdominal pain having past history of upper abdominal
pain with ulcer.what will be the cause of severe pain now? Ans:perforation of ulcer
Salient feature, ureteric stone a Kidney te ki te Menifestation hote pare? Renal Angle
tenderness Dekhao..Location ki? BEP er treatment. In case of BEP urinary bladder a ki
menifestation paba? Renal stone. Parts of urethra?Massive haematuria r cause.Acute
urinary retension er treatment in case of BEP, in Urethral stricture. Renal failure er
confirmatory investigation. Treatment. k+ level koto hole dialysis korte hoy?
Short case:
Neurofibromatosis:
Present ur case
History ki ki niba
DD ki
Ulcer:
Present ur case
Short case:shudhu inspection kore kono ques jiggesh na kore tumi ei pt (neurofibroma) dx
ki bolba-lipomatosis,lipoma ki,lipomatosis ki,lipoma mane,confirm kivabe korba,malignant
transformation hole ki bole,criteria ki,eta malignant dx howar por ki korba(staging), chest
liver e metastasis hoise kina kivabe bujhba(chest xray,ct scan,usg)liver e ki paba,contrast
usg te contrast kivabe deya hoy.
Board 1-small ints obs feature,rx,keno catheterize korba (urine output measure kore intake
output chart maintain korte),small ints obs er cause,volvulus er common site,predisposing
factor,xray finding, haemorrhage er classification,secondary hx kon opt e hoy(shob opt e
hoy),er cz ki
Board 2:
Short case :
Haemangioma :examine the pt present your case? Why transillumination test is done n
what is your finding? In which condition transillumination test +ve , not to say hydrocele say
cystic hygoma, common site, rx of haemangioma, other rx than surgery
DM foot ulcer:only inspection then present you case, edge,floor, rx, skin graft and falp,
which on is good in this condition why? And before flap which examination you will do and
why? (peripheral pulse, if absent graft rejection hobe)
Long case;
Chr. Cholecystitis: present your case dx ki dd inv. Finding pre operative management, rx
type, port used in laparoscopy, which artery you preserve? Length of cystic artery, pressure
in cystic artery, if rupture ki hobe?
Board 1:
Board 2:
Type of peripheral nerve injury. Type of anaesthesia, drugs used in general anaesthesia, and
all about obstructive jaundice
What it is? (Diagnosis), type of dermoid cyst, eita kon dhoroner dermoid, fluctuation test ki
korso, (ha korci) ,ki paiso, positive, kno positive, kon bone er relation e ase,ent r ekta
disease hoy oitar sathe related (csom),lymph node ki ki dkhso ,eita jdi painful hoy &pus
thake vitore taile ki hbe
(inflammation)
Taile ki lyphn node enlarge pabe, inflammation hole lymph node kmn pabe,r malignant
hole kemon hobe?
What is your diagnosis? Kne koilay eta renal stone?(history theke bolo), 3ta investigation
bolo kongula tmi age diba, ct urography r IVU konta vlo ,konta available, finding ki pawa
jay,treatment of renal stone bolo,pv Junction e stone hole ki krbo , r 2/3ta krsen mone nai
Board 1
Tsh koi theke ashe,t3 t4 koi theke, anterior&posterior pituitary theke ki ki ashe,adrenal
theke kongula ashe,shock er mechanism e cell e ki hoy ,end product ki
Board 2
Charcot triad? Kon condition e hoy? Baccha der kon kon fracture hoy,supracondylar
fracture , complications, ulner nerve e prblm hoile ki hoy, median nerve e ki hoy,radius e ki
hoy,osteomyelitis er organism, baccha der kon organism diye commonly hoy
Surgery
Short case
Board 1
Broad 2
Short case..
Diabetic foot ulcer ( big)
Ulcer.. Presentation..
Treatment
Complication
Types of edge..
Long case
Chronic cholecystitis
Present
Preparation of patient
Board viva 1
Board 2
Phymosis,paraphymosis..which is bad..treatment
Indication of circumcision
Hydronephrosis..cz
SURGERY
Short case.
Ulcer : examination ,undermined edge,punched out edge,stages of ulcer,how will you close
this ulcer,graft vs flap,Which is good for grafting partial thickness graft or full thickness graft
? criteria of good graft,which investigation to know if the ulcer is infected or not?
Swelling :Haemangioma
Compressibility test and which system is this test for? Reducibility test for which system?
Types of hernia,parts,contents,if omentum present it is called,if intestine present it is
called?? Features of strangulated hernia and obstructed hernia??how to assess viability?
Types of harmangioma,features of arterial haemangioma,what is fistula,murmur in A-V
fistula is called?In urology dialysis what fistula is made?
What ques you will ask? (kuno traumar/hata cholar kuno somossa ache na ki,thakle
kotodin theke)
Long case-
BEP
Presnt your case,
Medical rx ki?
TUrP er indication?
untreated bep with renal function impairment ashle tumi ki dialysis aghe korba na aghe
turp korba?keno turp aghe korba keno dialysis na?
TurP er por urinary retention niye ashbe keno?(reactionary hmrrg due to clot)
clot tumi kun syringe diya remove korba nam bolo(parle valo na parle eitar jonno fail diben
na bolchen)
Board 1
Dr gulzar
Intestinal obstruction er cause bolo( আন্সার বলার সময় হইতে পাতর,অথবা,োরপর বলতল সযার
ববরক্ত হন)
external-
What is tension pneumothorax? Mechanism ki? Mediastenum kun dike shift hobe? Xray
finding ki paba? Immediate managment ki diba?
Kun anaesthesia(1%lignocaine)
Board viva-1
1. Ulcer :examine the patient and present your findings. Why is healing difficult in DM
ulcer? How will treat this case? Graft vs flap ? Which is better?
2. Neurofibromatosis: tell your Dx only on inspection. What history will you take? Why is NF
associated with hearing loss? Why fam history is important? Inv? Indication of excision.
2. Case presentation
3. How will you differentiate between renal stone and chr cholecystitis on x ray?
9. How many days before should you start Ax prophylaxis in CBD operation?
10. Why more bleeding in cbd stone? And how to prevent bleeding during surgery
11. What new inv can you do to tell if renal stone is present? ( CT scan)
14. If usg doesnt show cbd stone due to bowel gas then how would you know stone is in
cbd? (Cbd is dilated)
Board 1.
X ray finding. Why patient feel difficult to sleep in achalasia cardia?( food goes in trachea
and aspiration during sleeping)
If malignancy in sigmoid what inv to see and take biopsy? (Sigmoidoscopy and biopsy) but
if whole colon is to be visualized colonoscopy is done. Synchronous lesion vs meta
synchronous lesion. Tenesmus and its cause? Why tenesmus occurs in rectal ca?
Define shock. What will be the c/f if patient is hypoxic? Bed side inv and invasive inv for its
evaluation?( pulse oxymeter and ABG) what artery is ABG done from?
Board 2.
Causes of obs jaundice. C/f of obs jaundice. Why stool pale? Inv for obs jaundice? How
much ALP needs to rise to say obs jaundice? Why ALP rises in obs jaundice? Treatment
before surgery in obs jaundice. Mrcp importance in obs jaundice. Type of obs jaundice in
periampullary ca and cbd stone.
Atls : how will you manage a patient if he comes due to RTA in emergency (atls protocol
management)
Examination , finding , diabetic foot ulcer bujla kemne ? ( Patient er diabetes ache )
Treatment ki diba ? Prevention ki? Ar ki ki history nite pari ? ( Smoking history - peripheral
vascular disease hoy)
Kun investigation kore abdomen er disease alada korte pari? Hydronephrosis Def .
Unilateral cause . Electrolyte with normal value. Volvus Def . Pelvic ureteric junction er
kuthay obstruction bujar jonno kun investigation kori , burn er fluid management , burn er
complication.
Board 2 : liver e ki ki cyst hoy. Mucocele of gall bladder er pathophysiology, phymosis , para
phymosis Def , treatment.gcs ki ? Spinal anaesthesia complications. Colles fracture Def .
Kader besi hoy. Clavicle fracture er treatment ki dibo. Clavicle fracture ki vabe hoy.
Hydronephrosis Def , cause .
Short case:
Short case:
Short case- neurofibromatosis,why called,ki ki qs ask korba, treatment ki, kokhn excision
korbo er age ki korbo kane ki problem hoy,malignancy hole nam ki,pithe ki dekhba etar
namki keno hoy, ei shob symptoms present thakle amra eksathe ki boli,pt ke ki bolbo-full
shirt porte bolbo
Pain er character, haematuria kivabe confim korba, ar ki test korba, stone er nam, kongula
shadow dey na ei type ekta qs chilo ami bujhi nai
New kun inv, koi kora hoy, duita kidney te stone thakle kun inv korba , pore etar vitore
dhuksen kivabe kora hoy ami external sir er qs bujhi nai
Board 1- thyroid er tumour, ki ki test korbo tsh koi theke t3 t4 koi theke ashe ,complications
of thyroid surgery, salivary gland location koyta thake, ki kaj etar, eta ki acidic or alkali,
facial nerve er zygomatic branch ki kaj kore,thyroid er tumour
Board 2- what is tumour, bone tumour classification, in details, breast ca koi age
metastasis hoy, lucid interval, extradural haematoma ki , ct scan findings eta chara ki
findings ache, spinal anaesthesia koi deya hoy keno ekhne deya hoy, er upore dile ki hobe,
complications, taile ki type er lesions hobe, kun type er paralysis hobe, short case e je
baccha ta ase etate mainly krno hoise,volvulus def, emergency condition where immediate
surgery is done
2.Septic abortion ki? Why AB coverage before initiating treatment in septic abortion?
3.Vaginal candidiasis treatment jonno kichu special advice diwa lagbe? (Maintain
personal hygiene,coital abstinence or use condom during intercouse)
4.Ca of cervix question.How do you confirm your dx? (Elora mam and external said :
clinically because u see hard fungating mass ) mam ra colposcopy and histopathology
manena .
5.Indications of TAH
Gynae : prolapse normal all .VH late complication 4ta.Ant colporrhaphy and post
colpoperineorhapphy mane ki?
Obs : Puerperum . 2nd POD complications.Investigation Urine RME keno kora lagbe
after operation.How long do u keep catheter in C/S patient.if obstructed labour how
long keep? Why .
Obs board:card question plus extra from related topic.(i forget questions but questions are
like in obstructed labour catheterization how may dsys?and why?to prevent VVF
Gynae board:card question plus extra from related topic like in ca of cervix parts of
cervix?lining epithelium?
why ampulaa ectopic pregnancy rupture more.? retension of urine cause in gyne.
Rabeya mam- Cs complications discharge advise tell your diagnosis which organ mainly
chance of injury in tah bladder.
Gynae long case:
Fibroid-- by external present ur case indication of TAH complication when sticth removed
diff betn fibroid and adenomyosis must know everyone.symptoms of fibroid
Name some malignancies of gynae? In which screening is done? What are the screening
methods?
Why 2nd degree? Treatment? In Vaginal hysterectomy how long catheterization done? What
else is done?( vaginal packing) for how long? (24 hrs) why not longer? (Infection). If bladder
injured during VH what should be done? ( catheterization for 14 to 21 days to prevent vvf)
Long case 2(obs elora maam) Present your case. Importance of umbilicus examining in
writing babys note. What advice will you give to the mother for the care of umbilicus? Why
is the umbilicus kept dry? (If wet infection occurs) if infected umbilicus what will be seen?(
signs of inflammation + fever )
Case
Obs. NVD
Gynae. Fibroid
Diagnosis,dd,why dd
--ENT
Case(Chronic tonsillitis),Presenting problem,allergy,repeated sneezing r history ase
kina,thakle allergic rhinitis present,why not acute tonsillitis? Where Jugulodigastric
lymphnode lies?Dekhan,
---Eye
ENT
Length r level of oesophagus, diaphragm koi Pierce kore,lining, type of CA.. Lower CA ki
treatment n why
Features of hypothyroidism
EYE
Why do we measure BP
Xerophthalmia, stages
ENT:
DNs to lt.
Kun level a korba? Immediate comlicaton ki? Apnea ki? Apnea keno hobe? Apnear
treatment ki diba(artificialy co2)
Village pt. With tracheostomy ki advice diba discharge er smy?( pukur ba nodite gusol
korbe na)korle ki hobe?
Tracheotomy er por pt. Kivabe kotha bolbe? ( opening er upor hat diye)
Perichondritis kader beshi hoy?(multiple ear piercing on cartillage stylish meyeder) ear
piercing er common site?ear lobule
Eye-
PCO er treatment?
Stye vs chalazion?
Lid diseses?
Ptrygium er treatment?
ENT-
Eye-
Characteristics of mature and hyper mature cataract, Rx, complications of SICS, define
glucoma, feature of POAG, Visual field defect ki ki hoy,symptoms and sign of ACG,
treatment ki diba, pilocarpine kno 1 hr pore diba
Partial turbinectomy complication ki?(2nadry atropic rhinitis)
R ki ki type rhinitis ache? Allergic hoile kivabe treatment korba? Tumar case a ki kuno
allergy history chilo? Eita kivabe complete cure korba?( complete cure not possible)
ENT
Case ki ki chilo, Dns mane ki, why inferior terbinate hypertrophy to opposite side, nose
pathology ki ki ase, allergic rhinitis treatment ki, which instrument is used to diagnose this
disease, cause of unilateral and bilateral obstruction, treatment of your case,
Chronic tonsillitis, clinical features, allergic rhinitis treatment, why not acute tonsillitis,
location of jugulodigastric mode,
Laryngoscope types, kun kun structure dekha hoy, tracheostomy indication, oesophageal
carcinoma diagnosis process, CSOM er type, cholesteatoma kuthay pawa jabe, why
marginal perforation. Otomycosis def , treatment.
Eye
Cataract -
Types with findings, treatment modality, which 1 is best why,SICS steps, complications,
eyelid disease, glaucoma define with classification, congenital glaucoma treatment,
clinical feature
ENT
Why chronic? Acute kno na ? Pt ki prob bolche? Eta kun tonsil? Koi thake? R ki tonsil ase?
Ogula koi thake ? Nasopharyngeal tonsil enlarged hoile otak ki bole?
Akta baccha coin Jodi kheye fele kivabe sure hoba ? Ota kuthay paba ? Oikhane kno paba?
rx ki diba ?
Pharynx er extension bolo? Larynx er extension bolo? Neck r throat bolte ki bujho ?
Case 2 .. DNS
Pt er complaints ki? Tumi ki dekso examination kore? Saptum kmne form hoy? Ethmoid
bone a koyta air cell thake ?
CSOM er modern term ki akhn? Pt er maa ashe ki complaints bolbe? Tumi kivabe bujba?
Discharge kirokm thakbe? Types ki ki?
Polyp ki? Mastoidectomy ki ki type ase? MRM korar por ki complications hote pare?
Hyperthyroidism cz ki? Kivabe dx korba? Ki rx diba? Trade name bolo? Kivabe divided dose a
diba? Gorib pt k ki diba?
Eye
Case ki? Direct dx liksilm sir bolchen findings likhe likhar jonno..pt er age bolay boka
disen.. short case a pt k kichu ask kora jabena a/t ex sir..