OSCES FOR MED 7 CLASS OF 2023

SURGERY OSCE
SGY OSCE TERM 1 SGY OSCE TERM 2
1.Pneumoperitoneum 1. Burns
2. Abdominal exam of a pt with a 2. Appendix specimen
stoma bag
3. Ewings Sarcoma
3. Skeletal traction
4. Maxillofacial Station
4. COM
5. Urinary catheter
5. Open tibial # plus ext fix
6. Suprapubic cystostomy
6. Depressed Parietal #
7. Duodenal atresia
7. Testicular torsion
8. Skeletal traction
8. Hematuria Causes, Investigations
9. Sigmoid volvulus
9.Anesthesia;
10. Appendix specimen
instruments: Laryngoscope, LMA,
11. Tracheostomy
ETT, Guedel
12. Chronic Osteomyelitis
10. Appendix specimen
13. Subdural hematoma
11. Pyloric Stenosis
14. Head injury
12. Local Anesthesia
15. Neck of femur fracture
13. Osteosarcoma
16. Abdominal exam (Ileostomy)
14. Acute Suppurative Otitis Media
17. Stoma Station
15. Amputation:
18. Supracondylar fracture
16. Malnourished pt (nonspecific
questions) 19. Anesthesia station: LMA, ETT,
OPA, Laryngoscope
17. Hydrocephalus
20. Intercostal chest drainage
18. Skin graft 1
21. Breast
19. Skin graft 2
20. Sigmoid Volvulus specimen
SGY OSCE TERM 3 different sizes, what size is used in a
65-year-old man, indications,
1. Spectacle stoma- indications, types
complications
of stomas, complications
12.Picture of breast lump-
2.Pneumoperitoneum XRay-
differentials, risk factors of breast
differentials, management and types of
cancer, clinical features,
surgical site infections
investigations, treatment
3.Skeletal traction- prerequisite,
13.Sigmoid volvulus specimen-
procedure, indications, daily care of a
causes, immediate management
patient on traction
14. Appendix specimen- presentation
3.Chronic osteomyelitis X-ray-
of patient with acute appendicitis,
differentials, investigations, treatment
management of appendicular mass
4. Osteosarcoma X-ray- differentials,
15. Burns picture- classify types of
investigations, treatment, Enneking
burns (according to depth), calculation
Staging
of percentage burns (rule of 7 etc),
5.Wilm’s tumor CT scan- differentials, immediate management, stages of skin
investigations, treatment grafting
6. ATLS protocol, types of shock 16.Anaesthesia- identification of
7. Stoma 2- end colostomy indications, instruments laryngoscope(parts),
complications endotracheal tube (signs of correct
intubation, calculation of size in an 8-
8.External fixation- types, parts, year-old girl using formula),
improving stability, indications oropharyngeal airway, other
9. Mass on the lower back in the region 17.Ophthalmology- orbital cellulitis
of the spine (lipoma???) picture - differential diagnosis,
differentials, investigations history/physical exam findings,
investigations, treatment
10. Head injury CT scan- calculating
GCS, indications of CT scan, 18. Hydrocephalus picture- what do
significance of pupil dilation in you see (features of hydrocephalus),
relation to the side of brain injury, etiology, investigation of choice,
management surgical treatment options

11. Urinary catheters- identify the

instrument, what material is used,
SGY OSCE TERM 4
1. Orbital cellulitis: Signs in pic, risk 7. ICD: Examination of pt with ICD,
factors, complications, management. triangle of safety and why it’s called
‘safe’, indications for ICD,
complications.
2. Club foot/CTEV: Pic of child - 4
deformities, assoc conditions ie
VACTERL, management. 8. COM: X-ray reading, management.

3. Head CT: subdural haematoma 3 9. Osteosarcoma: X-ray reading,

weeks post injury, calculate GCS Enneking classification, management.
score, features on CT,
Pathophysiology of ipsilateral
pupillary dilation and contralateral 10. Approach to an RTA victim
hemiparesis, Mx. brought in at casualty.

4. Anaesthetic instruments (many): 11. Gastroschisis and Omphalocele:

pick and name any 2 used during Identify them from pics, 2 differences,
endotracheal intubation, demonstrate immediate management and definitive
endotracheal intubation on dummy Mx. Diffs in Mx (prevent and Mx
without verbalising, list ways of hypoglycemia in omphalocele. These
confirming correct ETT placement. pts have pancreatic islet hypertrophy
—> hypoglycemia)!!

5. Scenario of Space occupying Lesion

(SOL): features pt will present with, 12. Pneumoperitoneum: erect X-ray
explain Kelly-Monroe, classification reading, DDx/causes, Mx approach.
of SOL, investigations, Mx. Cushing’s
triad and Mx of raised ICP and SOL.
13. Burns: classification, approach to
pt with burns, complications.
6. Anterior Neck mass pic: DDx,
investigations, Thyroid ca types,
indications for thyroidectomy.
14. Breast Mass (2 yr hx): DDx, breast them, units for catheter size,
ca, risk factors, how you’d approach indications, complications.
this pt ie triple assessment, Mx.

21. Adult male pt, wasted and with

15. I.O scenario with sigmoid tracheostomy tube in situ and mass in
specimen: Dx, investigations, Mx the left side of neck. What do you think
approach. was going on in the pt ie DDx ( most
likely malignancy ie
laryngeal/pharyngeal/lymphoma/thyro
16. Vermiform Appendix specimen: id/muscle/tracheal cancers etc).
Identify specimen, natural history, Dx
- Tracheostomy care/ Complications
ie Alvarado Scoring System and
interpretation.

17. Stoma: Examine pt with colostomy

with stoma bag, indications,
complications

18. Stoma in LLQ (pic): Name type

and give reason, Paediatric indications,
complications etc.

19. Cholelithiasis (pic of gallstones

and gallbladder): Define surgical
jaundice, name procedure done to
remove the gallbladder and stones,
immediate Mx as intern in casualty,
definite Mx.

20. 2- & 3-way Foley catheters:

Naming, 2 materials used to make
ITERNAL MEDICINE OSCE
IMED TERM 1 OSCE IMED TERM 2 OSCE
Unmanned Unmanned
1. Ankylosing spondylitis (bamboo 1.Psoriasis
spine) on Lumbar X-ray
2.Hemodialysis
2. Pericardial effusion (on Echo)
3.Rheumatoid Arthritis
3. Neurocysticercosis (CT)
4.Aplastic anemia
4. Hemorrhagic stroke (CT)
5.Abdominal CT showing Ascites
5. Hemogram (Macrocytic anemia) hx
6.HTN and dx of pheochromocytoma
, investigations, mx
7.ECG of S1Q3T3 - diagnosis
6. Chest X- ray (Pleural effusion)
Pulmonary embolism
7. DKA scenario
Manned
8. Electrolytes imbalance and
8.CVS exam-Heart failure
interpretation (metabolic acidosis
picture?) in a px with cough, fever etc 9.Respiratory exam- Pleural effusion

9. Kaposi Sarcoma and IRIS 10.History taking and management

Upper GI bleeding
Manned
11.History taking and management
10)lower limb exam
GBS
11)GIT exam
12.Anaphylactic shock management
12)CVC exam
13) OPP EMERGENCY STATION
IMED TERM 3 OSCE IMED TERM 4 OSCE
1. Lumbar puncture 1. GI exam
2. Lower limb exam: ddx paraparesis 2. Shingles, clinical stages and
management
3. COPD hx taking
3. Respiratory exam
4. Infective endocarditis hx taking
4. Lower limb exam
5. DKA
5. Malaria, lifecycle, presentation and
6. COVID-19 Vaccine-Induced
complication
Cerebral Sinus Thrombosis
6. Pic of exophthalmos, presentation
8. Rheumatoid Arthritis
of hyperthyroidism, pathophysiology
9. ECG - A. Fib of the exophthalmos
10. Blood transfusions in SCD patient 7. VITT, pathophysiology,
11. Herpes Zoster Shingles management

12. GI exam – Ascites 8. Rheumatoid arthritis, management

and cause of anemia in it
9. History taking, infective
endocarditis
OBSTETRIC & GYNAECOLOGY OSCE
OBGY OSCE TERM 1 OBGY TERM 2 OSCE
1) Instruments (cuscos and uterine
curate )
a. Manned
Indications
1. Counselling a couple: Infertility -
2) Drugs (warfarin, MISOPROSTOL, pelvic scan shows tubal blockage. All
hydralazine) other couple invx normal.
2. Management: Molar pregnancy
with shock. Dx, immediate mx and
3) ectopic pregnancy hx and
later mx.
counseling
b. Unmanned
3. Contraception: Jadelle.
4)copper IUD
4. Interpretation of results: Hydrops
(Indications and Insertion)
fetalis (pic of baby and US during
pregnancy). Dx, dx signs on US,
5) Mx of sickle cell and it's complications, description test to do
differentials during pregnancy to assess severity.
5. Drugs: Tranexamic acid, hydralazine
and Nevirapine.
6)PCOS u/s(tx,hormones,symptoms)
6. Partograph (already plotted):
primigravida with SPE, poor progress
7)partograph of labor then eclampsia.

No resting station 7. Instruments: Hegar's dilator and

forceps + breech head delivery.
OBGY TERM 3 OSCE OBGY TERM 4 OSCE
1. Drugs: oxytocin, MgSO4 and 1. Instruments: uterine curette and
Hydralazine Cusco's speculum.
2. Drugs: warfarin, misoprostol and
hydralazine.
2. Instruments: episiotomy scissors
and hegar dilator 3. Ectopic pregnancy: counselling
3. SPE management 4. Coper IUCD: indications,
complications and insertion.
4. IUD copper
5. Management: SCD in pregnancy
5. Counseling GDM IUFD
6. CTG: late decelerations.
6. Molar pregnancy
7. Partograph: MPE which progressed
7. Plotting Partograph
to SPE and then eclampsia.
PAEDIATRICS OSCE PAEDS TERM 2 OSCE
PAEDS OSCE 2023 TERM 1 1.Neonatal jaundice
Unconjugated bilirubin from values
provided
1. Nephroblastoma
2. Cxr suggestive of TB in RVD
2. DM
3. Mx of severe dehydration in
Malnutrition Known dm but uncontrolled,
questions you would ask
4. TOF - features, Drugs to avoid in
preg that can cause cardiac defects, Normal values
ddx, cxr, complications
3. GI examination
5. DKA - mx of cerebral oedema
4. Scenario of OPP
following over hydration.
How you go about managing
6. Malaria/Meningococcemia
5. Sickle cell counselling pregnant
7. Meningitis with sezures.
woman
8. ECG
6. Respiratory system examination
9. Counselling of parent of newly
7. CP pt with seizures hx taking
diagnosed sickle cell disease pt.
8. Scenario on severe malaria with
10. Bone marrow needle - name,
complications of AKI ,
indications.
Hyperkalemia(ECG was there on the
11. Nephrotic syndrome/CKD. same station), pulmonary edema
9. Interpreting growth charts
Question on resomal
What it is?, it's use?
10. Schistosoma eggs(mansoni)
KUB (ivu)looked like a unilateral
obstructed ureter
 Mention abnormalities in child in
video, Differentials, short- and long-
PAEDS TERM 3 OSCE
term complications of neonatal
meningitis.
1. 2-way Foley catheter: Name,
indications, complications, how to
7. Spinal needle: Name, indications,
insert.
locating landmark for procedure,
contraindications, complications.
2. SCA sudden onset chest pain &
dyspnea: Differentials, investigations,
8. TB in SAM with U5C: child was HIV
ACS Mx, methods of O2 delivery in
exposed, extremely underweight,
ACS, long term Mx and all the
chronic cough, several missed
necessary prophylaxis in SCA.
immunizations - how would you
investigate this child? Gene expert
3. DKA: Dx, Mx, Cerebral oedema showed rifampicin sensitive TB and
(Cushing triad) and Mx. DCT test negative. What would be
your subsequent Mx?

4. Down Syndrome (Pic Spot Dx):

Features in pic, systematic 9. Resuscitation of 1 y/o child bought
complications, your advice about in unconscious after a hx of fitting for
schooling in this pt, genetic 1hr: You demonstrate an outline Mx
changes/causes, prenatal screening of seizures(status). Components you’d
and postnatal definitive Dx assess under Disability in ABCDE
investigation. approach to this child.

5. CVS examination. 10. LFTs of 7/52 infant with hx of

yellow eyes and prolonged bleeding
after vaccination: showed conjugated
6. Neonatal meningitis following
home delivery (video of fisting,
boxing, cycling, chewing movements):
PAEDS TERM 4 OSCE Station 8- Management of Status
Asthmaticus
Station 1- Respiratory exam

Station 9- counseling pregnant

Station 2- Neuro exam Lower limb
woman who has a 2yr old with sickle
cell disease
Station 3- Unmanned: Child with
pulmonary TB and SAM- other
Station 10- Picture of Bitot spot:
investigations, immediate
Vitamin A deficiency, other features
management and EMTCT
of it, how to give Vitamin A, sources
and physiology of vitamin A.
Station 4- Unmanned Hemogram Admissions criteria of a patient with
showing Pancytopenia with SAM.
lymphocytosis’ Aplastic anemia, other
investigations, complications and
definitive treatment

Station 5- Management of DKA with

cerebral edema

Station 6-Interpratation:
Unconjugated hyperbilirubinemia,
phototherapy machine-precautions.
Prevention of Neonatal jaundice

Station 7- Management: child with

Severe malaria, Aki with
hyperkalemia, Heart failure and
hypertension
.