MINI OSCE

Feb 2021
 A 60 year old patient underwent CBD
exploration 2 weeks ago for biliary stones

• Name this study:

T tube cholangiogram

• What is the suggested

treatment?
ERCP and stone removal
A 20 year old male is being investigated for secondary
hypertension due to adrenal mass

• Describe the seen

pathology:
Mucosal neuroma

• which chromosome is
responsible for this
syndrome?
Ch 10
A 3 months baby presents with constipation, abdominal cramps
and distention

• How do you confirm the

diagnosis?
rectal Bx

• What is the most common

genetic mutation associated
with this condition?
Ret Proto-oncogene
A 60 year old female patient presents with anal itching and
discharge

• Mention a viral infection that

represents a risk factor for
this lesion?

HPV

• Which lymph node group

might be usually involved?

Inguinal LN
A 60 year old male patient is being investigated
for this pancreatic lesion

• Define the most probable diagnosis:

neuroendocrine tumor
• Name the specific imaging study to diagnose this
mass?
• PET Gallium DOTATIC scan
 A 50 year old male patient admitted as case of
infected pancreatitis that has been treated in the
hospital for the last two weeks, underwent
colonoscopy as he develops bloody diarrhea

• What is your diagnosis?

Pseudomembranous colitis

• What is the causative

microorganism?
Clostridium Difficle
A 50 year old male patient presents with itching and discomfort
in his back

• Mention the most common type

for this disease?
superficial spreading

• What is the management?

wide local excision +/-
lymphadenectomy
An infant has abdominal cramps and bloody
stool

• Name this sign:

Claw sign

• What is your diagnosis?

Intussuception
A 40 year old obese male presented with heart
burn and regurgitation

• Name the structure

labeled with the yellow
arrow?
Rt Crus of diaphragm

• Name the structure

labeled with the red
arrow?
Inferior Phrenic vessel
A 45 year old male patient presents with dull right flank pain
for several months

• What is the found

pathology?

Grynfeltt hernia (superior

lumbar hernia)

• What forms its lateral

anatomic border?

Internal oblique muscle

• Medially: Quadratus lumborum muscle
• Superiorly: Twelfth rib.
A 50 year old male with Hx of hematamesis undergoing upper
endoscopy and Bx from this lesion

• If Bx reveals spindle cells and

positive stain for C-kit, what is
your diagnosis?
GIST

• Treatment f choice in
metastatic disease?
Imatinib (Gleevec)
A 70 year old diabetic male patient admitted with upper
abdominal pain

• Identify this pathology?

emphysematous cholecystitis

• What is your next step?

cholecystectomy
A 50 year old female underwent liver transplantation
6 years ago, presented with these skin lesions

• Name the most probable

diagnosis:
Kaposi sarcoma

• Name a virus that is almost

found in this lesion?
HHV-8 Human Herpes
Virus 8

14
A 30 year old patient is being investigated for
epigastric pain and retching without vomiting

• What is the diagnosis

Gastric volvulus

• Name 1 associated
pathology:
Wandering spleen
Diaphragmatic hernia
Pancreaticography during ERCP showed this
pathology

• Define the pathology:

pancreatic divisum

• Mention the treatment

required in MOST patients
with this pathology:
Nothing
A 65 year old male is undergoing screening
colonoscopy

• What is the most common

complication for this lesion?
LGI Bleeding

• What is the most affected part of

the colon?
The sigmoid
You are called to assess a new born in the NICU as he
develops desaturation

• What is the pathology ?

Congenital Diaphragmatic Hernia

• What is the most probable

cause for mortality in this
pathology?
Pulmonary Hypoplasia
A 50 year old male patient, smoker, presents with right lower
limb ulcer

• What is the underlying

pathology?
Chronic venous insufficiency

• Name the surrounding

cutaneous manifestaion?
lipodermatosclerosis
A 50 year old female complaining of mastalgia
with no palpable masses

• What is the finding?

cluster of
microcalcification

• What is your next step

regarding this pathology?
wire localization excision
A 60 year old male suffers from regurgitation of
undigested food

• Describe the labeled

pathology:
Zenker diverticulum

• What is the surgical

management?
Myotomy
A 50 year old male patient underwent
laparatomy for acute abdomen

• Define the pathology:

small bowel diverticulosis

• Mention one possible

presentation for this lesion
GIB, perforation,
obstrucion
A 30 year old female is being investigated for
abdominal pain

• Name the found pathology:

hemangioma

• Name the syndrome if

associated with
thrombocytopenia and
coagulopathy:
Kasabach–Merritt syndrome
A 50 year old with chronic Hx for bloody diarrhea and
abdominal pain

• Name this lesion:

pyoderma gangrenosum

• Specific management
beside wound care ?:

immunosuppressant
A 25 year old female found incidentally to have
biliary dilatation with normal bilirubin

• Define the pathology:

Cholodochal cyst

• Mention the required

treatment
excision and Hep-Jej
A 60 year old male presented with slowly growing painless
lower facial cystic swelling with no fever or leukocytosis

• If the biopsy revealed epithelial

cells, abundant lymphocytes and
oncocytic cells, mention the most
possible diagnosis:
Warthin tumor or Cystic
lymphadenoma

• Mention 1 main risk factor:

Smoking
A 45 year female patient presented with rapidly growing
breast mass with no skin changes or lymphadenopathy

• Mention possible diagnosis if

the trucut biopsy showed
stromal component:
Giant fibroadenoma or phylloid

• What is the required

treatment?
wide local excision
You are called to assess this newborn in the NICU

• What is the your

diagnosis?
Bladder Extrophy (Ectopia
Vesicae)

• What is the associated

urethral abnormality?
Epispadius
30 years old female presented with sub-
lingual painless swelling

1- What is the diagnosis ?

• Ranula or retention salivary

cyst

• 2- mention one non-surgical

treatment?
• Sclerotherapy
65 years old male patient DM for the last 20 years presented
with the following pathology

1- What is the grade of

this ulcer according to
Wagner classification?
• Grade 4

• 2- Name the most

important
investigation?
• Angiogram
 A 60 year old male with chronic liver disease
presented with this liver lesion

• Name the most probable diagnosis:

HCC

• What is the type of the most commonly used tumor marker for this lesion
(AFP)