Skip to main content

South Surgery Ward Test Guide

1.A young boy comes with Hx of fever,vomiting and pain in right Iliac fossa.On exam,there's a palpable mass in RIF. Dx? appendicular  Rx? Conservative management.
2.A farmer comes with C/O mass Right Hypochonrdrium.Dx? Hydatid Cyst Rx ?
Medical : 1.Albendazole/mebendazol 2.PAIR
Surgical : 1.Deroofing of cyst and evacuation of contents 2.Excision of cyst 3.Liver resection
3.10y old boy with C/o cynosis & stridor. X-rays shows a round foreign body in trachea.Dx? Foreign body in trachea  Rx?
4.A poor quality picture of Stapplers.Use ? to close skin incision
(note by McFearless: The stapler pictured above is used for gastrointestinal anastomosis. )
Skin stapler is smaller in size and usually used for closing skin  as it is faster and easier than stitches
5.60 y old male C/O pain lower abdomen +vomiting.Xray shows Omega sign.
Dx? Sigmoid volvulus.
1. Resuscitation with IV fluids and N.G decompression 
2.Sigmoidoscopy may untwist the gut and give temporary relief
3. If step 2 fails, laprotomy (read details from doggar)
6.Xray of air under the diaphragm, causes and management ?
1.resuscitate with iv fluids and NG decompression
2.Grams Repair
3.Peritoneal lavage
7.Name the incision shown below
It's umblicus sparing midline abdominal incision
Name five other abdominal incisions
1.Pfannenstial incision for c-section
2.kocher's incison for cholecystectomy
3.Rutherford Morrison's incision for appendectomy
4.Paramedian incision
5.Lanz incision for appendectomy

8.Name the instrument and give complications

It's Endotracheal tube.

9.A 30 y old pregnant woman presents with painless bleeding from a bluish mass coming out of rectum .Dx ? (hammerrhoids/rectal prolapse?)
10.Xray of hemo-pneumo thorax and management?
Note the absence of lung markings on lateral side of middle and upper zones of
Right lung.It is due to pneumothroax.And opacity over lower zone of Right lung due to
Rx: 2 chest tubes may be preferred, with the tube draining the pneumothorax placed in a more superior and anterior position.
11.Man had a tibia fracture which was managed by closed reduction.Now the patient has developed calf tenderness.Dx: ? Acute limb ischemia or venous thrombosis. Management ?
12.Xray abdomen showing stones in gall bladder. (on Xray gall stones have radio-opaque margins and radio-lucent centers).Question was what are the causes of dilated CBD?
1.Stones in bile duct 2.Biliary strictures 3.peri-ampullary carcinoma
13.A clinical scenario of Marjolin Ulcer
14.Vicryl suture and properties
15.A girl with c/o vomiting and h/o corrosive intake.X-ray shows gastric outlet obstruction. Management? What is paradoxial aciduria ?

Short Cases:
Previous batches were given cases of MNG, abdominal hernia or varicose veins.Sir Imran says students should follow the protocol of mutual introduction and consent in short case too.Just make sure you ask the name of the patient.


Here's more you should read...

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)
Salam everyone, let me start in the name of Allah who’s the greatest benefactor of all mankind. I am going to write a detailed composition regarding preparation for USMLE Step 1. I am a final year student at King Edward Medical University and I took my exam on June 10th. Final year is the year before internship/ house job in Pakistan. I just got my scores: 99/266

Let me introduce some myths surrounding USMLE Step 1 which are especially prevalent within Pakistan; I am not too sure about India because I heard their students typically appear in their final years.

 Myth number 1:Do not appear for USMLE Step 1 within your graduation

 Verdict: Baseless, illogical reasoning

Explanation: This is so prevalent in Pakistan it’s almost pathetic. One of the biggest concerns surrounding our students is that Step 1 is a huge risk to be taken before graduation. Let me put it in another way: Step1 would always remain a risk whenever it is taken, …

Australian Medical Council AMC Part 1 Guide - Experience and Tips

AMC Part 1 by Dr. Asad Khizar Malik (Rank : 77/620) Australian Medical Council  Guide - Experience and Tips
Salam people, let me start in the name of Allah who’s the greatest benefactor of all mankind. Hope everyone is doing great. I'll try to write as much as I can for the people who are due to various reasons more interested in joining Australian Hospitals for post-grad training as compared to the USMLE pathway.

I am a graduate of King Edward Medical University, class of 2004-2010. I did my 6 months house job after graduation in Mayo Hospital, and after that, i gave my AMC Part 1 in November, 2010 from Brisbane. With the grace of Allah, I passed that in first attempt.


First thing in mind that comes with post grad training in Pakistani doctors minds is: Which way to go after graduation? That is a very tough decision that is …

FSc Premedical Guide - How to fly high..

FSc Premedical Guide - How to fly high.. Unsa Athar Your 40% needs to be excellent to get into KEMU or  some other good place.
(Dedicated to my teachers who not only taught me the fsc books but also many priceless lessons of life)
(Unsa Athar)
The tree that never had to fight For sun and sky and air and light, But stood out in the open rain And always got its share and rain, Never became a forest king, But lived and died a scrubby thing… Good timber does not grow with ease, The stronger wind, the stronger trees.
Getting yourself educated in the desi manner i.e. through the Board of Intermediate and Secondary Education is one of the top most challenges of today’s society. Matriculation seems difficult at that time, but when you enter FSc, you realize that matric was the easiest job in the world.  Those obese books of intermediate part I and part II are the worst enemies one can ever have.  People say Medical is tougher, but I find one basic difference in both. When you enter a medical college, y…


Anatomy/Histology Gallery
Read the instructions here 1st Year

Histology Slides for Professional Exams
Folder 1- Labelled Folder 2 - Labelled Folder 3 - Labelled
Histology Revision Slides Updated (2011)
by Laiba Khalid
Lower Limb Anatomy Spotting Labelled

Embryology Models Some models are labelled and others mentioned in comments

Anatomy Museum Models (unlabelled) This album covers Upper limb, Lower limb and Thorax regions of anatomy

2nd Year
HISTOLOGY Diagrams Hand-drawn CARDS 2ND YEAR MBBSThese are hand-drawn histology diagrams by Demonstrator Dr. Shaista (Dept of Anatomy, KEMU) and submitted by Anosha.NEUROLOGY/ Neuroantomy SPOTTING  (LABELLED SPECIMEN) 2ND YEAR  Each structure is labelled and a great job done by Anosha. Neuroanatomy / Brain 2nd Year Important topics by LaibaNeuroanatomy Models Labelled  Gross models labelled by Maryam Shahid Abdomen & Pelvis Anatomy Spots Labelled Excellent job by Maryam Shahid
Anatomy Learni…

USMLE Step 2 CK experience by Rizwan Khan (254)


     I recently got done with Step 2 CK exam & I want to elaborate my experience and the mistakes that I made during my prep so that any of my colleagues who are preparing for this exam might benefit from them. I wont go much in detail about how to prepare and where to prepare from since it is already highly debated on the forum and in the previous posts but would focus more on my personal experience and the bad choices which I made during the preparation phase.
SELF-ASSESSMENTS AND QBANKS Uworld 74% Kaplan Qbank 69%
Kaplan diagnostics  = 80% (70 days before exam) Kaplan Simulation Exam 1 = 71% (50 days before exam) Kaplan Simulation Exam 2 = 76%  (40 days before exam) Fred simulation for CK = 84% (39 days before exam) NBME 2 (offline) 21 mistakes (30 days before exam)
NBME 4  =    263 (13 days before exam) UWSA =  259 (2 days before exam)
Real exam = 254