Skip to main content

Surgery Ward Test Guide

Surgery Ward Test Guide 

By Class of 2012



> surgery ward test: OSCE
1.x ray: tension pnemothorax, manage
2.pic of rectal prolapse. manage
3.pic of humbleys knife. indication? how to sterlize it
4.pic sigmoidoscope or wotever??. indication. complication
5.xray o pyloric obstruction. give D/D. what electrolyte imbalance occurs?
6.silk suture. how you sterlize it. synthetic or natural?
7.what is tpn? how is it given? calculate for 60kg man 1.8m height.BMI? adverse effects o TPN? 8. after IM injection, patient develops redness at the site plus crepitus. diagnose? how to prevent? treatment?
9.patient presents with fracture of femur. managed in A & E. later he presents with tachynea, dyspnea .what is diagnosis and treatment?
10.picture of tummour extending from under ear (parotid area) upto the neck neck. dignosis? treatment? what nerve to take care of during surgery?

> viva: instruments: proctoscope: dignostic and theraputic indications. fissure ano clinical findings? hemrhoids how u examine/confirm diagnosis. retractors? xray ercp. cbd cut off sign ---> post cholescystectomy

> short case:thyroid exam in 3 minutes.

> long case.


SOUTH SURGERY WARD TEST:(BATCH B-4)

1)OSCE:
there wr a total of ten spots,,each having a pictorial question/scenario/x-ray wid true/false type five options...

a)a scenario of a pt havin fever,tender ryt hypochondrium and diarrhoea...wid five questions(which i dnt remember)..thy wr to b answrd as true/false

b)an x-ray of intestinal obstruction showing multiple airfluid levels.

c)ETT

d)chest tube and related questions

e)humbey's knife

f)paraumblical hernia

g) silk suture and its uses

the rest three,,iv forgotten..sum1 frm batch B4 kindly add m up....

2)SHORT CASE:
there were three different cases of hernia,thyroid and neck exam...v were supposed to describe our findings and wr askd a few questions....

3)TABLE VIVA:
a) Sir asked me to pick up any two instruments used in thyroidectomy and explain their use..
b)commnst cause of solitary nodule in thyroid and its managemnt and pt counselling??
c)ETT and its indidcations...hw is it sterlized??
d)how are sutre materials sterlizd??
e)there were four x-rays;;;;pneumothorax,,,intestinal obstruction,T-tube cholangiogram, and colonic obstruction...Sir asked me to elaborate each one o them...
f)wt is a T-tube..??wts it made of?hw is it sterlized??/wt r the uses of t-tube???wts the use of a t-tube cholangiogram in a pt who dznt have stones???

4)LONG CASE:
Mine was a ruptured appendix;;;questions asked...wt r the causes of lower abdominal pain in a female??can a normal ovary undergo torsion??wt is the normal structure in the body that can undergo torsion??how wud u manage appendix rupture??wts its latest treatment.....

NORTH SURGERY WARD
OSCE
1. burst abdomen pic
causes
2. rectal prolapse pic
treament
3. breast lump case
staging
management
4. proline suture
uses
5. non crshing intestinal clamp pic
uses
6. lap trochar n canula pic
uses
7. trauma case chest Xray
findings n management
8. abd x ray narrowing in transverse colon
finding
diagnoses
managment
9.abdominal trauma case
investigation of choice
definite diagnostic procedure
10. cant remember

Short case 1

thyroid exam

2

abdomen exam, lower limb exam of arteries n nerves

TABLE VIva
Xray barium swallow
CXR trauma pt.
instrument
how to use laryngoscope, proctoscope
NG, suction drain, naso pharyngeal airway, crushing n non crushing clamps, foleys types, retractors (deaver, lagenbek etc) indications n uses
hartman, N/S uses

thats all i remember

Comments

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.

So lets start with the discussion here, but PLEASE NOTE THAT IT IS ENTIRELY MY PERSONAL EXPERIENCE AND REASONING WHY I PREFERRED AUSTRALIA OVER USA FOR RESIDENCY.

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…

HISTOLOGY SLIDES AND HANDMADE DIAGRAMS

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
http://kemunited.blogspot.com/2013/05/lower-limb-spotting-labelled.html

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)

IN THE NAME OF ALLAH THE MOST BENEFICENT AND MERCIFUL

     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