5th Year : Prof Viva Questions

Subject Viva Type Question Asked Examiner Correct Answer Medicine Table Viva what is tetrology of fallot? dr.zafrullah those 4 things...i told him 3 n said that i do not remember the 4th one..n he said.."tetra means 4 so u hav to tell all 4" Medicine Short Case 1.examine motor system of lower limbs in 3 min? 2. then examiner came to me n askd how much hav i done... i told him i was checking the reflexes....he sais ok...now do the babinsks's ...then he askd     to elicit knee jerk 3. questions after performance were.... a)causes of upgoing plantar? b)diff btw umn n lmn lesions? c) causes of exaggerated n slugish knee jerk? d) wat happens to superficial n deep reflexes in lesions of umn and lmn? Dr.akbar chaudry Medicine Short Case Examine the cranial nerves No questions asked Prof. Javed Akram Sir just observed what I did, no remarks, no questions. Just asked to repeat the 5th nerve (he was not looking when I did it, so     asked me to do again) Medicine Long Case Examine the hand of the patient as you would in a general physical examination. Prof. Jawad Zaheer Things to note: temperature & sweating (by handshake), pulse, note for scars/IV cannulas, tremors, the nodules, and the usual stuff mentioned in the     books... REMEMBER: Radial pulse is included in this... I didn't do it... and sir kept on asking me to complete the exam, till I remembered & took the pulse ;) Medicine Long Case What are the main causes of Syncope? X-principal of FJ Vasovagal syncope, postural hypotension, drugs,Valvular herat diseases like Aortic stenosis. Medicine Long Case What are the signs of Aortic stenosis? X-principal of FJ 1.Pulsus Pleatau 2.Sustained Heaving 3.Outwardly displaced apex beat 4.hars blowing, high grade murmur radiating towards neck, best heard with diaphragm, and best heard on leand forwards. Medicine Long Case How will you differentiate between Normal splitting and Reverse splitting? X-principal of FJ Normal splitting decreases on breath held in expiration while reverse splitting increases with breath held in expiration. Obstetrics/Gynecology Table Viva tell me def n causes of pph n aph? Dr. tabinda rana u hav to narrate those tables from arshad chohan n complete definitions as told by dr. tabinda in her ward classes Obstetrics/Gynecology Long Case 1.askd me to narrate the gyene history... 2.then askd me the causes of post menopausal bleeding... 3.askd me the most likely cause in my pt. who was a 70 year old female 4.askd me detailed staging n grading of CA cervix 5. asked me detailed management of ca cervix dr.wasseem yousaf see chohan for the answer...... ca cervix , as i told him, was not the most likely cause in dat pt. acc. 2 dr. waseem yousaf...he said... " waisay aap ke pt me ye cause koi nae hay jo aap bata rahay ho...chalo laikin phir bhee,,, ca cervix hee suna do" Obstetrics/Gynecology Table Viva wat is silent rupture of uterus? dr.fehmeeda i remembered it once....lolz... ub yaad nae... apnay teacher se pooch lena Obstetrics/Gynecology Long Case What are the causes of dysmenorrhea? Dr.Yasmin Rashid. Endometriosis. Pelvic Inflammatory disease. IUCD complicated fibroid. Idiopathic(most common) Surgery Table Viva What are the two important complications of prolonged use of fohley catheter? Prof. Khawja Azeem UTIs, Urethral Strictures Surgery Table Viva Identify the specimen? (gall stones & gall bladder) What are the causes of gall stones? What is the most common cause? What's the best treatment? Prof. Majeed Ch. 'Appears to be a specimen of post operative gall bladder for a case of cholecystitis' WHY 'stones can be seen' Causes: see the table in bailey & love Best treatment: cholecystectomy, laparoscopic if possible, otherwise open. Surgery Long Case Narrate history and examination findings. What's your diagnosis? How will you manage it? What's the complication of mesh repair, if the surgeon is perfect expert? External (name?) Narrated history and exam. Diagnosis: right sided, indirect, inguinal hernia Management: name all the repairs Complication of mesh repair: INFECTION-as mesh is foreign body. Surgery Short Case Examine the patient and report back in 7 minutes. -- After 7 minutes: Explain your findings? What investigations would you like to do? Prof. Khawja Azeem Explained the findings. (was multinodular goiter) Investigations: thyroid scan, ultrasound Surgery Long Case name and classify the causative microbes of appendicitis ? Dr.Arshad cheema u hav to name them and tell whether they r gram + or - Surgery Long Case What is the root value of phrenic nerve Dr Aftaab C234 but precisely its C4 Surgery Long Case What is the function of gall bladder and What is the test from which these can be assessed Dr Aftaab 1- to store and concentrate the Bile 2- Oral Cholecystography Surgery Table Viva What's instrument/ Prof.Khwaja Azeem I/V cannula Surgery Table Viva What fluid does you transfuse when a person is in shock? Prof.Khwaja Azeem some colloid, so that it can retain intravascular volume......Blood, Haemaccel, dextran etc.