OSCE Medicine (Final rotation)

Berikut adalah soalan yang telah kami hadapi untuk exam OSCE semalam :)

MINI OSCE

1. Gambar X-ray tangan. Diagnosis? Rheumatoid Arthritis

2. A woman comes with heavy menses. Gambar Blood Film Microcytic Hypochromic RBC. Diagnosis? Iron Deficiency Anemia.

3. CSF Analysis. Diagnosis? Bacterial meningitis.
2 lines of treatment : Antibiotic and steroid.

4. Man, (tak ingat age berapa), coming with fever, rash. Blood Film disertakan. Diagnosis? AML

5. Gambar Yellowish sclera + Red urine. Diagnosis? Hemolytic Anemia.
Why red urine? Hemoglobinuria.

6. CXR - Mass in the lung + Serum Na= 118. Diagnosis? - SIADH. (Untuk soalan ini, mungkin ramai yang bubuh Lung CA.)

7. Addison Disease. (tak ingat apa soalannya. Tapi serum ACTH high + others lab result)

8. ECG : SVT. Treatment ? IV Adenosine.

9. ECG : Inferior MI

10. ECG : Hyperkalemia

11. PFT : Bronchial Asthma.

12. A patient comes with dyspnea post-colectomy. CXR- normal.
Diagnosis? Pulmonary embolism. Further investigation: Spiral CT.

13. A woman comes with nervousness, weight loss. Next investigation? Thyroid Function Test.


OSCE

1. Patient come with cough. Take a history. Diagnosis? Pneumonia/TB (depends on station. Ada juga yang jawab acute pericarditis.:))

2. Patient come with vomiting + blood. Diagnosis? PUD. Others differential? Esophageal Varices etc.

3. Physical examination : 3 pilihan.
a) Examine abdomen.
b) Examine precordium.
c) Examine patient with acromegaly.

Sekian, wish us luck!!