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OSCE , 6th yr Female group

2nd semester , 20/4/2005
1)- picture of varicose vein
a. Dx
b. name the structure involved
c. name 2 surgical treatment
d. 2 complications
2)- X- ray of tension pneumothorax
20 yrs old boy , presented with acute dyspnea & chest
pain . no Hx of TRAUMA
a. name 3 diagnostic features from X- ray
b. what is your initial invasive procedure
c. mention 2 causes of this condition
3)- X- ray of
a. name the study Intraoperative cholangiogram
b. name the labeled structures
1- common hepatic duct
2- CBD
3- Dudenum
c. what is the pathology stone in CBD
4)- 35 yrs old postpartum female complain of leg pain 3
days postpartum with tenderness
a. give 2 D.Dx
b. if calf ms was tender & hot what is your
spot Dx DVT
c. Best investigation in this particular pt Dopplar US
NOT VENOGRAM B/C LEG WAS ULCERATED
d. mention 4 risk factors

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5)- Rt swelling in the groin

a. give 4 D.Dx
b. if cough impulse was +ve & non tender , what is the
complication ?
c. name 2 surgical procedure
d. name 2 non- pulmonary & non- systemic complication
in the 1st 24 hrs post op 1. acute urine retention
2. Bleeding
6)- picture of man with distended abdomen
Indonesian male , 40 yrs old , presented with progressive
abdominal distention
a. what is the most appropriate explanation for this case
Ascitis d/t abdominal pathology
b. give 2 causes 1. TB
2. lymphoma
7)- X- ray of abdomen
a. spot Dx small intestinal obstruction
b. name 4 imp managements other than bed rest
8)- picture of breast with tethered skin , retracted nipple
& erythema
a. spot Dx Breast Ca
b. 3 loco-regional evaluative measures to Dx
c. 3 investigations to know extent of the disease
d. appropriate management

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9)- Back of neck with erythema , diffuse swelling &

multiple sinuses discharge , pt is diabetic
a. Dx Carbuncle
b. 3 imp managements for this pt :
1. admit
2. surgical excision
3. antibiotic + control sugar level
10)- picture of Single thyroid swelling progressive
increase in size
a. give 3 D.Dx of thyroid swelling
b. imp investigation
c. if TSH was normal , name 2 cost-effective
investigatory methods 1. US
2. FNA
GOOD LUCK
HANAN AL-JERAINI 2002040034
AMAL AL-MOHAWES 2002040047

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Final 602 Surgical Exam

6th yr Female group
2nd semester 23/April /2005
Most of the questions were about TRAUMA
There were some repeated questions but not that
much as used B4
1)- symptoms & signs of pheochromocytoma except :
a. palpitation
b. ANHYDROSIS *
c. episodic hypertension
d. headach
2)- for purpose of trauma management , neck is divided
into how many zones :
a. 2
b. 3*
c. 4
d. 5
3)- one of the following is a consistent finding with acute
appendicitis :
a. tenderness in Rt iliac fossa *
b. oarasthesia in Rt iliac fossa
c. ??
d. ??

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4) 20 yrs old male presented with dragging pain in Lt

hypochondrium , investigation
What is the cost-effective tool :
a. MRI
b. CT
c. US *
d. ??
5)- pt in Q 4 develop fever , palpitation . 3 days later
& US shows hypoechogenicity , your Dx :
a. abscess *
b. cyst
c. ??
d. ??
6)- if this pt in Q4 will go for splenectomy , what is your
pre-op preparation :
a. ??
b. pneumococcal vaccine *
c. ??
d. ??
7)- which one of the following goes in the pathway of
spermatic cord :
a. femoral hernia
b. direct inguinal hernia
c. indirect inguinal hernia *
d. ??

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8)- middle age female , P5+2 , presented with susage like

swelling , extending from xiphoid to umbilicus along
linea alba line , soft , reducible that is obvious when
contracting anterior abdominal wall . your Dx :
a. spiglian hernia
b. divercation of recti *
c. ??
d. ??
9)- middle age female presented with Rt hypochondrial
pain , jaundice , Temp = 38 C .. , your clinical Dx is:
a. pancreatitis
b. ascending cholangitis *
c. cholilithiasis
d. ??
10)- what is not relevant for her case in the following
investigations :
a. serum amylase & lipase *
b. US
c. cholangiogram
all needed in Dx
d. ??
11)- young male , bilharzias , presented with
hematemesis of 2 days duration .
What do u think the cause of this ?
a. ??
b. Pre-sinusoidal portal HTN
c. Post sinusoidal portal HTN
d. ??

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12)- 60 yrs old female presented with solitary thyroid

nodule that grows slowly over months .
What is the best investigation to know its nature ?
a. FNA
b. US
c. CT
d. ??
13)- pt in Q12 FNA was follicular cells what is your
management ?
a. total thyroidectomy
b. lumbectomy & isthmus resection
c. ??
d. ??
14)- which of the following doesnt contribute in the
formation of psoas abscess :
a. origin
b. insertion
c. relation to appendix
d. relation to sigmoid
15)- commonest site of appendix is :
a. retro-cecal *
b. pelvic
c. para-iliac
d. pre-iliac

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16)- fracture of 1st , 2nd , 3 rd ribs signifies what ?

a. severity of trauma * (Dr. note )
b. lung involvement
c. injury to large vessel
d. ??
17)- which one of the following is clean-contaminated :
a. cholecystectomy *
b. peritionitis
c. pus
d. appendix
GOOD LUCK
HANAN AL-JERAINI 2002040034
AMAL AL-MOHAWES 2002040047

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