YEAR TWO

UNIT ONE

OSPE

EXAMINATION

2012-2013Done By: El Balance

GENERAL NOTES:

Please keep these slides away from any doctor.

This file is to GUIDE YOU, it’s not the main source for studying.

Answers of some questions aren’t written here, but you’ll definitely

find them in your slides.

Study all labs

All pathology slides ( morphology is very important )

Study all the anatomy of the unit.

STATION ONE

STATION ONE

AdenoCarcinoma of the kidney. ( PICTURE FROM YOUR

PATHOLOGY SLIDES.

Question 1: What’s the type of this carcinoma?

Answer: ADENOCARCINOMA OF THE KIDNEY.

Question 2 : name three other locations where this type of tumor

is found. ( read pathology slides of the cancer )

STATION TWO

STATION TWO

1- what type of cancer in this picture?

POLYP ADENOMA OF THE COLON( FIGURE)

2- WHERE ELSE CAN THIS TYPE OF TUMOR OCCUR.

Liver cell adenoma

Bile cell adenoma

( Check your slides for more accurate answers )

STATION 3

Flexion extension pronation supination of the

hand.( EASY )

STATION THREE

FROM “HISTOTECHNOLOGY” SLIDES.

1- WHATS THE NAME OF THE SUBSTANCE USED TO KEEP

THIS TISSUE ( THE TISSUE WAS IN A JAR AND THEY

WANTED THE NAME OF THE FLUID IN. ) THE JAR )

2-WHAT’S THE NAME OF THE TISSUE?

3- NAME THE SALINE USED?

( ALL ANSWERS ARE FROM SLIDES)

STATION SIX

STATION SIX

FROM AUTONOMIC NERVOUS SYSTEM :

Memorize the previous picture very well. They will ask about the

location of the anterior root, posterior root and several nerves

regarding the ANS.

STATION SEVEN:

Another station about the autonomic nervous system.

There’s an arrow pointing at a nerve. (sympathetic nerve. )

1- Name the previous nerve.

( if you study the ans figure well, you’ll definitely know which nerve it

is. )

2-What’s the effect of this nerve on : Bronchioles, pupil and heart.

Answer: because it’s a sympathetic nerve, it will dilate the pupil,

increase heart rate and dilate the bronchioles.

STATION EIGHT:

1-What’s Elisa?

enzyme-linked immunosorbent assay.

is a test that uses antibodies and color change to identify a

substance.

(very easy station. )

STATION NINE:

A man drank 2L of water, he was 72 kg. His body compartments

osmolarity before drinking was 285.

1-Calculate: ICF,ECF and total changes in osmolarity after

drinking.

(from usha’s slides and guyton )

STATION TEN & ELEVEN ( PHARMA

)

A boy had a bacterial infection, he is restitant to erythromycin and

sensitive to cortimixazole.. ( The good part is, he’ll give you the

name of the drug. )

Write a prescription.. ( he will tell u how many days u should apply

this medicine )

STATION TWELVE ( PHARMA )

Write a chart call for a patient with Viral infection type B.

The drug : Oseltamivir ( in this station, we had to figure out the

name of the drug, but it was obviously oseltamivir ) .

Note: if you don’t know how to open the book and find the exact

doses, try to memorize them before the test. ( because you have

few drugs so it’s easy to memorize the needed dose for each one

of them )

STATION THIRTEEN:

Three figures.

1-Osteosarcoma

2- lung carcinoma.

3-stomach carcinoma

( You’ll find all of the figures in Dina’s slides for OSPE )

STATION FOURTEEN

THE TYPE OF THIS TISSUE?

WHAT’S THE NAME OF THE

STRUCTURE BELLOW?

NAME OF THIS TISSUE?

STATION FIFTEEN

FROM WASEEM’S ACID BASE BALANCE LAB ( VERY VERY

VERY IMP. )

A patient had a tumor in the pancreas, resulted in pancreatic juice

excretion. A low HCO3 Levels appeared in serum test. PH will not

be given. PCO2 Will not be given.

The way to answer is from both history and HCO3 Level. ( ask for

answer )

( we were shocked that Ph and pco2 weren’t given, unlike all the

previous years OSPE )

STATION SIXTEEN

A women had cerberal disturbance ( not sure what it is but its

something regarding her head ) , she was dehydrated and

breathed rapidly. Her HCO3 level was low.

NO PH WILL BE GIVEN, NO PCO2 WILL BE GIVEN. READ HER

HISTORY WELL, AND BASED ON THAT AND HER HCO3

LEVELS YOU MUST DECIDE HER DISTURBANCE.

STATION SEVENTEEN

Acid Base disturbance, it was metabolic acidosis ( but he will not

tell u that )..

1-calculate the anion gap

( it will be normal )

2- what does it indicate?

Normochloremia anion gap. ( Cl is apparently increased in serum

results given ) .

STATION EIGHTEEN

Another axid base balance, regarding relationship between K+

and acid base disorder, and also relationship of ca++ ionized

calcium with that.( sorry can’t remember it that well)

NOTE FOR THE PREVIOUS ACID-BASE

STATIONS.

They were mostly from the Lab, however, in our year they didn’t

include the Ph and Pco2 levels so you need to be fast to know if

it’s Acid/ base from the history.

Ask doctor waseem for more explanations.

STATION 19:Type of dyspasia?

Answer: carcinoma in situ. ( more

figures of carcinoma is situ in dina

slides. )

STATION 20:

ICD.

1- WHAT’S ICD?

International Classification of Diseases (ICD)

WHAT IS IT USED FOR?

(epidemiology)

STATION 21

EPIDEMIC CURVE " PROPAGATED CURVE ”

1-WHAT DOES X AXIS INDICATE?

(TIME )

WHAT DOES Y AXIS INDICATE?

CASES

(EASIEST STATION )

STATION 22:

PHARMA.

1- CALCULATE THE HALF LIFE OF THIS DRUG ( WILL BE

CLEARLY GIVEN )

2-CALCULATE THE VD.

( EVERYTHING YOU NEED WILL BE THERE IN THE

QUESTION. IF YOU KNOW HOW TO CALCULATE THE HALF

LIFE AND VD, YOU’LL EASILY ANSWER IT. )

STATION 23

AGARS FROM THE “INVADERS LAB “

STATION 24

STATION 25:

FIGURE OF NEUTROPHILS, BASOPHILS AND

EOSINOPHILLS.

1- WHAT ATTRACTS THE NEUTROPHILS TO THE SITE OF

ACTION?

STATION 27

Tube containing RBC’S in different solutions. Why didn’t they

burst?

(lab of problem 2).

STATION TWO

A boy was administered to the hospital due to mild dehydration.

His weight was 9.5 kg. The doctor suggested an ORS treatment

for this patient.

1- calculate the deficit.

2-calculate the total fluid treatment.

( EMTITHAL AL JESHI SLIDES. )

END

That’s all I can remember. Good Luck!