OSCE For medical students -2021- July
1.Mammogram
What is being shown (4)
What features in the above investigation would suggest the possibility of a
malignancy – (3 marks for each)
Accepted: stellar shape, Spiculated margin, High density, Microcalcifications
2. Suture Material
Identify and provide three (3) features of this suture material (2 marks for each)
Accepted- Synthetic, non-absorbable, monofilament
List one advantage and one disadvantage of this suture material (1 mark for
each)
Accepted - Less infection risk, Higher tensile strength
-Lower knot security, More throws required
Give one example where this suture material is used. (2 marks)
oSkin closure
oMesh repair
3. MRCP
What is the Investigation being shown? (2 marks)
Give three (3) abnormal findings seen in the film (2 marks for each)
What would be the next best course of management? (2 marks)
4. Gangrene
What is being shown (2 marks)
What is the likely etiology? (2 marks)
What is the Fontain grade of this patient (6 marks)
5.Stomal hernia
What is the stoma being shown? (2 marks)
What is the complication being shown? (2 marks)
Name two other stomal complications (3 marks each)
6. Joll’s thyroid retractor
What is the Instrument being shown? (5 marks)
Name an instance when this instrument is used (5 marks)
7. Perianal fistula
What Is the diagnosis (6 marks)
State the Goodsall rule (4 marks)