Surgery OSCE Questions

SURGERY STUDY MATERIAL
FAQ's IN Objective and Subjective Clinical Exams (OSCE)

Double Syngamy
This compilation is a collection of information acquired from
several students, and not the work of the person who compiled
this. This PDF was put together to ease the dissemination of
important study material.
PLEASE note that this document is not official examination
material, and it is therefore intended to give the Medical students
an IDEA of the Frequently Asked Questions and the general
format of the Surgical OSCE.
No answers are provided, and so, Students are encouraged to
consult other texts to be better equiped for Surgical OSCE.
REMEMBER: CONFIDENCE IS ALSO KEY IN PASSING OSCE's IN SURGERY.
Double Syngamy
TO THE READERS
FAQs in Surgical OSCEs for MED5 & MED7
Page 3 of 28
Outline of some OSCE questions
1) Examine the breast, give the differential diagnosis and management (CA
breast)
2) Patient with airway obstruction comes into the emergency ward; give the step-
by-step way you are going to manage this patient.
3) Procedure for lymph node biopsy. Step by step.
4) Proctoscope. Identify the instrument, indications and what complications may
arise due to improper use.
5) Renal calculi on X-ray. What type of x-ray is this? Describe how the patient
will present and how will you treat this condition.
6) Chronic osteomylitis with auto sequestrectomy. Describe the process.
Investigations and management.
7) Fracture femur. What are the complications and how will you manage this.
What are the complications of perkings traction?
8) Specimen of an appendix. Pt presented with Rt iliac fossa pain. Was taken to
theatre were it was removed. How did the patient present? What is the
differential? What is management?
9) Hydrocephalus. What are the causes? Investigations and management.
10) Examination of the abdomen. Differentials for a mass from umbilicus to the Lt
subcostal area. Investigations as well
11) Burns inspect and give how you would resuscitate this child with IV fluids.
12) ICD, indications, describe the technique of inserting and removal. The
complications of an ICD.
13) Hx of patient who presented with failure to pass urine for 3 days. (Young
man) differentials, investigations and management. (How can you distinguish
stricture from BPH,)
14) Reading a CT scan. CT scan of brain tumour. How does patient present and
how do you treat.
15) Cervical spine dislocation on X-ray and how does the patient present. What is
spinal shock? How would you reduce the effects of spinal injury?
Page 4 of 28
OSCE: COMMUNICATION SKILLS
MARK OUT OF 20; (FULL MARKS INDICATED IN BRACKET)
STATION _____ RESOURCE, NIL -- ORAL EXAM.
OBJECTIVE :- TO ASSESS COMMUNICATION SKILLS OF THE STUDENT
TELL THE STUDENT: YOU ARE A PATIENT TO TAKE HISTORY OF
OF YOUR PARTICULARS.
OBSERVE AND MARK FOR
1. GREETING THE PATIENT; (3)
2. SHAKING HANDS: (3)
3. INTRODUCING HIS / HER SELF; (3)
4. INTRODUCING YOU TO THE PATIENT: (3)
5. EXPLAINING WHAT IS SHE GOING TO DO: (3)
6. ATTITUDE OF THE STUDENT (3) --- (CASUAL OR SERIOUS)
7. CONFIDENCE OF THE STUDENT (2) (NERVOUS OR COMPOSED)
Page 5 of 28
OSCE: HISTORY TAKING OF A SWELLING
MARK OUT OF 20
STATION _____ RESOURCE, EXAMINER
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF
HISTORY TAKING OF A SWELLING;
ASK THE STUDENT TO TAKE A HISTORY FROM YOU OF AN
INFLAMMATORY SWELLING 0R ANY SWELLING OF YOUR
CHOICE GIVING A RUNNING COMMENTARY
AND MARK FOR:
1. HOW DID THE SWELLING START? (3)
2. WHEN DID THE SWELLING START? (3)
3. HOW DID THE SWELLING PROGRESS? (2) (LOCALIZED OR
SPREADING)
4. IS IT PAINFUL AND TENDER? (2)
5. NATURE OF THE PAIN (2) (DULL / THROBBING ETC.)
6. COLOR OF THE SKIN OVER THE SWELLING (NORMAL OR
OTHERWISE (2)
7. TEMPERATURE OF THE SWELLING (2) (DOES IT FEEL HOT?)
8. OTHER SYSTEMIC SYMPTOMS (2) (FEVER, NIGHT SWEATS ETC.)
9. WHAT IS THE CLINICAL DIAGNOSIS? (2)
Page 6 of 28
OSCE: EXAMINATION OF A SWELLING
MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF A SURFACE SWELLING
EXAMINATION OF A SWELLING
ASK THE STUDENT TO INSPECT THE SWELLING GIVING
RUNNING COMMENTARY AND MARK :
1. SITE (1), SIZE (1), SHAPE (1) ----- TOTAL (3)
2. SURFACE (1) SURROUNDINGS (1), COLOR OF SKIN (1) ---- TOTAL (3)
3. PULSATION (1), COUGH IMPULSE (1) ---- TOTAL (2)
ASK THE STUDENT TO PALPATE THE SWELLING GIVING
RUNNING COMMENTARY:
1. CONSISTENCY OF THE SWELLING (2)
2. DEMONSTRATION OF FLUCTUATION (2)
3. DEMONSTRATION OF THE PLANE OF THE SWELLING (2)
4. EXAMINATION OF LOCAL LYMPH NODES (2)
5. EXAMINATION OF SENSATIONS (1) AND PULSES (1) ---- TOTAL (2)
6. CLINICAL DIAGNOSIS (2)
Page 7 of 28
OSCE: SURFACE ANATOMY
MARK OUT OF 20
STATION _____ RESOURCE --- A PATIENT 0R A DUMMY
OBJECTIVE :- DOES THE STUDENT KNOW SURFACE
ANATOMY OF ORGANS ;
ASK THE STUDENT TO INDICATE :
1. HORIZONTAL TRANSPYLORIC AND TRANSTUBERCULAR LINES, AND
TWO VERTICAL MID INGUINAL LINES AND NAME THE NINE
ABDOMINAL REGIONS (2)
2. INDICATE THE EXACT PLACE OF MCBURNEYS POINT (2)
3. INDICATE THE EXACT PLACE OF MURPHYS POINT (2)
4. INDICATE THE POSITION OF PYLORUS AND THE DUODENUM (2)
5. OUTLINE THE POSITION OF THE KIDNEYS (2)
6. OUTLINE THE POSITION OF THE COLON (2)
7. OUTLINE THE POSITION OF THE PANCREAS (2)
8. OUTLINE THE POSITION OF DISTENDED URINARY BLADDER (2)
9. OUTLINE THE POSITION OF THE LIVER (2)
10. OUTLINE THE POSITION OF THE SPLEEN (2)
Page 8 of 28
OSCE: BREAST LUMP
MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF A BREAST LUMP
EXAMINATION OF A BREAST LUMP
ASK THE STUDENT TO INSPECT THE BREASTS GIVING
RUNNING COMMENTARY AND MARK FOR
1. SYMMETRY OF THE BREASTS AND OBVIOUS MASS (2)
2. SKIN CHANGES AND DEMONSTRATION FOR THE SKIN PUCKERING (2)
3. POSITION AND CONDITION OF THE NIPPLES, AREOLA AND DISCHARGE FROM THE
NIPPLES (2)
ASK THE STUDENT TO PALPATE BREAST AND MARK FOR
4. SITE AND SIZE OF THE LUMP OR LUMPS (2)
5. SURFACE AND CONSISTENCY OF THE LUMP OR LUMPS (2)
6. DEMONSTRATION FOR FIXITY TO THE SKIN AND MUSCLE (2)
7. AXILLARY AND SUPRACLAVICULAR LYMPH NODES PALPATION (2)
8. ASK FOR THE CLINICAL DIAGNOSIS (2)
9. STATE THE METHOD OF CONFIRMATORY DIAGNOSIS (2)
10. OPERATIVE MANAGEMENT (2)
Page 9 of 28
OSCE: EXAMINATION OF NECK SWELLINGS
MARK OUT OF 20
STATION: ___: RESOURCE; ANY CASE OF A NECK SWELLING
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF NECK
SWELLINGS EXAMINATION :
ASK THE STUDENT TO INSPECT THE NECK GIVING
1. NUMBER, SITE, SIZE, SHAPE, SURFACE, PULSATION, SINUSES ETC. (2)
2. DEMONSTRATING IF THE SWELLING IS OF THYROID ORIGIN (2)
3. DEMONSTRATING SWELLINGS RELATION TO STERNOMASTOID MUS. (2)
ASK THE STUDENT TO PALPATE GIVING RUNNING COMMENTARY
4. POSITION OF THE STUDENT EXAMINING FROM BEHIND (2)
5. ASKING TO SWALLOW WHILE EXAMINING (2)
6. STATING CONSISTENCY OR NATURE OF THE SWELLINGS (2)
7. DEMONSTRATING ANY PRESSURE OR INFILTRATION EFFECTS (2)
8 ASK TO DEMONSTRATE ANY TWO OF THYROTOXICOSIS SIGNS (2)
9. ASK FOR THE CLINICAL DIAGNOSIS (2)
10. ASK FOR THE CONFIRMATORY INVESTIGATION - (2)
Page 10 of 28
OSCE: EXAMINATION OF A SURGICAL CHEST
MARK OUT OF 20
STATION: ___: RESOURCE; ANY SURGICAL CASE OF CHEST OR A DUMMY
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SURGICAL CHEST
EXAMINATION :
ASK THE STUDENT TO INSPECT THE CHEST GIVING RUNNING
COMMENTARY AND MARK FOR
1. SYMMETRY OF CHEST (2)
2. MOVEMENTS OF EACH SIDE OF THE CHEST (2)
3. INSPECTION OF SPINE (2)
4. POSITION OF THE TRACHEA (2)
ASK THE STUDENT TO PALPATE THE CHEST GIVING RUNNING
5. VOCAL FREMITUS AND SURGICAL EMPHYSEMA (2)
6. THE APEX BEAT (2)
7. TRACHEAL SHIFT (2)
ASK THE STUDENT TO PERCUSS THE CHEST GIVING RUNNING
8. MARK FOR THE NATURE OF THE PERCUSSION NOTE (2)
ASK THE STUDENT TO AUSCULTATE THE CHEST GIVING RUNNING
9. BREATH SOUNDS _ (2)
ASK THE STUDENT
10. CLINICAL DIAGNOSIS (2)
Page 11 of 28
OSCE: ABDOMINAL LUMP EXAMINATION
MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF AN ABDOMINAL LUMP
EXAMINATION OF AN ABDOMINAL LUMP
ASK THE STUDENT TO INSPECT THE ABDOMEN
GIVING A RUNNING COMMENTARY AND MARK FOR
1. SYMMETRY OF THE ABDOMEN AND OBVIOUS FINDINGS (2)
2. MOVEMENT OR RESTRICTION OF ABDOMEN WITH RESPIRATION (2)
ASK THE STUDENT TO PALPATE THE ABDOMEN GIVING A
3. ASK TO DEMONSTRATE THE LEVEL OF THE LUMP (2)
4. ASK TO SHOW IF THE LUMP IS REACHABLE ABOVE AND BELOW
THE LUMP (2)
5. ASK TO SHOW ITS MOBILITY AND MOBILITY WITH RESPIRATION (2)
6. ASK TO DEMONSTRATE BALLOTTEMENT (2)
ASK THE STUDENT TO PERCUSS THE ABDOMEN GIVING A RUNNING
7. DEMONSTRATION OF SHIFTING DULLNESS OR FLUID THRILL (2)
ASK FOR THE ORGAN INVOLVED
8. IF CORRECT (2)
ASK FOR THE CLINICAL DIAGNOSIS
9. IF CORRECT (2)
10. ASK FOR RELEVANT CONFIRMATORY INVESTIGATION (2)
Page 12 of 28
OSCE: THYROID SWELLING (PER SE) EXAMINATION
MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF THYROID SWELLING
EXAMINATION OF A THYROID SWELLING
ASK THE STUDENT TO INSPECT GIVING A RUNNING
1. DEMONSTRATING THE SWELLING OF THYROID ORIGIN ( )
2. DEMONSTRATION OF ANY LOCAL PRESSURE OR INFILTRATION TO
TRACHEA, RECURRENT LARYNGEAL NERVE, ESOPHAGUS ( )
ASK THE STUDENT TO PALPATE GIVING A RUNNING
3. PALPATING FROM BEHIND ( )
4. PALPATING FOR THE POSITION OF TRACHEA ( )
5. SURFACE AND CONSISTENCY OF THE SWELLING ( )
6. PALPATING FOR THE LOWER EXTENT OF THE SWELLING ( )
7. SURFACE AND CONSISTENCY OF THE SWELLING ( )
8. PALPATING FOR LYMPH NODES ( )
9. DEMONSTRATING SIGNS OF TOXICITY ( )
10. CLINICAL DIAGNOSIS ( )
Page 13 of 28
OSCE: THYROTOXICOSIS HISTORY AND SIGNS
MARK OUT OF 20
STATION: ___ RESOURCE; A TOXIC CASE OR THE EXAMINER
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF THYROTOXICOSIS
SYMPTOMS AND SIGNS
ASK THE STUDENT TO TAKE HISTORY OF THYROTOXICOSIS FROM THE
PATIENT OR THE EXAMINER AND MARK FOR
1. HOW AND WHEN THE SYMPTOMS STARTED AND THE PROGRESS (2 )
2. NERVOUS SYMPTOMS - ( ANXIETY , NERVOUSNESS ) (2 )
3. CARDIOVASCULAR SYMPTOMS ( PALPITATIONS , BREATHLESSNESS (2 )
4. APPETITE (2 )
5. WEIGHT LOSS (2 )
6. SWEATING (2 )
7. ASK TO DEMONSTRATE LID LAG AND RETRACTION (2 )
8. ASK TO DEMONSTRATE FINE TREMORS (2 )
9. ASK TO DEMONSTRATE EXCESSIVE SWEATING (2 )
10. ASK HOW THE STUDENT WILL DEMONSTRATE EXOPHTHALMOS (2 )
Page 14 of 28
OSCE: PEPTIC ULCER / CANCER HISTORY TAKING
MARK OUT OF 20
STATION: ___ RESOURCE; A PEPTIC ULCER CASE OR THE EXAMINER
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF PEPTIC ULCER /CANCER
SYMPTOMS
ASK THE STUDENT TO TAKE HISTORY OF PEPTIC ULCER OR CANCER FROM
THE PATIENT OR THE EXAMINER AND MARK FOR
1. HOW, WHEN AND PROGRESS OF THE SYMPTOMS (2)
2. CHARACTER OF THE PAIN (INTERMITTENT / CONTINUOUS, BURNING ETC.) - (2)
3. RELATION OF PAIN TO FOOD (2)
4. RELATION OF PAIN TO VOMITING (2)
5. STATE OF APPETITE (2)
6. ANY FULLNESS OF ABDOMEN AFTER TAKING FOOD (2)
7. ANY WEIGHT LOSS (2)
8. ANY HAEMATEMESIS / MELENA - (2)
9. ANY SIMILAR EPISODE IN THE PAST (2)
10. DRUG HISTORY (2)
Page 15 of 28
OSCE: CHRONIC BLEEDING PER RECTUM HISTORY TAKING
MARK OUT OF 20
STATION: ___ RESOURCE; THE EXAMINER
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF CHRONIC RECTAL
BLEEDING SYMPTOMS
ASK THE STUDENT TO TAKE HISTORY OF RECTAL BLEEDING FROM
THE EXAMINER AND MARK FOR
1. HOW, WHEN AND PROGRESS OF BLEEDING(INTERMITTENT OR DAILY) (2)
2. ASSOCIATION WITH STOOL - STEAK ON STOOL, AFTER STOOL, MIXED WITH STOOL (2)
3. COLOR OF THE BLOOD BRIGHT OR DARK RED (2)
4. BLEEDING ASSOCIATED WITH PAIN OR WITHOUT (2)
5. ANY BLOODY MUCUS / PUS AT DEFECATION OR SOILING THE UNDERWEAR (2)
6. ANY PROLAPSE PER RECTALLY AT DEFECATION (2)
7. ANY CHANGE IN BOWEL HABITS PROGRESSIVE CONSTIPATION (2)
8. ANY SIMILAR EPISODE IN THE PAST (2)
9. ASK FOR POSSIBLE DIAGNOSIS FOR BRIGHT RED BLOOD AFTER DEFECATION ( 2)
10. ASK FOR POSSIBLE DIAGNOSIS FOR STOOL MIXED WITH DARK RED (2)
Page 16 of 28
OSCE: GROIN HERNIA EXAMINATION
MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF GROIN HERNIA OR A DUMMY
OBJECTIVE :-DOES THE STUDENT KNOW EXAMINATION OF GROIN HERNIAS

ASK THE STUDENT THE FOLLOWINGS GIVING A RUNNING COMMENTARY
AND MARK FOR

1. DEMONSTRATING THE POSITION OF INTERNAL RING -- (2)

2. DEMONSTRATING THE POSITION OF MID-INGUINAL POINT AND ITS
IMPORTANCE (2)

3. ASK TO SHOW REDUCIBILITY AND COUGH IMPULSE OF THE HERNIA (2)

4. ASK TO DEMONSTRATE INTERNAL RING OCCLUSION TEST (2)

5.ASK TO SHOW HESSELBACHS TRIANGLE AND ITS IMPORTANCE IN RELATION
WITH DIRECT INGUINAL HERNIA (2)

6. ASK TO SHOW EXTERNAL INGUINAL RING WITH REFERENCE TO PUBIC
TUBERCLE AND ITS IMPORTANCE IN RELATION WITH INDIRECT
HERNIA (2)

7. ASK TO SHOW POSITION OF A FEMORAL HERNIA IN RELATION TO THE
PUBIC TUBERCLE (2)

8. ASK TO EXPLAIN THE IMPORTANCE OF REACHING ABOVE THE
SWELLING TEST (2)

9. ASK HOW TO CLINICALLY DIFFERENTIATE A HERNIA FROM A
HYDROCOELE IN A NEW BORN ( TRASILLUMINATION TEST ) (2)

10. ASK FOR THE CAUSES OF HERNIAS IN ELDERLY (2)

Page 17 of 28
OSCE: SCROTAL SWELLING EXAMINATION
MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF A SCROTAL SWELLING
OBJECTIVE :- EXAMINATION OF A SCROTAL SWELLING
ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY
AND MARK FOR
1. SIZE AND SKIN CHANGES AND EXTENSION IN THE GROIN (2)
2. IMPULSE ON COUGHING (2)
ASK THE STUDENT TO PALPATE GIVING A RUNNING COMMENTARY
AND MARK FOR
3. SIDE OR SIDES OF THE SWELLINGS (2)
4. ANY RAISED TEMPERATURE, PAIN, AND TENDERNESS (2)
5. REDUCIBILITY OF THE SWELLING (2)
6. ASK TO DEMONSTRATE REACHING ABOVE THE SWELLING (2)
7. EXAMINATION OF THE SPERMATIC CORD, EPIDIDIMIS AND TESTIS (2)
8. EXAMINATION OF LYMPH NODES (2)
9. ASK TO DEMONSTRATE FLUCTUATION TESTING (2)
10. ASK FOR THE DIAGNOSIS (2)
Page 18 of 28
OSCE: URINARY-BLADDER NECK SYMPTOMS HISTORY TAKING
MARK OUT OF 20
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF URINARY BLADDER
NECK OBSTRUCTION SYMPTOMS

ASK THE STUDENT TO TAKE A HISTORY OF BLADDER NECK OBSTRUCTION
SYMPTOMS FROM THE EXAMINER ( 65 YEARS OF AGE ) AND MARK FOR

1. ASKS FOR AGE (2)

2. ANY DYSURIA / SUPRA-PUBIC / PERINEAL / LOIN PAIN (2)

3. FREQUENCY OF URINATION INCLUDING AT NIGHT (2)

4. STATE OF THE STEAM OF URINE (2)

5. EFFECT OF STRAINING ON THE STREAM (2)

6. ANY RETENTION OF URINE IN THE PAST (2)

7. ANY HESITANCY / URGENCY IN PASSING URINE (2)

8. ANY URINARY INCONTINENCE OR POST MICTURATION DRIBBLING (2)

9. ANY HAEMATURIA (2)

10. ASK FOR POSSIBLE DIFFERENTIAL DIAGNOSIS (2)

Page 19 of 28
OSCE: URINARY HAEMATURIA SYMPTOMS HISTORY TAKING
MARK OUT OF 20
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF HAEMATURIA
SYMPTOMS
ASK THE STUDENT TO TAKE A HISTORY OF HAEMATURIA FROM THE
EXAMINER ( 40 YEARS OF AGE ) AND MARK FOR
1. ASKS FOR AGE (2)
2. HOW, WHEN, AND PROGRESS OF HAEMATURIA INCLUDING FEVER (2)
3. ASSOCIATION WITH PAIN OR WITHOUT (2)
4. ANY PAST LOIN / REFERRED COLIC PAIN / HYPOGASTRIUM /PERINEUM /URETHRAL PAIN (2)
5. ANY DYSURIA / PYEURIA (2)
6. FREQUENCY OF URINATION INCLUDING AT NIGHT (2)
7. TYPE OF HAEMATURIA (INITIAL, MIXED, TOTAL) (2)
8. ANY HISTORY OF RECENT TRAUMA (2)
9. ANY HISTORY OF T.B. / BILHARZIASIS IN THE PAST (2)
10. ASK FOR POSSIBLE COMMON DIFFERENTIAL DIAGNOSIS OF HAEMATURIA (2)
Page 20 of 28

OSCE: PERKINS TRACTION
MARK OUT OF 20

STATION: ___ RESOURCE; CASE OF PERKINS TRACTION
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SKELETAL TRACTION

ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY AND
MARK FOR

1. ASK WHAT THE SET - UP IS AND THE SPECIFIC NAME OF THE TRACTION (1)

2. ASK ABOUT THE AMOUNT OF WEIGHT NEEDED IN RELATION TO BODY WEIGHT (2)

3. ASK TO GIVE 3 ADVANTAGES OF PERKINS TRACTION

A. PREVENTS DEVELOPMENT OF CONTRACTURES (3)

B. PREVENTS ATROPHY OF MUSCLES (3)

C. EARLY HEALING AND MOBILIZATION (3)

4. ASK TO GIVE 3 DISADVANTAGES OF PERKINS TRACTION

A. INJURY TO THE COMMON PERONEAL NERVE (3)

B. FRACTURE OF TIBIA AT THE SITE OF INSERTION OF THE PIN (3)

C. PIN TRACT INFECTION(3)

5. ASK TO STATE HOW THE PIN TRACT INFECTION IS PREVENTED (2)
Page 21 of 28

OSCE: DEMONSTRATION OF SURGICAL CLINICAL SKILLS -1

MARK OUT OF 20

STATION: _ RESOURCE A PATIENT OR A DUMMY

OBJECTIVE: TO TEST CLINICAL SKILLS:

ASK TO DEMONSTRATE

1. PALPATION OF DORSALIS PEDIS AND POSTERIOR TIBIAL ARTERIES (5)

2. CONTRACTING PECTORALIS MUSCLES TO TEST FIXITY OF A LUMP. (5)

3. SHIFTING DULLNESS FOR ASCITES (5)

5. DEMONSTRATING THE METHOD OF MURPHYS TEST - (5)

Page 22 of 28
OSCE: SKIN TRACTION
MARK OUT OF 20
STATION: ___ RESOURCE; CASE OF SKIN TRACTION
OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SKIN TRACTION
ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY AND
MARK FOR
1. ASK WHAT THE SET - UP IS (SKIN TRACTION) (1)
2. ASK ABOUT THE AMOUNT OF WEIGHT NEEDED IN RELATION TO BODY WEIGHT TO
SET UP AN EFFECTIVE TRACTION (2)
3. ASK TO GIVE 3 ADVANTAGES OF SKIN TRACTION
A. NON INVASIVE (3)
B. EASY TO APPLY (3)
C. NOT EXPANSIVE (3)
4. ASK TO GIVE 3 DISADVANTAGES OF SKIN TRACTION
A. WEIGHT LIMITATION (3)
B. ISCHEMIA IF TOO TIGHT (3)
C. STIFFNESS AND CONTRACTURES FORMATION(3)
5. ASK TO STATE HOW THE DUNLOP TRACTION IS SET UP IN UPPER EXTREMITY (2)
Page 23 of 28
OSCE: DEMONSTRATION OF ORTHO. CLINICAL - SKILLS -- 2

MARK OUT OF 20 TRENDELENBURGS TEST


OBJECTIVE: TO TEST CLINICAL SKILLS:

ASK TO DEMONSTRATE TRENDELENBURGS TEST FOR THE HIP GIVING
A

1. ASKING PATIENT TO STAND IN FRONT AND COMMENTING ABOUT THE
LEVEL OF THE ILIAC CREST - (4)

2. ASKING PATIENT TO LIFT ONE OF THE LEGS AND COMMENTING ON THE
THE TILT OF THE PELVIS IF ANY - (4)

3. ASKING PATIENT TO LIFT THE OTHER LEG AND COMMENTING ON THE
THE TILT OF THE PELVIS IF ANY - (4)

4. ASK WHAT TRENDELENBURGS TEST TESTS? (4)

5. ASK TO STATE TWO CONDITIONS WHERE IT IS POSITIVE (4)
Hip dislocation
Paralysis of abductor muscles

Page 24 of 28
OSCE: DEMONSTRATION OF ORTHO CLINICAL
SKILLS 3

THOMAS TEST

MARK OUT OF 20


OBJECTIVE: TO TEST ORTHO. CLINICAL SKILLS:

ASK TO DEMONSTRATE THOMAS TEST GIVING A RUNNING


1. ASKING THE PATIENT TO LIE DOWN AND STATING THE POSITION
OF THE SPINE AND THE HIP (4)

2. FLEXING THE NORMAL HIP (4)

3. PUSHING THE HAND UNDER THE LUMBAR SPINE AND COMMENTING ON
THE STRAIGHTENING OF THE SPINE AND STATE OF THE DISEASED HIP - (4)

4. ASK WHAT DOES THE TEST TESTS? (4)

5. ASK TO NAME TWO CONDITIONS WHERE THE TEST IS POSITIVE (4)
Fixed flexion deformity

Page 25 of 28
OSCE: DEMONSTRATION OF ORTHO CLINICAL - SKILLS 5
SENSORY NERVE TESTS
MARK OUT OF 20
OBJECTIVE: TO TEST ORTHO. CLINICAL SKILLS:
ASK TO DEMONSTRATE THE FOLLOWING GIVING A RUNNING
1. SENSORY DISTRIBUTION OF RADIAL NERVE ON THE HAND (2)
2. SENSORY DISTRIBUTION OF MEDIAN NERVE ON THE HAND (2)
3. SENSORY DISTRIBUTION OF ULNAR NERVE ON THE HAND (2)
4. SENSORY DISTRIBUTION OF COMMON PERONEAL NERVE ON THE LEG (2)
5. SENSORY DISTRIBUTION OF ANTERIOR TIBIAL NERVE ON THE FOOT (2)
6. SENSORY DISTRIBUTION OF POSTERIOR TIBIAL NERVE ON THE FOOT (2)
7. SENSORY DISTRIBUTION OF T 10 NERVE ON THE ABDOMEN (2)
8. SENSORY DISTRIBUTION OF C 4 NERVE ON THE UPPER BODY (2)
9. SENSORY DISTRIBUTION OF L 1 AND L 25 NERVES ON THE LEG (2)
10. SENSORY DISTRIBUTION OF L4 AND L 5 NERVES ON THE LEG (2)
Page 26 of 28
STATIC STATION

OSCE: SURGICAL INSTRUMENTS

MARK OUT OF 20

STATION: _ RESOURCE TWO SURGICAL INSTRUMENTS PER
STATION

1. IDENTIFY THE TWO INSTRUMENTS (5 MARKS EACH)

2. WHAT ARE THEIR MAIN USES IN SURGERY? (5 MARK EACH)

Page 27 of 28
STATIC STATION
OSCE: SURGICAL PATHOLOGICAL SPECIMEN
OR A PICTURE
MARK OUT OF 20
STATION: _ RESOURCE ONE PATHOLOGICAL SPECIMEN
OR A PICTURE PER STATION
1. WHAT ARE THE TISSUE / TISSUES/ ORGANS SEEN? (4)
2. STATE (JUST IN WORDS) THE GROSS PATHOLOGY SEEN (4)
3. WHAT IS THE DIAGNOSIS? (4)
4. STATE IN SHORT THE TWO MAIN SYMPTOMS THE PATIENT WILL HAVE (4)
5. STATE TWO COMPLICATIONS OF THE PATHOLOGY SEEN (4)
FAQs in Surgical OSCEs
Page 27 of 27

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FAQ's IN Objective and Subjective Clinical Exams (OSCE)

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