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Cardiology OSCE

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    Cluster Astations 5 : Cognitive 2 | psychomotor 2 | affect 1 Cluster B stations 5 : Cognitive 2 | psychomotor 2 | affect 1 Cluster C stations 5 : Cognitive 2 | psychomotor 2 | affect 1 Cluster D stations 5 : Cognitive 2 | psychomotor 2 | affect 1

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    Stations Type Case Examiner Patient

    Station A1 Cognitive Case Scenario (Digitialis)

    Station A2 Cognitive Chest X-Ray: Parts

    Station A3 Skills History of Chest Pain

    Station A4 Skills Palpation of CardiovascularSystem

    Station A5 Counseling Rheumatic Heart Disease

    Station B1 Cognitive Match the following: AR signs

    Station B2 Cognitive ECG: Atrial Fibrillation

    Station B3 Skills Examination of Mitral orAortic Area

    Station B4 Skills Signs of Infective Endocarditis

    Station B5 Counseling Coronary Artery Disease

    Station C1 Cognitive Case Scenario: AS

    Station C2 Cognitive Chest X-Ray: PulmonaryEdema

    Station C3 Skills History of Chest Pain

    Station C4 Skills Palpation of CardiovascularSystem

    Station C5 Counseling Rheumatic Heart Disease

    Station D1 Cognitive Match the following:Anti-hypertensives

    Station D2 Cognitive ECG: Normal Tracing

    Station D3 Skills Examination Of Mitral orAortic Area

    Station D4 Skills Signs of Infective Endocarditis

    Station D5 Counseling Coronary Artery Disease

    Stations At A Glance - Cardiology OSCE (02/09/2010)

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    A3 C3

    A4

    A5

    B1 B2

    C4

    C1 C2A1 A2

    C5

    D1 D2

    D3

    D4

    D5B5

    B4

    B3

    Stations Layout in Ward 125 - Cardiology OSCE

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    S.No. NAMECOGNITIVE PSYCHOMOTOR AFFECT

    TOTAL1 2 3 4 5

    1 SHAKIRA YOOSUF

    2 SHANMUGAM K

    3 SHANMUGARAJA M

    4 SHIKHA VIJAYAN

    5 SHYAM KALYAN N6 SHYAM SUNDAR S R

    7 SHYAMALA GOWRI K

    8 SIDDARTH M

    9 SOUNDARYA K

    10 SRINATH B

    11 SRIPREETHIKA R

    12 SUBASHNY B

    13 SUBHASIS PRADHAN

    14 SUGANYA M

    15 SUJATHA N

    16 SUKANYA S P17 SUMATHI G

    18 SURESH T

    19 SURYA PRAKASH R

    20 TERENCE JACKSON

    Final Mark Sheet - Cardiology OSCE (02/09/2010)

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    Student-wise Mark Sheet: Cluster AS.No. Name StationA1

    StationA2

    StationA3

    StationA4

    StationA5 Total

    1 SHAKIRA YOOSUF

    2 SHANMUGAM K

    3 SHANMUGARAJA M

    4 SHIKA VIJAYAN

    5 SHYAM KALYAN N

    Student-wise Mark Sheet: Cluster AS.No. Name StationA1

    StationA2

    StationA3

    StationA4

    StationA5 Total

    1 THOOYAMANI P

    2 VANMATHI C

    3 VENKATRAM R

    4 VENKATESH NR

    5 VIGNESH A

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    Student-wise Mark Sheet: Cluster BS.No. Name StationB1

    StationB2

    StationB3

    StationB4

    StationB5 Total

    1 SHYAM SUNDAR SR

    2 SHYAMALA GOWRI K

    3 SIDDARTH M

    4 SOUNDARYA K

    5 SRINATH B

    Student-wise Mark Sheet: Cluster BS.No. Name StationB1

    StationB2

    StationB3

    StationB4

    StationB5 Total

    1 VIGNESH M

    2 VIGNESHWARI R

    3 VIJAY THOMAS D

    4 VIJAYARAGHAVACHARI TV

    5 VIKRAM V

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    Student-wise Mark Sheet: Cluster CS.No. Name StationC1

    StationC2

    StationC3

    StationC4

    StationC5 Total

    1 SRIPREETHIKA R

    2 SUBASHYNY D

    3 SUBHASIS PRADHAN

    4 SUGANYA M

    5 SUJATHA N

    Student-wise Mark Sheet: Cluster CS.No. Name StationC1

    StationC2

    StationC3

    StationC4

    StationC5 Total

    1 VIKRAM SINGH

    2 VINITHC

    3 VINITHRA D

    4 VINODH G KUMAR

    5 VINOTH KUMAR K

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    Student-wise Mark Sheet: Cluster DS.No. Name StationD1

    StationD2

    StationD3

    StationD4

    StationD5 Total

    1 SUKANYA SP

    2 SUMATHI G

    3 SURESH T

    4 SURYAPRAKASH R

    5 TERENCE JACKSON

    Student-wise Mark Sheet: Cluster DS.No. Name StationD1

    StationD2

    StationD3

    StationD4

    StationD5 Total

    1 VISHNU S

    2 VIVEK P

    3 VIVEK SANDEEP TC

    4 VYSAKH CN

    5 ARVIND NATARAJAN

    6 MURALIDHARAN

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    Read the following case scenario and answer the questions.

    A 78-year-old man with a long-standing history of CHFpresents with weakness, anorexia, nausea, and dizziness. He hasbeen receiving digoxin, 0.5 mg once daily orally, and furosemide,120 mg twice daily orally.

    1. What problem should you first suspect?

    2. What is the mechanism of occurrence of nausea and vomiting

    in digitalis toxicity?

    3. What are the other causes of GI symptoms in patients with

    CHF?

    4. List other manifestations of digitalis toxicity.

    5. Describe the cardiac complications of digitalis intoxication.

    6. What laboratory test helps confirm the diagnosis of digitalis

    toxicity?

    7. Name two electrolyte disturbances which precipitate digoxin

    toxicity.

    8. What is the specific antidote for digoxin toxicity?

    A1 Station

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    Identify the parts marked in the chest X-ray.

    (Choose from the list given below)

    Right Atrium Apex CarinaAortic Arch Left Atrial Appendage Superior Vena CavaPulmonary Trunk Right Ventricle TracheaInferior Vena Cava Cardio-phrenic Angle Aortic Valve

    A2 Station

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    History of Chest Pain.

    NAME OF STUDENT

    M

    a r k s

    f o r e a c h s t e p

    1 .

    S H A K I R A Y O O S U F

    2 .

    S H A N M U G A M

    K

    3 .

    S H A N M U G A R A J A M

    4 .

    S H I K A V I J A Y A N

    5 .

    S H Y A M

    K A L Y A N

    6 .

    T H O O Y A M A N I

    7 .

    V A N M A T H I C

    8 .

    V E N K A T R A M

    V

    9 .

    V E N K A T E S H N R

    1 0 .

    V I G N E S H A

    1. Self introduction, explanation ofprocedure and seeking permission

    2. Site of chest pain 1

    3. Onset of pain 1

    4. Character of chest pain 1

    5. Radiation to upper limb, neck, jaw,epigastrium, back 1

    6. Duration of pain 1

    7. Exacerbating factors- exertion,respiration, coughing, movement 1

    8. Relieving factors- rest, nitrates,NSAIDs 1

    9.Associated factors- breathlessness,palpitation, sweating, dizziness,vomiting, cough, trauma

    1

    10. Clinical impression 1

    11. Thanking the patient

    MARKS AT THIS STATION 10

    A3 Station

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    Palpation of Cardiovascular System.

    NAME OF STUDENT

    M a r k s

    f o r e a c h s t e p

    1 . S H A

    K I R A Y O O S U F

    2 . S H A

    N M U G A M

    K

    3 . S H A

    N M U G A R A J A M

    4 . S H I K A V I J A Y A N

    5 . S H Y A M

    K A L Y A N

    6 . T H O

    O Y A M A N I

    7 . V A N

    M A T H I C

    8 . V E N

    K A T R A M

    V

    9 . V E N

    K A T E S H N R

    1 0 . V I

    G N E S H A

    1. Self introduction, explanation ofprocedure and seeking permission

    2. Simultaneous palpation of bothhemi-thorax 1

    3. Localisation of apex beat 1

    4. Palpation in left lateral position 1

    5. Palpation of para-sternal region 1

    6. Palpation of pulmonary area 1

    7. Palpation of aortic area 1

    8. Palpation of carotids 1

    9. Clinical impression 2

    10. Thanking the patient

    MARKS AT THIS STATION 10

    A4 Station

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    Counseling of Patient with Rheumatic Heart Disease.

    NAME OF STUDENT

    M

    a r k s

    f o r e a c h s t e p

    1 .

    S H A K I R A Y O O S U F

    2 .

    S H A N M U G A M

    K

    3 .

    S H A N M U G A R A J A M

    4 .

    S H I K A V I J A Y A N

    5 .

    S H Y A M

    K A L Y A N

    6 .

    T H O O Y A M A N I

    7 .

    V A N M A T H I C

    8 .

    V E N K A T R A M

    V

    9 .

    V E N K A T E S H N R

    1 0 .

    V I G N E S H A

    1 Self introduction, greetings

    2 Listening, clearing doubts 1

    3 Explaining nature of the disease 1

    4 Dental hygiene 1

    5 Avoidance of exertion 1

    6 Education on drug compliance andRheumatic fever prophylaxis 1

    7 Role of Surgery 1

    8 Regular follow up 1

    9 Possible complications 1

    10 Education on when to seekimmediate medical attention 1

    11 Thanking the patient

    MARKS AT THIS STATION 10

    A5 Station

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    Match the following.

    1. Light house sign A. Head bobbing with each

    heart beat

    2. Quinkes sign B. Dancing carotids3. Duroziezs sign C. Systolic murmur heard over

    femoral artery

    4. Gerhardts sign D. Pulsations of liver

    5. de Mussets sign E. Change in pupillary size in

    accordance with cardiac cycle6. Landolfis sign F. Systolic pulsations of uvula

    7. Hills sign G. Capillary pulsations

    8. Rosenbachs sign H. Alternate flushing and blanching

    of forehead

    9. Mullers sign I. Popliteal pressure exceedsbrachial pressure by >20 mmHg

    10. Corrigans sign J. Pulsations over enlarged spleen

    B1 Station

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    Observe the ECG and answer the following questions.

    1. Comment on the rhythm.

    2. Describe the P waves.

    3. What is the diagnosis?

    4. Name two common causes associated with this abnormality.

    5. Name one complication of this condition.

    B2 Station

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    Examination of Mitral Area.

    NAME OF STUDENT

    M

    a r k s

    f o r e a c h s t e p

    1 .

    S H Y A M

    S U N D A R S R

    2 .

    S H Y A M A L A G O W R I K

    3 .

    S I D D H A R T H

    M

    4 .

    S O U N D A R Y A K

    5 .

    S R I N A T H B

    6 .

    V I G N E S H M

    7 .

    V I G N E S W A R I R

    8 .

    V I J A Y T H O M A S D

    9 .

    V I J A Y A R A G H A V A C H A R I T V

    1 0 .

    V I K R A M

    V

    1. Self introduction, explanation ofprocedure, seeking permission

    2. Inspection 1

    3. Localization with finger 1

    4. Palpation in left lateral position 1

    5. Auscultation with diaphragm andbell 1

    6. Auscultation in left lateral position 1

    7. Auscultation with breath held inexpiration 1

    8. Auscultation of axilla and back 1

    9. Dynamic auscultation 1

    10. Clinical impression 1

    11. Thanking

    MARKS AT THIS STATION 10

    B3 Station

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    Examination of Aortic Area.

    NAME OF STUDENT

    M a r k s

    f o r e a c h s t e p

    1 .

    S H Y A M

    S U N D A R S R

    2 .

    S H Y A M A L A G O W R I K

    3 .

    S I D D H A R T H

    M

    4 .

    S O U N D A R Y A K

    5 .

    S R I N A T H B

    6 .

    V I G N E S H M

    7 .

    V I G N E S W A R I R

    8 .

    V I J A Y T H O M A S D

    9 .

    V I J A Y A R A G H A V A C H A R I T V

    1 0 .

    V I K R A M

    V

    1. Self introduction, explanation ofprocedure, seeking permission

    2. Inspection 1

    3. Palpation of Aortic Area 1

    4. Palpation of Carotids 1

    5. Auscultation with diaphragm 1

    6. Auscultation in leaning forwardposition 1

    7. Auscultation with breath held inexpiration 1

    8. Auscultation of carotids 1

    9. Auscultation of Mitral Area

    10. Auscultation of second aortic area

    11. Clinical impression 1

    12. Thanking

    MARKS AT THIS STATION 10

    B3 Station

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    Signs of Infective Endocarditis.

    NAME OF STUDENT

    M

    a r k s

    f o r e a c h s t e p

    1 .

    S H Y A M

    S U N D A R S R

    2 .

    S H Y A M A L A G O W R I K

    3 .

    S I D D H A R T H

    M

    4 .

    S O U N D A R Y A K

    5 .

    S R I N A T H B

    6 .

    V I G N E S H M

    7 .

    V I G N E S W A R I R

    8 .

    V I J A Y T H O M A S D

    9 .

    V I J A Y A R A G H A V A C H A R I T V

    1 0 .

    V I K R A M

    V

    1. Self introduction, explanation ofprocedure, seeking permission

    2. Recording temperature 1

    3. Looking for pallor 1

    4. Looking for icterus 1

    5. Asking for ophthalmoscope

    6. Oslers node, Janeway lesions 1

    7. Clubbing, subungual hemorrhage 1

    8. Joint examination for arthritis

    9. Petechial rash in skin and mucosa 1

    10. Auscultation for new or changingmurmurs 1

    11. Palpation for splenomegaly 1

    12. Thanking the patient

    MARKS AT THIS STATION 10

    B4 Station

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    Counseling of Patient with Coronary Artery Disease.

    NAME OF STUDENT

    M a r k s f o r e a c h s t e p

    1 . S H Y A M

    S U N D A R S R

    2 . S H Y A M A L A G O W R I K

    3 . S I D D H A R T H

    M

    4 . S O U N D A R Y A K

    5 . S R I N A

    T H B

    6 . V I G N E S H M

    7 . V I G N E S W A R I R

    8 . V I J A Y

    T H O M A S D

    9 . V I J A Y A R A G H A V A C H A R I T V

    1 0 .

    V I K R

    A M

    V

    1 Introduction, greetings 1

    2 Listening and encouraging to getpatients doubts, concerns 1

    3 Dietary modification 1

    4 Adaptation of activity 1

    5 Education on risk factors 1

    6 Drug compliance 1

    7 Role of surgery 1

    8 Family Screening 1

    9 Warning signs including anginaequivalents 1

    10. Thanking the patient 1

    MARKS AT THIS STATION 10

    B5 Station

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    Read the following case scenario and answer the questions.

    A 30 year old male, farmer, has been admitted withcomplaints of chest pain and dyspnea on exertion with history ofone episode of sudden loss of consciousness. His BP was 110/80mmHg. Pulse 80/min, regular. ECG shows evidence of LVH.

    1. What is the probable diagnosis?

    2. What type of LVH is expected in this patient?

    3. What will be the nature of apical impulse in this patient?

    4. What character do you expect in this patients pulse?

    5. Describe the murmur.

    C1 Station

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    Observe the Chest X-Ray and answer the following questions.

    1. What are the two prominent findings?

    2. What is the diagnosis?

    3. What do you expect in auscultation of respiratory system?

    4. Name two causes for this condition.

    5. How will you manage?

    C2 Station

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    History of Chest Pain.

    NAME OF STUDENT

    M a r k s

    f o r e a c h s t e p

    1 . S R I P R E E T H I K A R

    2 . S U B H A S H Y N Y D

    3 . S U B H A S I S P R A D H A N

    4 . S U G A N Y A M

    5 . S U J A T H A N

    6 . V I K R A M

    S I N G H

    7 . V I N I T H C

    8 . V I N I T H R A D

    9 . V I N O D H G K U M A R

    1 0 .

    V I N O T H K U M A R K

    1. Self introduction, explanation ofprocedure and seeking permission

    2. Site of chest pain 1

    3. Onset of pain 1

    4. Character of chest pain 1

    5. Radiation to upper limb, neck, jaw,epigastrium, back 1

    6. Duration of pain 1

    7. Exacerbating factors- exertion,respiration, coughing, movement 1

    8. Relieving factors- rest, nitrates,NSAIDs 1

    9.

    Associated factors- breathlessness,

    palpitation, sweating, dizziness,vomiting, cough, trauma 1

    10. Clinical impression 1

    11. Thanking the patient

    MARKS AT THIS STATION 10

    C3 Station

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    Palpation of Cardiovascular System.

    NAME OF STUDENT

    M a r k s

    f o r e a c h s t e p

    1 . S R I P R E E T H I K A R

    2 . S U B

    H A S H Y N Y D

    3 . S U B

    H A S I S P R A D H A N

    4 . S U G

    A N Y A M

    5 . S U J A T H A N

    6 . V I K R A M

    S I N G H

    7 . V I N I T H C

    8 . V I N I T H R A D

    9 . V I N O D H G K U M A R

    1 0 . V I

    N O T H K U M A R K

    1. Self introduction, explanation ofprocedure and seeking permission

    2. Simultaneous palpation of bothhemi-thorax 1

    3. Localisation of apex beat 1

    4. Palpation in left lateral position 1

    5. Palpation of para-sternal region 1

    6. Palpation of pulmonary area 1

    7. Palpation of aortic area 1

    8. Palpation of carotids 1

    9. Clinical impression 2

    10. Thanking the patient

    MARKS AT THIS STATION 10

    C4 Station

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    Counseling of Patient with Rheumatic Heart Disease.

    NAME OF STUDENT

    M a r k s

    f o r e a c h s t e p

    1 . S R I P R E E T H I K A R

    2 . S U B H A S H Y N Y D

    3 . S U B H A S I S P R A D H A N

    4 . S U G A N Y A M

    5 . S U J A T H A N

    6 . V I K R A M

    S I N G H

    7 . V I N I T H C

    8 . V I N I T H R A D

    9 . V I N O D H G K U M A R

    1 0 .

    V I N O T H K U M A R K

    1 Self introduction, greetings

    2 Listening, clearing doubts 1

    3 Explaining nature of the disease 1

    4 Dental hygiene 1

    5 Avoidance of exertion 1

    6 Education on drug compliance andRheumatic fever prophylaxis 1

    7 Role of Surgery 1

    8 Regular follow up 1

    9 Possible complications 1

    10 Education on when to seekimmediate medical attention 1

    11 Thanking the patient

    MARKS AT THIS STATION 10

    C5 Station

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    Match the following.

    1. Clonidine A. Calcium channel blocker

    2. Prazosin B. Angiotensin receptor blocker

    3. Indapamide C. K+ channel opener

    4. Amiloride D. + -adrenergic blocker

    5. Carvedilol E. -adrenergic blocker

    6. Minoxidil F. Central sympatholytic

    7. Candesartan G. K+ sparing diuretic

    8. Ramipril H. ACE inhibitor

    9. Nifedipine I. -adrenergic blocker

    10. Atenolol J. Loop diuretic

    D1 Station

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    Observe the ECG and answer the following questions.

    1. What is the rhythm and rate in this ECG?

    2. What is the standard speed at which ECG is recorded?

    3. What is P wave due to?

    4. Which wave in this ECG denotes ventricular repolarization?

    5. What are the ECG findings of acute rheumatic fever?6. Name any two causes for ST segment elevation.

    7. What are the chest leads in a standard 12 lead ECG?

    D2 Station

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    Examination of Mitral Area.

    NAME OF STUDENT

    M

    a r k s

    f o r e a c h s t e p

    1 .

    S U K A N Y A S P

    2 .

    S U M A T H Y G

    3 .

    S U R E S H T

    4 .

    S U R Y A P R A K A S H R

    5 .

    T E R E N C E J A C K S O N

    6 .

    V I S H N U S

    7 .

    V I V E K P

    8 .

    V I V E K S A N D E E P

    9 .

    V Y S A K H C N

    1 0 .

    A R V I N D N A T A R A J A N

    1. Self introduction, explanation ofprocedure, seeking permission

    2. Inspection 1

    3. Localization with finger 1

    4. Palpation in left lateral position 1

    5. Auscultation with diaphragm andbell 1

    6. Auscultation in left lateral position 1

    7. Auscultation with breath held inexpiration 1

    8. Auscultation of axilla and back 1

    9. Dynamic auscultation 1

    10. Clinical impression 1

    11. Thanking

    MARKS AT THIS STATION 10

    D3 Station

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    Examination of Aortic Area.

    NAME OF STUDENT

    M a r k s

    f o r e a c h s t e p

    1 .

    S U K A N Y A S P

    2 .

    S U M A T H Y G

    3 .

    S U R E S H T

    4 .

    S U R Y A P R A K A S H R

    5 .

    T E R E N C E J A C K S O N

    6 .

    V I S H N U S

    7 .

    V I V E K P

    8 .

    V I V E K S A N D E E P

    9 .

    V Y S A K H C N

    1 0 .

    A R V I N D N A T A R A J A N

    1. Self introduction, explanation ofprocedure, seeking permission

    2. Inspection 1

    3. Palpation of Aortic Area 1

    4. Palpation of Carotids 1

    5. Auscultation with diaphragm 1

    6. Auscultation in leaning forwardposition 1

    7. Auscultation with breath held inexpiration 1

    8. Auscultation of carotids 1

    9. Auscultation of Mitral Area

    10. Auscultation of second aortic area

    11. Clinical impression 1

    12. Thanking

    MARKS AT THIS STATION 10

    D3 Station

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    Signs of Infective Endocarditis.

    NAME OF STUDENT

    M

    a r k s

    f o r e a c h s t e p

    1 .

    S U K A N Y A S P

    2 .

    S U M A T H Y G

    3 .

    S U R E S H T

    4 .

    S U R Y A P R A K A S H R

    5 .

    T E R E N C E J A C K S O N

    6 .

    V I S H N U S

    7 .

    V I V E K P

    8 .

    V I V E K S A N D E E P

    9 .

    V Y S A K H C N

    1 0 .

    A R V I N D N A T A R A J A N

    1. Self introduction, explanation ofprocedure, seeking permission

    2. Recording temperature 1

    3. Looking for pallor 1

    4. Looking for icterus 1

    5. Asking for ophthalmoscope

    6. Oslers node, Janeway lesions 1

    7. Clubbing, subungual hemorrhage 1

    8. Joint examination for arthritis

    9. Petechial rash in skin and mucosa 1

    10. Auscultation for new or changingmurmurs 1

    11. Palpation for splenomegaly 1

    12. Thanking the patient

    MARKS AT THIS STATION 10

    D4 Station

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    Counseling of Patient with Coronary Artery Disease.

    NAME OF STUDENT

    M a r k s f o r e a c h s t e p

    1 . S U K A N Y A S P

    2 . S U M A

    T H Y G

    3 . S U R E S H T

    4 . S U R Y A P R A K A S H R

    5 . T E R E N C E J A C K S O N

    6 . V I S H N

    U S

    7 . V I V E K

    P

    8 . V I V E K

    S A N D E E P

    9 . V Y S A K H C N

    1 0 .

    A R V I N D N A T A R A J A N

    1 Introduction, greetings 1

    2 Listening and encouraging to getpatients doubts, concerns 1

    3 Dietary modification 1

    4 Adaptation of activity 1

    5 Education on risk factors 1

    6 Drug compliance 1

    7 Role of surgery 1

    8 Family Screening 1

    9 Warning signs including anginaequivalents 1

    10. Thanking the patient 1

    MARKS AT THIS STATION 10

    D5 Station

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    Station A1: Case Scenario (Digitalis)

    1. Digitalis toxicity [] 2. Stimulation of the area postrema in the medulla

    oblongata of the brain stem [] 3. Passive hepatic congestion, Ascites [1] 4. Neurologic symptoms : headache, neuralgia, [2]

    confusion, delirium, seizuresVisual symptoms: scotoma, halos,

    altered color perception

    Cardiac toxicity : ventricular or junctionaltachyarrhythmias, AV block

    Miscellaneous : gynecomastia, skin rash5. Bradycardia, Multiple ventricular ectopics [2]

    Ventricular bigeminy (alternate ventricular ectopics),Atrial tachycardia (with variable block), Ventriculartachycardia, Ventricular fibrillation

    6. Serum Digoxin level [1] 7. Hypokalemia, Hypomagnesemia, Hypercalcemia [2] 8. Digibind (Digitalis antibodies) [1]

    Station A2: Chest X-Ray: Parts

    1. Apex [2] 2. Aortic Arch [1] 3. Right Atrium [2] 4. Trachea [2] 5. Pulmonary Trunk [1] 6. Superior Vena Cava [1] 7. Left Atrial Appendage [1]

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    Station B1: Match the following: AR signs

    1. Light house sign H. Alternate flushing and blanchingof forehead

    2. Quinkes sign G. Capillary pulsations3. Duroziezs sign C. Systolic murmur heard over

    femoral artery4. Gerhardts sign J. Pulsations over enlarged spleen5. de Mussets sign A. Head bobbing with each

    heart beat6. Landolfis sign E. Change in pupillary size in

    accordance with cardiac cycle7. Hills sign I. Popliteal pressure exceeds

    brachial pressure by >20 mmHg

    8.

    Rosenbachs sign D. Pulsations of liver9. Mullers sign F. Systolic pulsations of uvula10. Corrigans sign B. Dancing carotids

    Station B2: ECG: Atrial Fibrillation

    1. Irregular / Varying R-R intervals [2] 2. Absent P waves / Fibrillatory waves [2] 3. Atrial Fibrillation [2] 4. RHD (MS/MR), CAD, Thyrotoxicosis [2] 5. Thrombo-embolism, Cardiac failure [2]

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    Station C1: Case Scenario: AS

    1. Aortic Stenosis [2] 2. Concentric LVH [2] 3. Heaving apical impulse [2] 4. Pulsus parvus et tardus [2] 5. Crescendo Decrescendo murmur [2]

    Station C2: Chest X-Ray: Pulmonary Edema

    1. Cardiomegaly, Alveolar opacities [2] 2. Pulmonary edema [2] 3. Bilateral fine crepitations [2] 4. Cardiac failure, Chronic Kidney Disease [2] 5. Back rest, Nasal oxygen, Diuretics [2]

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    Station D1: Match the following: Anti-hypertensives1. Clonidine F. Central sympatholytic2. Prazosin I. -adrenergic blocker3. Indapamide J. Loop diuretic4. Amiloride G. K+ sparing diuretic5. Carvedilol D. + -adrenergic blocker6. Minoxidil C. K+ channel opener7. Candesartan B. Angiotensin receptor blocker8. Ramipril H. ACE inhibitor9. Nifedipine A. Calcium channel blocker10. Atenolol E. -adrenergic blocker

    Station D2: ECG: Normal Tracing

    1. Normal sinus rhythm, Around 100/min [2] 2. 25 mm/s [1] 3. Atrial depolarization [1] 4. T wave [1] 5. Sinus tachycardia, Prolongation of PR interval [2] 6. Acute myocardial infarction, Acute pericarditis,

    Early repolarisation, LV aneurysm [2] 7. V1-V6 [1]


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