Department of Surgery OSCE: 5 APRIL 2011 Paediatric -, Plastic-& Vascular Surgery. Answer all questions in written on the answer sheets provided Remember your name and student nr on each page The OSCE consists of 16 stations, 5 marks each, 5 minutes per station - PowerPoint PPT Presentation
Department of Surgery Department of Surgery OSCE: 5 APRIL 2011 OSCE: 5 APRIL 2011 Paediatric-, Plastic-& Vascular Paediatric-, Plastic-& Vascular Surgery Surgery Answer all questions in written on Answer all questions in written on the answer sheets provided the answer sheets provided Remember your Remember your name and student nr name and student nr on on each page each page The OSCE consists of 16 stations, The OSCE consists of 16 stations, 5 marks each, 5 minutes per station 5 marks each, 5 minutes per station No cell phone, books or study No cell phone, books or study material may be brought into the material may be brought into the examination venue examination venue . .
Transcript
Department of SurgeryDepartment of SurgeryOSCE: 5 APRIL 2011OSCE: 5 APRIL 2011
Paediatric-, Plastic-& Vascular SurgeryPaediatric-, Plastic-& Vascular Surgery
Answer all questions in written on the Answer all questions in written on the answer sheets providedanswer sheets provided
Remember your Remember your name and student nrname and student nr on on each pageeach page
The OSCE consists of 16 stations, The OSCE consists of 16 stations,
5 marks each, 5 minutes per station5 marks each, 5 minutes per station No cell phone, books or study material No cell phone, books or study material
may be brought into the examination may be brought into the examination venuevenue..
DEPARTMENT OF DEPARTMENT OF PAEDIATRIC SURGERY –PAEDIATRIC SURGERY –
QUESTIONS 1 – 5 QUESTIONS 1 – 5
Slide 1 – Paediatric SurgerySlide 1 – Paediatric Surgery
Questions – slide 1Questions – slide 1
What is the diagnosis suggested by the X-Ray?What is the diagnosis suggested by the X-Ray?Wat is die diagnose wat hierdie X-Straal voorstel?Wat is die diagnose wat hierdie X-Straal voorstel?
How do these babies classically present?How do these babies classically present?Wat is die klassieke presentering van hierdie babas?Wat is die klassieke presentering van hierdie babas?
What are the referring doctor’s duties before What are the referring doctor’s duties before transferring this baby?transferring this baby?Wat is die verwysende dokter se pligte voordat Wat is die verwysende dokter se pligte voordat hierdie baba na ‘n tersiere inrigting oorgeplaas word?hierdie baba na ‘n tersiere inrigting oorgeplaas word?
Slide 2 – Paediatric SurgerySlide 2 – Paediatric Surgery
Questions for slide 2Questions for slide 2A. Give a differential diagnosis?A. Give a differential diagnosis?
Gee ‘n differensiële diagnose?Gee ‘n differensiële diagnose?
B. What do you think is the most B. What do you think is the most probable diagnosis here and how probable diagnosis here and how would you treat this girl?would you treat this girl?Wat dink jy is die mees waarskynlike Wat dink jy is die mees waarskynlike diagnose hier en hoe sou jy hierdie diagnose hier en hoe sou jy hierdie kind behandel?kind behandel?
Slide 3 – Paediatric SurgerySlide 3 – Paediatric Surgery
Questions for slide 3Questions for slide 3A. What is the name of this abnormality?A. What is the name of this abnormality?
Wat is die naam van hierdie abnormaliteit?Wat is die naam van hierdie abnormaliteit?
B. Why is this condition clinically important?B. Why is this condition clinically important?Hoekom is hierdie toestand klies belangrik?Hoekom is hierdie toestand klies belangrik?
C. What is the embryological explanation for C. What is the embryological explanation for this condition?this condition?Wat is die embriologiese verduideliking vir Wat is die embriologiese verduideliking vir hierdie toestand?hierdie toestand?
Slide 4 – Paediatric SurgerySlide 4 – Paediatric Surgery
Questions for slide 4Questions for slide 4This child presents with a reducible lump.This child presents with a reducible lump.
Hierdie kind presenteer met ‘n reduseerbare Hierdie kind presenteer met ‘n reduseerbare swelling.swelling.
A. What is the likely diagnosis?A. What is the likely diagnosis?Wat is die mees waarskynlike diagnose?Wat is die mees waarskynlike diagnose?
B. When must surgery be done and what B. When must surgery be done and what does it consist of?does it consist of?Wanneer moet chirurgie gedoen word en Wanneer moet chirurgie gedoen word en what behels dit?what behels dit?
Slide 5 – Paediatric SurgerySlide 5 – Paediatric Surgery
Questions for slide 5Questions for slide 5This is a 3 week old child who has vomited This is a 3 week old child who has vomited
some bile and shows mild abdominal some bile and shows mild abdominal distension.distension.
Hierdie is ‘n 3 week oue kind wat gal gebraak Hierdie is ‘n 3 week oue kind wat gal gebraak het en wys ‘n effense buikopsetting.het en wys ‘n effense buikopsetting.
A. What is the likely diagnosis?A. What is the likely diagnosis?Wat is die waarskynlike diagnose?Wat is die waarskynlike diagnose?
B. Why is this a surgical emergency?B. Why is this a surgical emergency?Hoekom is hierdie ‘n chirurgiese noodgeval?Hoekom is hierdie ‘n chirurgiese noodgeval?
Questions for slides 1a & 1bQuestions for slides 1a & 1bA. What is the classical history and clinical A. What is the classical history and clinical
findings on examination of the patient.findings on examination of the patient.
Wat is die klassieke geskiedenis en kliniese Wat is die klassieke geskiedenis en kliniese bevindinge in die pasiënt.bevindinge in die pasiënt.
B. What are the treatment options available B. What are the treatment options available for this condition and name the life for this condition and name the life threatening complications of this condition.threatening complications of this condition.
Noem die behandelings opsies beskikbaar Noem die behandelings opsies beskikbaar vir hierdie toestand asook die vir hierdie toestand asook die lewensbedreigende komplikasies.lewensbedreigende komplikasies.
Slide 2 – Paediatric SurgerySlide 2 – Paediatric Surgery
Questions for slide 2Questions for slide 2
A. What is the clinical diagnosis?A. What is the clinical diagnosis?Wat is die kliniese diagnose?Wat is die kliniese diagnose?
B.B. What must you do before you What must you do before you transfer the patient for further care?transfer the patient for further care?Wat moet u doen voordat u die Wat moet u doen voordat u die pasiënt oorplaas vir verdere pasiënt oorplaas vir verdere behandeling?behandeling?
Slide 3 – Paediatric SurgerySlide 3 – Paediatric Surgery
Questions for slide 3Questions for slide 3A. What is the typical history of a child A. What is the typical history of a child
with hypertrophic pyloric stenosis?with hypertrophic pyloric stenosis?Wat is die tipiese geskiedenis van ‘nWat is die tipiese geskiedenis van ‘nkind met hipertrofiese piloriese stenose?kind met hipertrofiese piloriese stenose?
B. What are the physical signs?B. What are the physical signs?Wat is die fisiese tekens?Wat is die fisiese tekens?
C. What are the metabolic disturbances C. What are the metabolic disturbances found? What is the operation shown called?found? What is the operation shown called?
Wat is die metaboliese versteurings wat Wat is die metaboliese versteurings wat gevind word? Wat is die naam van die gevind word? Wat is die naam van die prosedure?prosedure?
Slide 4 – Paediatric SurgerySlide 4 – Paediatric Surgery
Questions for slide 4Questions for slide 4A. This photograph shows a fistula on the anterior A. This photograph shows a fistula on the anterior
edge of the sternocleidomastoid muscle. What edge of the sternocleidomastoid muscle. What is the diagnosis and the etiology?is the diagnosis and the etiology?Hierdie foto wys ‘n fistel op die voorkanste rand Hierdie foto wys ‘n fistel op die voorkanste rand van die sternokleidomastoide spier. Wat is die van die sternokleidomastoide spier. Wat is die diagnose en die etiologie?diagnose en die etiologie?
B. What are the possible complications and what is B. What are the possible complications and what is the treatment of choice in uncomplicated cases?the treatment of choice in uncomplicated cases?
Wat is die moontlike komplikasies en wat is die Wat is die moontlike komplikasies en wat is die behandeling van keuse in ongekompliseerde behandeling van keuse in ongekompliseerde gevalle?gevalle?
Slide 5 – Paediatric SurgerySlide 5 – Paediatric Surgery
Questions for slide 5Questions for slide 5A. What do you see on this abdominal A. What do you see on this abdominal
X-Ray? / Wat sien jy op hierdie abdominale X-Ray? / Wat sien jy op hierdie abdominale X-straal?X-straal?
B. What clinical signs is this newborn presenting B. What clinical signs is this newborn presenting with? / Met watter kliniese tekens presenteer with? / Met watter kliniese tekens presenteer hierdie pasgeborene?hierdie pasgeborene?
C. Give a differential diagnosis (quite a few C. Give a differential diagnosis (quite a few conditions can be the cause of this abnormal conditions can be the cause of this abnormal AXR).AXR).Gee ‘n differensiële diagnose (‘n paar toestande Gee ‘n differensiële diagnose (‘n paar toestande kan die oorsaak wees van hierdie abnormale kan die oorsaak wees van hierdie abnormale X-Straal).X-Straal).
Station 4 – PaediatricStation 4 – Paediatric
Questions Slide 4Questions Slide 4A. What abnormality is depicted on this A. What abnormality is depicted on this
CXR?CXR?Watter abnormaliteit word in hierdie CXR Watter abnormaliteit word in hierdie CXR uitgebeeld?uitgebeeld?
B.B. What might be the symptoms of this child?What might be the symptoms of this child?Watter simptome mag hierdie kind toonWatter simptome mag hierdie kind toon??
C.C. What treatment do you suggest?What treatment do you suggest?Watter behandeling sou jy voorstel?Watter behandeling sou jy voorstel?
Station 5 – Paediatric Station 5 – Paediatric SurgerySurgery
Questions Slide 5Questions Slide 5
A.A. What is the diagnosis?What is the diagnosis?Wat is die diagnose?Wat is die diagnose?
B.B. What must you do before you What must you do before you transfer the patient?transfer the patient?Wat moet jy doen voordat jy hierdie Wat moet jy doen voordat jy hierdie pasiënt oorplaaspasiënt oorplaas??
