OSPE:
1-ECG of MI
A- 2 change in the ECG.
B- calculate the heart rate.
C- most likely diagnosis.
2- picture of ABG result. (PH is acidic, CO2: 27, HCO3:12, Na: 135 , CL:99)
A- most likely acid base disturbance: metabolic acidosis.
B- what is the compensation? respiratory alkalosis.
C- calculate the anion gap: na-(CL+HCO3) , 135-(99+12) = 24
D- 2 causes
3- X-ray of pleural effusion.
A- X-ray finding : obliteration of the costophrenic angle.
B- diagnosis: pleural effusion.
C- 2 specific investigation you would like to order.
4- pictures of buccal and hand pigmentation.
A- 1 clinical manifestation: pigmentation .
B- diagnosis: primary adrenal insufficiency.
C- mention the diagnostic test (only one).
5- peripheral blood smear slide.
A- what is the abnormal finding : presence of Reed Sternberg cell.
B- diagnosis: hodgkin lymphoma.
C- 3 symptom indicates poor prognosis.
6- two pictures, ascites and jaundice.
A- mention the 2 sign in the pictures.
B- mention 3 sign other than above.
C-what could be the cause.
7- video of man with shuffling gait and bradykinesia…. etc (parkinsonian feature)
A- 3 manifestation, any manifestation not only those present in the video.
B- 3 DDX
C- write the pathogenesis in 2 line.
8- dactylitis and skin rash of psoriasis , hand X-ray.
A- what is the feature in the first picture: dactylitis.
B- X-ray finding: pencil in cup.
C- 1 extra articular manifestation.
D- diagnosis: psoriatic arthritis