Station No. 1 SCENIRIO A young patient came with hypovolemic shock , transfused 12 units of blood in em ergency.

What is massive transfusion What are the immediate effects of massive transfusion? What options do we have to treat those effects? What if after three days of that massive transfusion, oozing starts from the wou nds and what is its treatment ? Station No. 2 [interactive] Log book And viva for one operation Mine had for lateral anal Sphincterotomy (in which key questions were, how much of the length of internal sphincter is supposed to be cut vertically, what are t he possible side effects of that surgery, and what precautions are required to o vercome those side effects. Station No. 3 [interactive] Scenirio Picture of abdomen with thorax, hand sketched) Label all the laparoscopic ports, What are their sizes What can happen while insufflating the abdomen Can one do laparoscopy in ca What are the indications to convert into open Station No.4 Gas under diaphragm x-ray Scenirio A young man with known history of acid peptic disease, came to emergency with co mplains of pain abdomen , and vomiting .. What are initial management steps What is the surgical procedure done (treatment) What are the abdominal complications of surgical procedure Station No. 5 Scenario A child who is 70 kgs of weight came with serum ph of 7.5 , serum Bicarbonate (s lightly raised .. can t remember exactly), serum chloride level (slightly reduced cann ot remember), reduced serum potassium level (cannot remember), normal oxygen sat uration, and about normal CO2 level (exact level cannot remember), after 4 days of admission his weight is reduced to 65 kgs, and urinary levels of Ph , bicarbo nate, chloride, etc etc (values cannot remember) and serum sodium level is 136 m mol /liter. What is metabolic disturbance How much fluid is lost How to treat decreased level of potassium How less the sodium level has occurred How much of fluid has been lost (sequestered) Station No. 6 [interactive] Scenario Apply vertical mattress stitch, apply horizontal mattress stitch apply three con tinuous stitches with heberden knot.

(catch point, after applying first two stitches, if you think that , the length will not be enough for the heberden knot, then ask for the new suture) Station No. 7 X ray showing barium meal follow through, showing dilated portion of terminal il eum or jejunum. Scenario a young patient came with history of vomiting and pain abdomen for the last 2 we eks What is study What is the disease What Is the treatment (surgical option) How to diagnose Station No. 8 [interactive] counseling A simulator, (perhaps some house officer) acting as patient Scenario Lump in breast , T3 Patient doesn t wants surgery , and apprehensive about surgery, removal of breast an d side effects of chemotherapy and radio therapy Station No. 9 Picture, showing scrotal swelling Scenario Scrotal swelling , and pain Name three causes, and support them. What other investigation you would like to do How to take the biopsy of testicular swelling Station No. 10 [interactive] Child with neck swelling (picture) Give diagnosis (Tuberculus lymphadenitis) What other systems to examine How to confirm the diagnosis What is the treatment Doses of Anti tuberculosis therapy in this disease Station No. 11 x-ray of femur with knee joint showing sunray appearance and soap bubble Scenario A young patient with this x ray Give diagnosis (perhaps Osteosarcoma of femur) What are radiological findings? How to diagnose What are the treatment options Station No. 12 [interactive] Chest x-ray with deviated trachea to left side, and collapsed lung, and diffuse haziness of left side of the chest Scenario See the chest x ray and give the findings What is it What can be the condition? How to confirm

Treatment Station No. 13 Scenario A 60 year old man at admission with TLC level of 25 thousands, serum glucose lev el of 125 mg/dl, serum LDH of 650 , serum AST of 250, and after two days with bl ood urea of 4 grams, pao2 of 60, serum calcium (cannot remember), base deficit o f 4 , and fluid sequestration of 2.5 litres Catch point (they fu***d with the units ) Give Ranson scoring Prognosis Give indications to operate in this patient What more investigations are needed Station No. 14 [interactive] Scenario A 32 old woman undergoes laparoscopic cholecystectomy , and one day after presen ting with pain abdomen , and on 4th post op day with jaundice What is the cause What procedure you want to do now, if the lesion was made at the common hepatic duct level How to diagnose this complication What investigation to confirm anastomosis three weeks after for the hepatico-jej unostomy anastomosis (HIDA scan and what is hida scan ) Station No. 15 Scenario A 25 year old, 30 kg man, with 167 cm of height , who is malnourished and have s ome retro peritoneal pathology admitted in surgical ward (catch point == too less time ) What What What What What is is is is is his the the the the BMI caloric requirement fluid requirement nitrogen requirement CHO and Fat requirement

Posted by: shami1978 Posts: 12 :: 12-05-2009 :: |