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Exam Samples:

 Section I

Choose one single best answer

1-In Atrial Septum defect:

A-The lesion is usually of primum type

B-The initial shunt is left to right

C-The second heart sound is split durind expiration

D-ECG typically shows left bundle branch block

E-Surgery should be delayed till shunt reversal occurs


2-Recognsed cause of Raynaud;s Phenomenon includes all the following except


b-beta-blocker therapy

c-Progressive systemic sclerosis

d-vibration trauma

e-Temporal cell arteritis


3-The Following is true of  amoebic dysentery except

a-Incubation period of 2-4 weeks

b- Charecteristic appearance of the mucosa on sigmoidoscopy

c-Colonic mucosal involvement is most marked in the caecum

d-Can be complicated with severe intestinal hemorrhage

e-Entamoeba histolytica cysts in the stool are diagnostic of the disease



4-Recognised complications of pneumococcal pneumonia include all the following except




d-pleural effusion

e-peripheral circulatory failure


5-pleural effusion with protein content of 50g/L would be compatible with

a-congestive heart failure

b-pulmonary infarction

c-nephritic syndrome

d-Chronc liver disease



Section 2

Write true or false for each item given in the question


1-In the treatment of severe acute ulcerative colitis

a-Antibiotic therapy is mandatory if the patient is febrile

b-anti-diarrheal agents are strongly indicated

c- Systemic corticosteroids may cause perforation.

d-Toxic dilatation is a known complication.

e-Hypoproteinemia should be treated with albumin infusion


2-The management of fulminant liver failure includes

a-High protein diet to enhance nutritional status

b-Fresh frozen plasma to correct coagulation disorders

c-laculose to obtain 2-3 bowel motions per day

d-dexamethasone if there is brain edema

e-Parenteral dextrose to correct hypoglycaemia



3-Regarding thyroid hormones :

a-T3 and T4 are both stored in colloid vesicles as thyroglobulin.

b-T4 is metabolically more active than T3.

c-T3 and T4 are mainly bound to albumin in the serum

d-Most of circulating T3 arises from extra-Thyroid T4

e-in acute illness conversion of T4 to T3 decrease in acute illness


Section 3

Case Scenario:



OSCE Examination for 441 course


Example # 1:


       CXR of a 60 year old man with cough, fever, and sweating for 4 weeks.



1.                   Interpret the main abnormal findings of the CXR?  ( 2 marks)


ü  Ideal answer:      Right  upper lung lobe infiltration   



2.                   List 3 differential diagnoses?  (3 marks)


ü  Ideal answer:             a.            Pneumonia        


                                                                                b.            T.B                 _


                                                                                c.             Cancer            _





3.                   Mention 3 initial and essential laboratory investigations?  (3 marks)


ü  Ideal answer              a.            Sputum for C/S


b.         Sputum for AFB


                            c.             CBC                  _



4.                   Mention the initial antibiotic class of choice?  (2 marks)


ü  Ideal answer              Cephalosporin or a penicillin




Example # 2:


70 year old man with history of  DM, HTN and hypercholestolemia.  He presents with the current ECG.  (ECG is provided that shows an inferolateral MI).


 1.             Interpret the ECG           ( 1 mark )


ü     Ideal answer:  Inferolateral acute ST elevation myocardial infarction

                                                          (but If answered: Inferior STEMI: 1/2 out of 1 Mark)


2.                   How would you manage this patient?       ( 6 marks )


ü    Ideal answer


1.                                                     ASA                                =             2 marks               

2.                                                      Heparin                        =             1 mark

3.                                                     B-blocker                     =             1 mark

4.                                                      Fibrinolytic =             2 marks



3.              How would you decide about successful reperfusion?       ( 3 marks )



ü     Ideal answer


1.                   Resolution of  the ischemic chest pain

2.                   Resolution of  the ST-segment elevation by at least 50%

3.                   Reperfusion arrhythmia (e.g. AIVR)






JVP Station


Student Name: _______________________________________


Student No.:   ________________________________________


I- Technique (60%): The medical student is able to properly do the following:-


                                                                          YES      NO




1.    Identify the different anatomical landmarks for the

        JVP and the carotid pulse in the neck                                        ______      _____     1 mark




2.            Able to measure the exact height of the JVP            ______           _____     2 marks




3.            Able to demonstrate the different clinical maneuvers

                used to distinguish JVP from the carotid pulse         ______    _____   3 marks



II- Interpretation (40%):


The medical student is able to properly:

·         Identify whether the JVP is low, normal or high                                   2 marks


·         Mention 2 differential diagnoses for ………...                                      2 marks                                                                         




EXAMINER NAME:  ________________   EXAMINER NAME: __________________


SIGNATURE: __________________             SIGNATURE: __________________




                              FOCUSED CLINICAL EXAM



SPLEEN Station


Student Name: _______________________________________


Student No.:   ________________________________________


I- Technique (60%): The medical student is able to properly do the following:-


                                                                           YES     NO




1.                   Palpation: from the right iliac fossa                     ______             _____     2 marks                                               

             toward the left costal margin                                




2.                   Percussion: able to demonstrate the percussion    ______ _____       2 marks                                                                  

            note over the abdomen & left lower ribs 



      3.           Demonstrate the different clinical maneuvers

                     used to distinguish spleen from the kidney             ______ _____  2 marks

                (Palpation after rolling over the patient toward                                                                

                 him/her, bimanual technique for the kidneys)



II- Interpretation (40%):


The medical student is able to properly:


·         Identify whether the spleen is normal or enlarged                              2 marks


·         Mention 2 differential diagnoses for ………………                          2 marks                                                                                                     




EXAMINER NAME:  ________________   EXAMINER NAME: __________________


SIGNATURE: __________________             SIGNATURE: __________________








LOCATION:    Room:   , level                                               DAY:   Wednesday (1:00 – 3:30 p.m.)








1:00 – 1:30

Liver Function Test

Prof. Saleh Al Amri

1:30 – 3:30 

Arterial Blood Gases (ABG)   +  




1:00 – 3:30


E.C.G.  -   Arrythmia and Management


Dr. Hussam Al Faleh


1:00 – 2:30

Acute G.I. Bleeding

Prof. Ibrahim Al Mofleh

2:30 – 3:30

Acute Hepatocellular Failure

Dr. Ayman Abdo


1:00 – 2:30

Chest x-ray (CXR)


2:30 – 3:30

Pulmonary Embolism

Dr. Ahmed Bahammam



1:00 – 3:30

a)     Meningitis

b)     Malaria

c)     Infective Endocarditis


Prof. Abdulkarim Al Aska /

Dr. Fahad Al Majid


1:00 – 2:30

Infectious Hazards


2:30 – 3:30

Electrolytes Imbalance



1:00 – 2:30

Acute Obstructive Airway Disease

Dr. Abdulaziz Al Zeer

2:30 – 3:30

Hypertensive Crisis




1:00 – 3:30

Endocrine Emergencies

a)    Diabetic Ketoacidosis

b)      Thyroid Emergencies

c)     Adrenal Crisis



Prof. Riad Sulimani



1:00  -  3:30

a)    CBC Abnormalities and Diagnosis

b)    Coagulation – Abnormalities


Dr. Abdulrahman Al Diab


1:00 – 2:30

Inflammatory Polyarthritis

Prof. Abdulrahman Al Arfaj

2:30 – 3:30

Glomerulonephritis – acute kidney disease

Prof. Jamal Al Wakeel




1:00    3:30


ECG General /Ischemic Heart Disease




Dr. Khalid Al Habib


1:00 – 2:15

Acute Stroke – Diagnosis and Management

Dr. Radwan Zaidan

2:15 – 3:30


Status Epilepticus

Dr. Mansour Al Moallem



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