Clinical Case Studies and Questions for Medical Professionals

Explore a series of clinical case studies and related questions covering diverse medical scenarios such as pediatric complaints, neurological emergencies, and cardiovascular issues. Assess diagnostic procedures, laboratory tests, and imaging findings to enhance your medical knowledge and problem-solving skills.

• Clinical Cases
• Medical Questions
• Diagnostic Procedures
• Laboratory Tests
• Medical Imaging

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1. OSCE Questions For JCM on 3 Dec 2014

2. Case 1 O F/8 Good past health O She has fever with some URI symptoms for past few days. She starts to complain right leg pain for 2 days with a limping gait. No history of injury was noted. O Temp38.5 degree, stable vitals

3. Question 1 O Name 4 possible diagnoses for her complaints (2marks)

4. Right hip USG

5. Left hip USG for comparison

6. Question 2 O Give 2 sonographic findings for right hip scan (1mark)

7. Question 3 O What invasive diagnostic procedure would you consider to confirm your diagnosis? (1 mark)

8. Question 4 O Suggest 4 auxiliary laboratory tests you would order for her condition (2 marks)

9. Case 2 O F/91 O History of Old CVA on aspirin O She lost balance and fell backward, landed with occupit O All along GCS 15/15 and no focal sign O There is abrasion and hematoma over occpiut

10. CT Brain

11. CT Brain

12. Question 1 O Name 2 CT findings in this lady (2 marks)

13. Question 2 O What are the possible clinical symptoms associated with this condition? (2 marks)

14. Question 3 O Name 2 risk factors for this condition (1 marks)

15. Case 3 O M/52 O Known BPH and hyperlipidemia O Chest pain 1.5 hrs with sweating before AED attendance by ambulance O GCS15/15, BP 120/87mmHg, P 68/min, SpO2 100% RA O Not in CHF

16. ECG O ECG

17. Question 1 O If no contraindication, Suggest 2 oral medicines with proven mortality benefit you would give him? (1 mark)

18. Question 2 O Give 3 important ECG findings (1.5 marks)

19. Question 3 O What is the cause for this condition and ECG features? (1 mark)

20. Question 4 O Suggest one metabolic condition which can cause similar ECG pattern (0.5 mark)

21. Question 5 O What is the your treatment plan? (1 mark)

22. Case 4 O M/44 O Non-smoker O c/o gradual onset dyspnea, headache, sensation of face and throat swelling especially during supine position for 1 week O BP 124/76mmHg, P 94/min, SpO2 97% (RA)

25. Question 1 O What is the diagnosis? (1 mark)

26. Question 2 O Name 2 life-threatening conditions associated with the syndrome. (1 mark)

27. Question 3 O Suggest 3 causes of the syndrome. (1.5 marks)

28. Question 4 O Suggest 1 further investigations for this patient to delineate the cause. (0.5 mark)

29. Question 5 O Suggest 2 treatments in this case. (1 mark)

30. Case 5 O M/56 O History of alcoholic liver cirrhosis with portal hypertension O S/F with left chest wall contusion O BP 84/58mmHg, P 80/min

32. Question 1 O Describe 3 abnormalities on the CT images (1.5 marks)

33. Question 2 O What is the most likely cause of hypotension in the patient? (0.5 mark)

34. Question 3 O What is the classification and the grading of this injury? (1 mark)

35. Question 4 O Suggest 2 treatments if non-operative management is adopted for this patient (1 mark)

36. Question 5 O Suggest 2 indications of emergency laparotomy for this injury. (1 mark)