SURGERY VIVA
Surgery OSCE
Breast
Burns
Local anaesthetic + lignocaine toxicity
Bladder stones
Ileostomy
ICD
Skin traction
IO-sigmoid volvulus
COM
Hydrocephalus
External fixator
Corneal ulcer
Nephroblastoma plus differentials
Dysphagia
Osteosarcoma
-Surgery-
Was an injection with lignocaine
How do you discard
SURGERY
Chest trauma
Management of tension pneumothorax and flail chest
Surgery:
- he showed me lignocaine and a syringe, you’re about to do a
procedure.. how will you use this?
- how will you dispose of waste?
Surgery
-Man brought in and he is from a road traffic accident with
difficulty breathing and changes in chest on one side …
How will you manage ?
-differentials
-what is an ICD(intercostal drainage )-full name
-what would you tell the nurse and what instructions would
you leave for her and the patient in terms of care ?
Surgery: picture of a traction. What is this? Indications?
Complications? What other objects such as this do you know?
Complications of that? Indications of that? How do you decide
the weight to put.
Surgery: pt with abdominal distension and vomiting for 1wk,
Dx? What invx will you do and how will you mx? Difference
between erect and supine abdominal X-ray? What will you see
in each? What is adynamic obstruction and what’s the other
name for it? What is paralytic ileus?
surgery intestinal..wat u see on cxr and dre
Surgery :he brought out instruments and said just tell me how
you will care for the instruments after use .and how to care for
instruments in the ward he also touched the disinfection part
(in short sterilization and disinfection )
Surgery:
Pictures of an open fracture
How will you classify it
What is the Gastillo Anderson class
What will you do for this pt
Surgery:
Pictures of an open fracture
How will you classify it
What is the Gastillo Anderson class
What will you do for this pt
SURGERY: a photo of burns,how to estimate % burn surface
area,admition criteria,early complications,how to give fluids
surgery
pt brought to ED pulse absent and bp ~80/60
what is your MX and dx
Surgery:
RTA Scenario. Differentials…
How IO pt present.
SGY: showed me a stoma bag and asked to identify it.
Indications of Stoma placement, difference between illiostomy
and colostomy, Complications
SURG-Fractures,principles of mx,how will I give fluids,Gustilo
Anderson
Surg:burns,,hx talking and classification,then principles of Mx
Surgery
-Man brought in and he is from a road traffic accident with
difficulty breathing and changes in chest on one side …
How will you manage ?
-differentials
-what is an ICD(intercostal drainage )-full name
-what would you tell the nurse and what instructions would
you leave for her and the patient in terms of care ?
Surgery:Burns , he asked me wat I have to know, how to
calculate the percentage, how u give fluids and then immediate
complications.
Surgery:hernia types and pictures of stoma was on the table
and he asked what it was and the difference between the two
and in terms of mx
Surgery
Photo of Traction , what is this? Type?
Indications, complications, any other mechanism like this? How
to determine weight.
Surgery: picture of a traction. What is this? Indications?
Complications? What other objects such as this do you know?
Complications of that? Indications of that? How do you decide
the weight to put.
Surgery: pt with abdominal distension and vomiting for 1wk,
Dx? What invx will you do and how will you mx? Difference
between erect and supine abdominal X-ray? What will you see
in each? What is adynamic obstruction and what’s the other
name for it? What is paralytic ileus?
surgery intestinal..wat u see on cxr and dre
Surg: 35 yr-old constipation > a week and vomiting. IO
investigations and causes
Surgery :he brought out instruments and said just tell me how
you will care for the instruments after use .and how to care for
instruments in the ward he also touched the disinfection part
(in short sterilization and disinfection )
Surgery: polytrauma gcs of 5c/15 what does it mean? Pte with
hypotension and bradicardia(don't remember the values)
diagnosis and mx
SURGERY: a photo of burns,how to estimate % burn surface
area,admition criteria,early complications,how to give fluids
On IO they brought an abdominal x-ray and ask to describe
what you see and also to describe what position it was taken in
based on your findings
And then the patient presented with dehydration so I was
asked to interpret a hemogram and elicit the parameter that
would indicate dehydration in my patient.
Sx: Breast Ca, Mx of fractures
Surgery:Abdominal examination in a person that presents with
vomiting and abdominal pain and investigations
Surgery
This one was so nice
Pt comes in with strangulated hernia with abdominal
distendtion, pain and constipation. I said IO secondary to
strangulated hernia.
What other symptoms will a pt with a hernia present with?
Parts of a hernia? I said neck, body…no! Not the sac, the hernia;
contents, sac, and coverings. 🤭
What is an inguinal canal (def)
What are its contents? M and F
The walls of the inguinal canal and what they are made of.
surgery blood transfusion and blood transfusion act of Zambia
surgery: differentials of painful anus, mentioned hemorrhoids,
anal fissure and anal abcess, he said what else , didnt know, he
asked about anal rectal ca, told him some presentations, then 4
xrays
surgery:anal rectal ca,
hemmorhoids,cholighitis and ruptured peptic ulcer on xrays
(lot of xrays)
Surgery :he brought out instruments and said just tell me how
you will care for the instruments after use .and how to care for
instruments in the ward he also touched the disinfection part
(in short sterilization and disinfection )
Surgery:
Pictures of an open fracture
How will you classify it
What is the Gastillo Anderson class
What will you do for this pt
Surgery: polytrauma gcs of 5c/15 what does it mean? Pte with
hypotension and bradicardia(don't remember the values)
diagnosis and mx
Surg.: Polytrauma , pt with GCS of 5c , BP 59/30 mmHg and
pulse was low ( I don't remember the exact value) . Was asked
to give a diagnosis.
SURGERY
-what's sterilization and what's disinfection
-what are the steps of disinfection
-what are the types of sterilization
-what's an autoclave machine
Surgery:Abdominal examination in a person that presents with
vomiting and abdominal pain and investigations
4)Wounds
classifications,types, types by contamination, types of
healing,what would affect wound healing.
Surgery: management of irreducible left inguinal swelling in pt
with hypotension
Surgery:
RTA Scenario. Differentials…
How IO pt present
SURG-Fractures,principles of mx,how will I give fluids,Gustilo
Anderson
Surg:burns,,hx talking and classification,then principles of Mx
Surgery
-Man brought in and he is from a road traffic accident with
difficulty breathing and changes in chest on one side …
How will you manage ?
-differentials
-what is an ICD(intercostal drainage )-full name
-what would you tell the nurse and what instructions would
you leave for her and the patient in terms of care ?
Surgery:Burns , he asked me wat I have to know, how to
calculate the percentage, how u give fluids and then immediate
complications.
Surgery:hernia types and pictures of stoma was on the table
and he asked what it was and the difference between the two
and in terms of mx
Surgery: picture of a traction. What is this? Indications?
Complications? What other objects such as this do you know?
Complications of that? Indications of that? How do you decide
the weight to put.
4) fracture class, complications we are worried about in first 24
hrs, how to do POP, and classify
SURGERY
No surgeon
Instruments & Disinfecting them
surgery,what they will do when they go in for laparotomy,
esophageal varies, hematemsis causes and treatment.
Surgery: IO (Intestinal Obstruct)
Peptic ulcer disease
Burns
Treatment of a patient who comes in from a burning house
Surgery
Appendicitis
First he started by asking me right iliac fossa differentials
In woman
In a man ?
He refused testicular torsion Dunno why
Your patient in X-ray has two appendices what is that called ?
What questions will you ask you history?
What will you look for in you exam (he wanted the signs of
appendicitis)
What is McBurney’s point,what’s it relevance
Surgery got unconscious Pt with rbs 5 post rta
Surgery- side effects of ASA, PUD causes and treatment before
surgery,what they will do when they go in for laparotomy,
esophageal varies, hematemsis causes and treatment.
Surgery: IO (Intestinal Obstruct)
Surgery: Interstinal obstruction features, xray features..
Congenital heart diseases and components of TOF
Sx: Breast Ca, Mx of fractures
Surgery: inguinal hernia/inguinal scrotal hernia,
Surgery:Abdominal examination in a person that presents with
vomiting and abdominal pain and investigations
Surgery
This one was so nice
Pt comes in with strangulated hernia with abdominal
distendtion, pain and constipation. I said IO secondary to
strangulated hernia.
What other symptoms will a pt with a hernia present with?
Parts of a hernia? I said neck, body…no! Not the sac, the hernia;
contents, sac, and coverings. 🤭
What is an inguinal canal (def)
What are its contents? M and F
The walls of the inguinal canal and what they are made of.
Surgery- side effects of ASA, PUD causes and treatment before
surgery,what they will do when they go in for laparotomy,
esophageal varies, hematemsis causes and treatment.
Surgery: IO (Intestinal Obstruct)
Surgery: inguinal hernia/inguinal scrotal hernia,
Sx: Breast Ca, Mx of fractures
Surgery : RtA accident not breathing even after intubation
Differentiate the spleen From kidney on examination.
surgery: differentials of painful anus, mentioned hemorrhoids,
anal fissure and anal abcess, he said what else , didnt know, he
asked about anal rectal ca, told him some presentations, then 4
xrays
one had air under the diagram,so I said ruptured peptic ulcer ,
he said why, then I said there is air under the diagram, then hes
said you are write but iam challenging you, coz we normally
find air under the diagram, ge wanted me to say the one on the
right side, because we normally find air in the stomach, he
asked how many air bubbles we normally find in adults and
children, told him 3 in adults and 4 in children, then location,
the other xray I identified was small bowel obstruction, he
asked me how I can differentiate it from large bowel , then
colingititis diagnosis , the other xray couldnt identify but it was
more of tension pneumothorax I guess.
surgery:anal rectal ca,
hemmorhoids,cholighitis and ruptured peptic ulcer on xrays
(lot of xrays)
Surgery
Picture of fracture
What # it is
It was an open # so I said gustillo Anderson
What grade it was … do you see perosteal stripping in that
picture
What I want to do
What parameters do we look for in gustillo Anderson
Why are you taking for debridement if you’re already giving
antibiotics
So what’s the point ??!!!🥶he’s so mean
He denied ATLS because pt was stable
Complications of # and what you’re doing for each complication
Surgery :he brought out instruments and said just tell me how
you will care for the instruments after use .and how to care for
instruments in the ward he also touched the disinfection part
(in short sterilization and disinfection
Surgery:
Pictures of an open fracture
How will you classify it
What is the Gastillo Anderson class
What will you do for this pt
Surgery: polytrauma gcs of 5c/15 what does it mean? Pte with
hypotension and bradicardia(don't remember the values)
diagnosis and mx
Surgery: RTA patient BP50/40, pulse:[Link] your
diagnosis=increased ICP, Obstgyn: tell about the materials.
SURGERY
-what's sterilization and what's disinfection
-what are the steps of disinfection
-what are the types of sterilization
-what's an autoclave machine
Surg.: Polytrauma , pt with GCS of 5c , BP 59/30 mmHg and
pulse was low ( I don't remember the exact value) . Was asked
to give a diagnosis.
Surgery:
RTA Scenario. Differentials…
How IO pt present.
SGY: showed me a stoma bag and asked to identify it.
Indications of Stoma placement, difference between illiostomy
and colostomy, Complications
Surg:burns,,hx talking and classification,then principles of Mx
Surgery
-Man brought in and he is from a road traffic accident with
difficulty breathing and changes in chest on one side …
How will you manage ?
-differentials
-what is an ICD(intercostal drainage )-full name
-what would you tell the nurse and what instructions would
you leave for her and the patient in terms of care ?
Surgery
Photo of Traction , what is this? Type?
Indications, complications, any other mechanism like this? How
to determine weight.
Surgery: picture of a traction. What is this? Indications?
Complications? What other objects such as this do you know?
Complications of that? Indications of that? How do you decide
the weight to put.
Surgery:Picture of skin traction.
Indications,contraindications,complications
Any other tractions I knew (Skeletal traction)
Surg: 35 yr-old constipation > a week and vomiting. IO
investigations and causes
Surgery :he brought out instruments and said just tell me how
you will care for the instruments after use .and how to care for
instruments in the ward he also touched the disinfection part
(in short sterilization and disinfection )
Surgery:
Pictures of an open fracture
How will you classify it
What is the Gastillo Anderson class
What will you do for this pt
Surgery: polytrauma gcs of 5c/15 what does it mean? Pte with
hypotension and bradicardia(don't remember the values)
diagnosis and mx
SURGERY: a photo of burns,how to estimate % burn surface
area,admition criteria,early complications,how to give fluid
surgery
pt brought to ED pulse absent and bp ~80/60
what is your MX and dx
Surgery: management of irreducible left inguinal swelling in pt
with hypotension
Surgery:
RTA Scenario. Differentials…
How IO pt present.
SGY: showed me a stoma bag and asked to identify it.
Indications of Stoma placement, difference between illiostomy
and colostomy, Complications
Surgery
-Man brought in and he is from a road traffic accident with
difficulty breathing and changes in chest on one side …
How will you manage ?
-differentials
-what is an ICD(intercostal drainage )-full name
-what would you tell the nurse and what instructions would
you leave for her and the patient in terms of care ?
Surgery:hernia types and pictures of stoma was on the table
and he asked what it was and the difference between the two
and in terms of mx
Surgery
Photo of Traction , what is this? Type?
Indications, complications, any other mechanism like this? How
to determine weight.
Surgery:Picture of skin traction.
Indications,contraindications,complications
Any other tractions I knew (Skeletal traction)
Surgery:
Pictures of an open fracture
How will you classify it
What is the Gastillo Anderson class
What will you do for this pt
Surgery: polytrauma gcs of 5c/15 what does it mean? Pte with
hypotension and bradicardia(don't remember the values)
diagnosis and mx
SURGERY: a photo of burns,how to estimate % burn surface
area,admition criteria,early complications,how to give fluids
a) differentials for right iliac fossa pain
b)he settled on appendicitis presentation,the signs,alvagadro
score
c)management
d)there was something about abscess of the appendix and
what to do about it
2. Surgery: Jaundice def,pathophysiology of bilirubin, contents
of bile and how does bilirubin excreted in the git.
On IO they brought an abdominal x-ray and ask to describe
what you see and also to describe what position it was taken in
based on your findings
And then the patient presented with dehydration so I was
asked to interpret a hemogram and elicit the parameter that
would indicate dehydration in my patient.
