1. YEAR TWO UNIT ONE OSPE EXAMINATION 2012-2013 Done By: Abdallah AL Tabtabae

2. GENERAL NOTES: This file is to GUIDE YOU, its not the main source for studying. Answers of some questions arent written here, but youll definitelyfind them in your slides. Study all labs All pathology slides ( morphology is very important ) Study all the anatomy of the unit. 3. STATION ONE 4. STATION ONE AdenoCarcinoma of the kidney. ( PICTURE FROM YOURPATHOLOGY SLIDES. Question 1: Whats the type of this carcinoma? Answer: ADENOCARCINOMA OF THE KIDNEY. Question 2 : name three other locations where this type of tumoris found. ( read pathology slides of the cancer ) 5. STATION TWO 6. STATION TWO 1- what type of cancer in this picture? POLYP ADENOMA OF THE COLON( FIGURE) 2- WHERE ELSE CAN THIS TYPE OF TUMOR OCCUR. Liver cell adenoma Bile cell adenoma ( Check your slides for more accurate answers ) 7. STATION 3Flexion extension pronation supination of the hand.( EASY ) 8. STATION FOUR FROM HISTOTECHNOLOGY SLIDES. 1- WHATS THE NAME OF THE SUBSTANCE USED TO KEEPTHIS TISSUE ( THE TISSUE WAS IN A JAR AND THEY WANTED THE NAME OF THE FLUID IN. ) THE JAR ) 2-WHATS THE NAME OF THE TISSUE? 3- NAME THE SALINE USED? ( ALL ANSWERS ARE FROM SLIDES) 9. STATION 5 A boy was administered to the hospital due to mild dehydration.His weight was 9.5 kg. The doctor suggested an ORS treatment for this patient. 1- calculate the deficit. 2-calculate the total fluid treatment. ( EMTITHAL AL JESHI SLIDES. ) 10. STATION 6: ICD. 1- WHATS ICD? International Classification of Diseases (ICD) WHAT IS IT USED FOR? (epidemiology) 11. STATION 7 12. STATION 7 FROM AUTONOMIC NERVOUS SYSTEM : Memorize the previous picture very well. They will ask about thelocation of the anterior root, posterior root and several nerves regarding the ANS. 13. STATION 8: Another station about the autonomic nervous system. Theres an arrow pointing at a nerve. (sympathetic nerve. )1- Name the previous nerve. ( if you study the ans figure well, youll definitely know which nerve it is. )2-Whats the effect of this nerve on : Bronchioles, pupil and heart. Answer: because its a sympathetic nerve, it will dilate the pupil, increase heart rate and dilate the bronchioles. 14. STATION 9: 1-Whats Elisa? enzyme-linked immunosorbent assay. is a test that uses antibodies and color change to identify asubstance. (very easy station. ) 15. STATION 10: A man drank 2L of water, he was 72 kg. His body compartmentsosmolarity before drinking was 285. 1-Calculate: ICF,ECF and total changes in osmolarity afterdrinking. (from ushas slides and guyton ) 16. STATION 11&12( PHARMA ) A boy had a bacterial infection, he is restitant to erythromycin andsensitive to cortimixazole.. ( The good part is, hell give you the name of the drug. ) Write a prescription.. ( he will tell u how many days u should applythis medicine ) 17. STATION 13( PHARMA ) Write a chart call for a patient with Viral infection type B. The drug : Oseltamivir ( in this station, we had to figure out thename of the drug, but it was obviously oseltamivir ) . Note: if you dont know how to open the book and find the exactdoses, try to memorize them before the test. ( because you have few drugs so its easy to memorize the needed dose for each one of them ) 18. STATION 14: Three figures. 1-Osteosarcoma 2- lung carcinoma. 3-stomach carcinoma ( Youll find all of the figures in Dinas slides for OSPE ) 19. STATION 15 20. THE TYPE OF THIS TISSUE? 21. WHATS THE NAME OF THE STRUCTURE BELLOW? 22. NAME OF THIS TISSUE? 23. STATION 16 FROM WASEEMS ACID BASE BALANCE LAB ( VERY VERYVERY IMP. ) A patient had a tumor in the pancreas, resulted in pancreatic juiceexcretion. A low HCO3 Levels appeared in serum test. PH will not be given. PCO2 Will not be given. The way to answer is from both history and HCO3 Level. ( ask foranswer ) ( we were shocked that Ph and pco2 werent given, unlike all theprevious years OSPE ) 24. STATION 17 A women had cerberal disturbance ( not sure what it is but itssomething regarding her head ) , she was dehydrated and breathed rapidly. Her HCO3 level was low. NO PH WILL BE GIVEN, NO PCO2 WILL BE GIVEN. READ HERHISTORY WELL, AND BASED ON THAT AND HER HCO3 LEVELS YOU MUST DECIDE HER DISTURBANCE. 25. STATION 18 Acid Base disturbance, it was metabolic acidosis ( but he will nottell u that ).. 1-calculate the anion gap ( it will be normal ) 2- what does it indicate? Normochloremia anion gap. ( Cl is apparently increased in serumresults given ) . 26. STATION 19 Another axid base balance, regarding relationship between K+and acid base disorder, and also relationship of ca++ ionized calcium with that.( sorry cant remember it that well) 27. NOTE FOR THE PREVIOUS ACID-BASE STATIONS. They were mostly from the Lab, however, in our year they didntinclude the Ph and Pco2 levels so you need to be fast to know if its Acid/ base from the history. Ask doctor waseem for more explanations. 28. STATION 20:Type of dyspasia?Answer: carcinoma in situ. ( more figures of carcinoma is situ in dina slides. ) 29. STATION 21 EPIDEMIC CURVE " PROPAGATED CURVE 1-WHAT DOES X AXIS INDICATE? (TIME ) WHAT DOES Y AXIS INDICATE? CASES (EASIEST STATION ) 30. STATION 22: PHARMA. 1- CALCULATE THE HALF LIFE OF THIS DRUG ( WILL BECLEARLY GIVEN ) 2-CALCULATE THE VD. ( EVERYTHING YOU NEED WILL BE THERE IN THEQUESTION. IF YOU KNOW HOW TO CALCULATE THE HALF LIFE AND VD, YOULL EASILY ANSWER IT. ) 31. STATION 23 AGARS FROM THE INVADERS LAB 32. STATION 24 33. STATION 25: FIGURE OF NEUTROPHILS, BASOPHILS ANDEOSINOPHILLS. 1- WHAT ATTRACTS THE NEUTROPHILS TO THE SITE OFACTION? 34. STATION 26 Tube containing RBCS in different solutions. Why didnt theyburst? (lab of problem 2). 35. END Thats all I can remember. Good Luck!