Short Answer Questions (SAQ) questions:
1. Interpretation of IBD condition based on colonoscopy images (Ulcerative colitis) and management. Also abdominal x-ray of toxic megacolon.
2. Systematic interpretation of ECG - anterior or inferior STEMI. And management including writing down medication classes.
3. Diagnosis (TIA or stroke), potential differentials, potential neurological deficits and management
4. Ischaemic heart disease and its complications, investigation and management. (this may have been a part of the other question)
5. Interpretation of a hand x ray image - Transverse fracture through mid zone of scaphoid bone. And potential complictation, emergency management.
6. A man from rural town presents with concerns about skin issues. 4 histopathological images of 4 random skin conditions (melanoma, naevi, etc). Interpret them in systematic manner and write diagnoses.
The OSCE stations(at Austin) were:
1. Patient who presented with a right sided headache that radiates to forehead, cheek and around the eye. But no constitutional symptoms nor jaw pain. No neck stiffness nor symptoms of infection. No visual loss.
2. Haematuria. Wine coloured urine but no dysyuria nor changes to frequency, urgency, intermittency, dribbling and straining. No constitutional symptoms.. No back pain. Unremarkable systematic review. No relevant family history. Sexual history unremarkable.
3. Hyperthyroidism. A 30 woman presents with increased appetite, palpitations (no arrhythmia), unintentional weight loss, loose bowel, nausea and a few vomiting. No palpable neck mass. No new medications. No family history of autoimmune conditions. History on menstural cycle was not taken. Systematic review was otherwise unremarkable.
4. Examination - Patient presented with right sided hip pain. I performed hip and back and brief lower limb motor examination. My sim patient said there was no tenderness around the bursa nor SIJ but just pain when on hip movements. Straight leg test was unremarkable. I thought that hip osteoarthritis was most likely.
5. Respiratory Examination. A patient presented with SOB. The most important findings were prolonged expiratory phase with wheeze and increased resonance on percussion around the right mid zone and increased vocal resonance. I said there is obstructive airway disease and probably pneumonia around the mid zone. I was asked to interpret spirometry result which showed FEV1/FVC ratio of 30%.
The MCQ paper:
Several questions on skin pictures (Sjogren's syndrome etc), eye conditions (keratitis vs uveitis) and CT, Xray and MRI images (e.g. retroperitoneal bleeding). Some other interesting topics included Brown-Sequard syndrome.