Past Finals Stations

Medicine
o History
AS
o Cardio
Mitral Stenosis
Murmur
Signs
Ix
ECG findings
Management
Median sternotomy + pacemaker
Which arrhythmias need pacemakers?
Pulmonary stenosis, but largely AS management
o Resp
Pulmonary fibrosis
Exam findings
Causes
Ix
o HRCT findings
Sarcoidosis mid-zone fibrosis + hepatomegaly
Symptoms
Investigations
Management
Prognosis
o Abdo
CLD + Ascites
Causes of CLD
Management of ascites
Splenomegaly
Causes
o CML, Myelofibrosis
o CLL
o Amyloidosis
o Haemolysis - Autoimmune haemolytic
anaemia
o Infection EBV
o Early Sickle cell
Viva
o DDx of massive splenomegaly
CML

Myelofibrosis

o Neuro
Peripheral neuropathy - Leprosy
Pseudo/bulbar Palsy
Examination Findings
Speech Patterns
Causes
Difference between
o Shorts
Retinitis Pigmentosa
Optic Atrophy
RhA
Differential
Management
Ankylosing Spondylitis
Presentation
Signs
Testing
Management
Horners
Systemic Sclerosis
Cushingoid
Surgery
o History
Vasculopath + subclavian steal
Leriche Syndrome
Viva
o Intermittent claudication
o Critical limb ischaemia
o Acute limb ischaemia
o ABPI
o Arterial disease management
Conservative
Stop smoking
Weight loss
Exercise
Foot care
Rule of thirds
Medical
BP, lipids, DM
Antiplatelets
aspirin/clopidogrel

Analgesia
Pentoxyfylline
Endovascular
Angioplasty + stenting
o If short stenosis in big
vessels
Bypass

o Ortho
External fixation + 2 fasciotomies
Deformed shin + leg examination
Hip exam
Apparent vs. true leg length
Knee scar differentials
Complications of TKR
Mallet toe, other toe deformation
UL nerve function
o Vascular
Reduced Buergers angle
Charcot foot + BKA
Carotid stenosis
o Abdo
Hernia
Incisional
Inguinal
Femoral
Management
Reversed stoma
o Images & Instruments
CT scan of aortic thrombosis
Barium swallow of pharyngeal pouch
RhA hands XR
Pneumopericardium
Fluids
Central line
Staple remover
CXR with pneumoperitoneum, atelectasis, mild
scoliosis, and oxygen tube management?
AXR with ileus post-ileal conduit formation
Colles fracture management
CT pelvis showing large hernia
Ready vac, closed active drain
Feeding NG tube
Tracheostomy tube

o Shorts
Dupuytrens Contracture
Partial knee replacement
Facial nerve palsy w/ forehead involvement
Causes
o Vascular
o CPA tumor
o Herpes zoster at geniculate
o Parotid gland
o Bells HSV?
DIEP
Check back for LD flap
Lift head off bed for recess in abdomen
(consistent with TRAM)
DIEP anastomosed to internal mammary
Incisional hernia
1. Classification of varicose veins & how to examine
2. CLD & management of ascites