UNIVERSITIMALAYSIA SABAH

SCHOOL OF MEDICINE
MM 40508 END POSTING EXAMINATION (ORTHOPAEDIC SURGERY) OSCE 1

MATRIC NUMBER
Trauma: Examination of the Knee
A 21-year-old gentleman sustained sport injury to the right knee one year
ago.

NO

ASSESSMENT AREA

MARK
ALLOCATED

OBTAIN FULLY INFORMED, APPROPRIATE

CONSENT

Inspection-Gait, deformity, skin swelling,

scar, muscle wasting, Limb length
discrepancy

Palpation- Bony contour and tenderness, joint

line tenderness, Popliteal pulsation

Movement- ROMs,

Special tests - Galleazi test, Stretch tests,

Drawer tests, Lachmann test, Mc. Murray test

TOTAL

EXAMINER NAME_________________

10

SIGNATURE

MARK
AWARDED

UNIVERSITI MALAYSIA SABAH

SCHOOL OF MEDICINE
MM 40508 END OF POSTING EXAMINATION (ORTHOPAEDIC SURGERY) OSCE STATION 2

STUDENT MATRIC NUMBER

Theme: Infection
Method: Photograph of a diabetic foot ulcer.
Statement: A 65-years-old lady with known history of diabetes mellitus,
hypertension, ischaemic heart disease and end stage renal failure on dialysis.
She was admitted with infected foot ulcer and in septicaemia. The plain
radiograph shows osteomyelitis changes. Her ABSI (ankle brachial systolic
index) was 0.3.
1. Based on the picture and information given, how can you classify the ulcer
according to University of Texas Classification?
(3
marks)

2. Which group of antibiotic will you use? Give reason.

(4marks)

3. How will you interpret her ABSI result?

(3marks)

UNIVERSITI MALAYSIA SABAH

SCHOOL OF MEDICINE
MM 40508 END OF POSTING EXAMINATION (ORTHOPAEDIC SURGERY) OSCE 3

STUDENTSMATRIC
NUMBER

Theme: Orthopaedic instrument

Method: Examine the Orthopaedic instrument A.
Statement: A 29-year-old man was admitted to Orthopaedic ward following road
traffic
accident. He was put on traction using the instrument A.
1. Mention the type of traction used for the man.

(2 marks)

2. Name the instrument A.

(2 marks)

3. List two complications that can arise.

(2marks)

4. How will you prevent one of the above complications?

(2 marks)

5. How will you calculate the weight for the above traction?

(2 marks)

UNIVERSITI MALAYSIA SABAH

SCHOOL OF MEDICINE
MM 40508 END POSTING EXAMINATION (ORTHOPAEDIC SURGERY) OSCE 4
EXAMINE THE PHOTOGRAPH OF THE INSTRUMENTS
1. Name the instruments in A, B and C.
marks )

2. What are the indications for each instrument?

)

3. What are the post-operative complications in these cases?

Marks)

( 3 Marks

(4

UNIVERSITI MALAYSIA SABAH

SCHOOL OF MEDICINE
MM 40508 END OF POSTING EXAMINATION (ORTHOPAEDIC SURGERY) OSCE STATON 5

STUDENT MATRIC NUMBER

Theme: Trauma
Method: Radiograph of the pelvis including both hip joints (AP view)
Statement: This radiograph belongs to the 76 -year- old man. He had a trivial fall
and complained of right hip pain and was unable to walk after the injury.
2 List four radiological findings seen on the radiograph.
marks)

3 Mention the classification of this injury. Give reason.

(4

(2 marks)

4 List 2 complications that can arise from the above injury.

(2 marks)

5 What will be the best treatment suited for this patient?

(2 marks)

UNIVERSITI MALAYSIA SABAH

SCHOOL OF MEDICINE
MM 40508 END POSTING EXAMINATION (ORTHOPAEDIC SURGERY) OSCE 6

STUDENTSMATRIC
NUMBER
Method: Blood investigation result
Statement: A 70 year- old man who is heavy smoker for 50 years presented
with difficulty in breathing and multiple area of bony pain. He also has
significant weight loss.
Serum Alkaline Phosphatase

145 U/L

Corrected Serum Calcium

5 mmol/L

1. Interpret the above results.

(3marks)

2. What is your provisional diagnosis?

(3marks)

3. How will you treat this patient?

(4marks)