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الموضوع: oral & clinical surgery exams

  1. #1
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    Lightbulb oral & clinical surgery exams

    plz all people in 6th year tell ur surgery exams here so that all of us can benefit from it..


    x-ray
    clinical: short or long
    operative

  2. #2
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    افتراضي

    from shabab teb:
    Mohammed taher
    unit dr Gamal Mostafa ( 27 ):
    with dr ayman:
    * 1ry varicocele
    - why 1ry not 2ry from clinical exam.? [ thrill on cough- completely empties on elevating scrotum- no abdominal mass- pr 'if we will do ' is free]
    - why more on Lt side?
    * toxic thyroid nodule
    - why toxic ?
    - how to proceed in investigations for a solitary nodule? if u find ( x ) what next...& so on?
    - why her pulse normal despite toxic?

  3. #3
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    from shabab teb
    ismail fathy
    el 7amd le ALLAH, 2day i finished the short cases (surgery) exam, i applied the exam at Dr osama tawfeek unit(29) all the patients were males (no thyroid)
    they were 2 short cases , 1 professor examined me nt 2.
    he asked me 1st enta beta'7od dars?
    the 1st case was epigastric hernia , the 2nd was Tb lymphadenopathy (2ry)
    he asked: 1)how can u know by tel that its a hernia? (reducible)
    2)after the phone call of the patient wat will u think abt it?
    3)how did u know that its epigastric hernia? , omentocele or enterocele?
    4)then he asked abt the complic
    5)then the cl pic of strangulation
    6)then he asked abt the operations(managment), indications... and the technique...
    then he shifted 2 the 2nd case
    1)how did u know that its a lymph node?
    2)how did u know that its tb?
    3)he asked abt the D.D of swellings in the groin then asked abt saphina varix
    4)he asked abt the differences bet Tb and hodgekin's?
    the examiner didnt ask me 2 do cl. examinations, the other cases in this unit were varicocele, hernias, nerve injuries and lymphadenopathy as i remember
    thats all wat i can remember now, i hope this piece would be helpfull

  4. #4
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    افتراضي

    Shabab teb
    Ismail Fathy

    ya gama3a ana lama olt el cases fel we7da beta3ty kano kolohom males kan asdy en mafeesh case breast, akeed tab3an mesh asdy thyroid(fe wa7ed etasal beya yestafsar we fehem el email el ana ba3atto '3alat) , bas fel we7da de fe3lan (Dr.Osama tawfeek) makansh fe case thyroid , bas kan fe thyroid fe ba2y el we7dat ... bas masme3tesh fe ba2y el we7dat en kan fe breast aw ischemia...
    mafeesh 7aga esmaha mafeeesh thyroid...
    atmana maykonsh 7ad tany fehem '3alat.

    أحبك في الله يا ZMZ

  5. #5
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    افتراضي

    Shabab teb
    mahmoud mostafa

    Short Cases


    name of examimar: Dr.Ayman
    Unit : 27 (Dr.Gamal Mostafa)
    Cases : 1)Gangrene
    2)Oblique inguinal hernia
    (puponocele)
    Discusion:
    1) It was a gangrene in his left index finger due a trauma (blunt).
    Q:type of gangrene, structures affected (e.g tendon of Flexor Digitorum profundum), he asked me about attachment of this muscle (i.e base of distal phalynx), then he asked about ulnar& median nerve injury.

    2)Hernia: what's your examination(i.e inspection,palpation&special tests) please don't forget to mention the (3 FINGER TEST= Zieman's test),then he ask about the cause of any inginal hernia (not preciptating factors)& the answer was: incomplete oblitration of procesus vaginales.

    أحبك في الله يا ZMZ

  6. #6
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    افتراضي

    Shabab teb
    muhammad nashaat

    section 27 :

    By Dr Ayman :

    1st case :1ry varicocele

    -local exam

    -Why more on left side ?

    -diff between 1ry &2ry

    2nd case :bilharzial hepatosplenomegaly

    -local exam

    -investigation

    -child classification

    أحبك في الله يا ZMZ

  7. #7
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    افتراضي

    Shabab teb
    Dina

    Assalam alaikum, dear colleagues:

    I had my clinical test (short cases) of surgery today. It was in dept "30". It wasn't tough, by God's Grace.

    First, I wanna let you know that the test starts at 8.00 am for all of the students; not at 11.00 as written in the schedule. That's what the professor asked us to inform the rest of the students about. (I don't know if it is for all of the departments or just for the dept "30")

    As for the cases; I examined a case of Lipoma and another of Indirect Oblique Inguinal hernia. One professor tested me for both cases.

    About the case of Lipoma; he asked me:

    • why lipoma?
    • which kind of lipoma? (Subfascial) why?
    • Complications of Lipoma
    • Other types of Lipoma
    • About the findings of the local examination
    • How to examine a cystic swelling? what if it's very small?
    (That's all I can remember)

    About the case of Oblique Inguinal Hernia; after listening to full diagnosis, he asked me:

    • Why hernia?
    • Why oblique (indirect)?
    • Complications of hernia
    • Cardinal symptoms of Obstruction?
    • Why didn't I say it was strangulated ( Not tense, not tender + no other signs of strangulation e.g pain)
    • What does strangulation mean? What is the part that is actually strangulated? ( Blood vessels; particularily veins [thinner wall + lower blood pressure])
    I hope I didn't miss something.

    God be with all of us!

    Yours, Dina.

    أحبك في الله يا ZMZ

  8. #8
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    Shabab teb
    May selim

    dear all,
    my exam was in unit(27) (gamal mostafa), my cases were: breast cancer(stage4), and subcutaneous lipoma of the back of the neck.
    the questions asked in breast cancer :DD and how to you manage?
    el lipoma kanet easy: how did u know it is a lipoma.
    also there was a case of venous ulcer of the hand (kanet 3'elsa awy)
    there were a lot of hernia and varicocele cases

    أحبك في الله يا ZMZ

  9. #9
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    افتراضي

    Shabab teb
    amer trkmani

    1st case : hydrocele with varicocele
    DR ask about
    diagnosis only
    how to D.D of scrotal swelling
    ttt of hydrocele? operative details need


    2nd case : 2ry V.Vs with skin complication&ulcer
    DR-ask about
    why there is pigmentation?
    ttt ?

    أحبك في الله يا ZMZ

  10. #10
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    افتراضي

    Shabab teb
    mahmoud elzairy

    السلام عليكم ورحمة الله وبركاته<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
    الحقيقة دى أول مرة أشارك فى المجموعة <o:p></o:p>
    I have examined in29unitby dr ADEL HOSNI short cases(thyroid)&(breast)بفضل الله كان سهل قوى اتسألت على diagnosis only in thyroid&what is lymph node in axilla &the of breast case was the chronic breast abscess((بثينة امام مصطفى) ربنا يوفقنا جميعا<o:p></o:p>
    Plzzzzzzzzzzzzzz don’t forget المسطرة <o:p></o:p>
    Torch-rolled paper--مازورة- hammer<o:p></o:p>
    عدسة مكبرة-ترمومتر-جهاز ضغط<o:p></o:p>

    أحبك في الله يا ZMZ

  11. #11
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    افتراضي

    Shabab teb
    emad mostafa

    Alsalam alikom
    Alhamd lellah the exam was good ,simple for most of the cases

    oral questions

    1st case: varicose veins
    what's ur diagnosis?
    why did u say 1ry v.v.?
    how do u know that deep system is patent?

    2nd case: Generalised lymphadenopathy ...T.B.
    what is the shape of l.n.?
    why matted?
    different shapes 0f generalised l.n. in different diseases?
    what did u find in abdominal examination?
    enlarged liver & spleen
    why spleen not kidney?
    anti T.B. drugs

    please study lymphadenopathy case well

    أحبك في الله يا ZMZ

  12. #12
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    افتراضي

    Shabab teb
    shabab_teb2

    السلام عليكم و رحمة الله وبركاته
    Now u can dnload a powerpoint for spotting anatomy[2mega] &
    operative[20mega] from this links

    operative:
    http://s5.ultrashare.net/hosting/fs/63aff7011fa17e70/

    anatomy:http://s10.ultrashare.net/hosting/fs/1a77cb6f0565ec20/

    أحبك في الله يا ZMZ

  13. #13
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    افتراضي السلام عليكم و رحمة الله و بركاته

    Clinical surgery - long cases
    From shabab teb group

    1-<!--StartFragment --> muhammad nashaat

    <!--StartFragment -->
    Section 30 :

    Lt direct inguinal hernia non complicated containing omentum.

    Q1 : How to diff clinically between direct & indirect ?

    Q2 : How to do internal ring test ?

    Q3 : Indication of truss.........unfit for surgery & old age

    Q4 : Richter hernia

    Q5 : Littre hernia

    أحبك في الله يا ZMZ

  14. #14
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    افتراضي

    2-<!--StartFragment --> Mohamed Taher <!--StartFragment -->

    peace be upon you, all
    long case
    unit of Dr. Mohamed Kenawy ( 30 ):
    with dr. [ Ashraf or Sherief ] ' i don't exactly remember :
    indirect inguinal hernia:-
    -first: your name
    - your age ( for fun ):
    - your daignosis
    - types of indirect hernia
    - complications of hernia
    - how to know strangulated hernia ?
    - differences between direct &indirect hernia ( clinically )
    - how to do internal ring test ?
    - one inch= ?? cm [ 2.5 ]

    God with us all

    أحبك في الله يا ZMZ

  15. #15
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    افتراضي

    3-dr.nadar hassan

    السلام عليكم ورحمة الله
    الوحدة 29 يمين
    كان فيها حالات لونج
    hepatosplenomegaly
    ch.iscemia(pergers disease)
    simple nodular goiter
    parotid
    nerve injury
    varicose
    وربنا معاكم ومعانا

    أحبك في الله يا ZMZ

  16. #16
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    افتراضي

    4-Dina
    Salam alaikum, all:

    I had a case of Chronic Limb Ischemia. I was asked:

    • Why I said it was a case of Ischemia.
    • What are the possible skin trophic changes?
    • What is the porbable cause of limb ischemia in this case? (Burger's Disease) Why?
    • What are the causes of Acute Ischemia?
    • What are the types of Emboli?
    • What is the difference between Doppler and Douplex?
    • How would I treat this patient?
    God be with us all!

    Yours, Dina.

    أحبك في الله يا ZMZ

  17. #17
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    افتراضي

    5-Mohamed Taher

    peace be upon u:
    - I want to tell u that this doctor [ Sherief or Ashraf ]: I thought he was good because he jokes a lot , but the next day many of my friends told me that he gives u the mark before he asks u
    - his maximum is ( 80/90 ) wheather u answer or not ,liable to decrease ( but most people took 80 )
    - I had the chance to avoid him, but as i told u i thought he was good so i went to him. So if u r well and studied hard so avoid him ( he gives higher marks for the special cases ' of course u know what i mean '
    -he told one of my friends ' if u answer this question i will give u more 5 marks: what is Paddle sign ?' it was in abdominal case.

    God with u

    أحبك في الله يا ZMZ

  18. #18
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    افتراضي

    Mohamad Abu-Safieh

    Hello everybody, <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
    For those who completed the medicine exams, CONGRATULATIONS!!! You've almost finished everything.. Surgery exams are simple like those of the 4<SUP>th</SUP> & 5<SUP>th</SUP> years… <o:p></o:p>
    <o:p></o:p>
    Short cases: department 27 left<o:p></o:p>
    2 cases, <o:p></o:p>
    1. subcutaneous lipoma: <o:p></o:p>
    Why lipoma, findings in examination( inspection, palpation… etc), how to manage??<o:p></o:p>
    2. mass in the right iliac fossa: <o:p></o:p>
    Findings in examination, what is the DD..<o:p></o:p>
    <o:p></o:p>
    Long case: department 30 left, Examiner dr Hani Rateb<o:p></o:p>
    A case of primary VV, not complicated<o:p></o:p>
    Questions: <o:p></o:p>
    What is your case?? <o:p></o:p>
    Read the sheet ( don't miss the general condition, body built ….etc)<o:p></o:p>
    Why VV? Why primary? <o:p></o:p>
    What are the complications of primary VV, Secondary VV?? Superficial thrombophlebitis: diagnosis & management??<o:p></o:p>
    Examination of the sapheno femoral junctions??<o:p></o:p>
    What are the clinical tests?? How to perform them?<o:p></o:p>
    What are the causes of leg pain?? Articular causes: how to diagnose arthritis, joint examination …. etc<o:p></o:p>
    What is the management?? <o:p></o:p>
    In this case surgical intervention is needed ( trendelnburg operation & stripping) , other modalities of ttt ( conservative, sclerotherapy)<o:p></o:p>
    Nb, this examiner is good but asks for all details concerning the case you're dealing with. Besides, average exam duration is 25 to 30 min..<o:p></o:p>

    أحبك في الله يا ZMZ

  19. #19
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    افتراضي السلام عليكم و رحمة الله و بركاته

    ده للحالات بسThread بعد اذنك يا قصر عينية لو مكنش يضايقك أنا باقترح يبقى ال
    Operative & jars ونبدأ واحد جديد لل
    X-rays & Anatomy و واحد
    للتسهيل على المتصفحين
    معلش الاستئذان ده متأخر شوية

    في انتظار ردك
    وجزاك الله خيرا على المبادرة بفتح الموضوع

    أحبك في الله يا ZMZ

  20. #20
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    افتراضي

    Shabab teb
    Ismail Fathy
    long case:

    el exam kan fe unit 28
    el case kanet bilateral chr parotitis
    el examiner kan dr essam el aousy,
    he asked me 2 do all the general and local examinatins, then he started asking me by questions abt the embryology,.... he is very patient he stayed with me more than 50 min... he asked me alot of questions,,, i prefer nt 2 talk abt his ques... coz he examined 3 students bas... so don worry.....

    أحبك في الله يا ZMZ

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