OSCE / OSPE LOOPS

1
STATION 13
OSCE / OSPE LOOPS BLOCK EXAMINATION APRIL 2003
THERE ARE SIX SLIDES IN THIS LOOP
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QUESTIONS
2
STATION 13
A
The Patient, a 65 year old while male, was
admitted to hospital having suffered a seizure at
home. He died shortly after admission. His wife
volunteered that he had been a heavy smoker for
many years. More recently, he has been
complaining of severe left-sided headaches. At
autopsy the following changes were noted
Photograph A shows the cut surface of the hilum
of the right lung. Q1 What lesion is present at
the point indicated by the red arrow? 2
marks
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QUESTIONS
3
STATION 13
B
This photomicrograph illustrates the histological
appearance of the lesion shown in A. Q2 In these
cases, what is the most likely histopathological
diagnosis ? 2 marks
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QUESTIONS
4
STATION 13
C
Q3 What pathological lesion is illustrated in the
macro- photograph of the patients lung? 2
marks
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QUESTIONS
5
STATION 13
D
Q4 Given the patients history, what is the type
of the disease process you have already
identified in C, slide 4? 2 marks
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QUESTIONS
6
STATION 13
E
E
Describe the link between the lesion in specimen
A and the appearance of lesion E above in a cut
section of the patients brain. 2 marks
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QUESTIONS