PULMONOLOGY - OSPE (1st station) 3

PULMONOLOGY - OSPE (1st station) 3

Bangabandhu Sheikh Mujib Medical University

COURSE: MD (Medical Oncology), Residency Phase-A

DISCIPLINE: PULMONOLOGY

PAPER: OSPE (1st station)

 

 

 

Q.Look at the picture- This man came in OPD with with the complain of cough , left sided chest pain and recurrent haemoptysis for two months .

 

  1. What are the findings of the above pictorial?

 

 

  1. Is there any name of this clinical presentation? What are the other components of this presentation ?

 

  1. What may be the underlying cause?

 

 

  1. What is the possible site of lesion?

 

 

  1. Mention two important investigations for this patient.

 

 

Bangabandhu Sheikh Mujib Medical University

COURSE: MD (Medical Oncology), Residency Phase-A

DISCIPLINE: PULMONOLOGY

PAPER: OSPE (2nd station)

                                                                                                                    

 

 

Q. This is an X-ray chest P-A view  of 35 years old man who presented with fever, cough and occasional scanty haemoptysis for one month.  There was a cavitary lesion in right upper  zone .

 

 

 

  1. What is your diagnosis ? Describe the X-ray .

 

 

 

  1. What  are the other causes of cavitary lung lesion ?

 

 

 

  1. What are the radiological signs of active pulmonary tuberculosis ?

 

 

 

 

  1. How you will differentiate malignant  cavity from tubercular cavity ?

 

 

 

 

Bangabandhu Sheikh Mujib Medical University

COURSE: MD (Medical Oncology), Residency Phase-A

DISCIPLINE: PULMONOLOGY

PAPER: OSPE (3rd station)

                                                                             

 

Q. Look at the picture.

 

 

  1. What is your finding?
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  1. What is the most likely diagnosis?
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  1. What may be the complains of the patient?
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  1. What are the most likely causes of this  condition?
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  1. How will you investigate the patient ?
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Bangabandhu Sheikh Mujib Medical University

COURSE: MD (Medical Oncology), Residency Phase-A

Subject : PULMONOLOGY

PAPER: OSPE (4th station)

                                                                             

 

 

Q. A patient with very sever COPD  came with following ECG .

  1. Mention three important findings
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  1. What is the most possible cause?
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  1. Patient may have right parasternal heave , what are the other impotant findings may present  in precordium ?
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  1. How  will you manage  the case ?
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Bangabandhu Sheikh Mujib Medical University

                                                                 COURSE: MD (Medical Oncology), Residency Phase-A

                                                         Subject : PULMONOLOGY

PAPER: OSPE (5th stations)

Q.  A 62 years old man presented to a pulmonologist with cough for 3 months, shortness of breath for 15 days and having  an X-ray chest P-A view , showing left sided opaque hemithorax .

 

 

 

  1. Describe the bronchoscopic view of this picture ?

 

 

  1. Is the carina  normal ?

 

 

  1. If it is a Non small cell carcinoma, is surgical treatment possible ?

 

 

 

  1. How will you give palliative management for shortness of breath ?

 

 

 



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