BLOCK 7 – OSPE , 9 March
Morning + Evening
CFRC — Clinical & Communication Skills
Q1. How do you prescribe antihypertensive drugs?
ANSWER
Prescription Components
• Patient Details: Name, Age, Gender, Date
• Diagnosis: Hypertension
Drug Prescription Example
• Tablet Amlodipine 5 mg
◦ Route: Oral
◦ Dose: Once daily
◦ Duration: As advised
Lifestyle Advice
• Low salt diet
• Weight reduction
• Regular exercise
• Stop smoking
Follow-up
• BP check after 2 weeks
★ EXAM PEARL
• Always mention dose, route, frequency, duration
• Include non-pharmacological advice
Q2. How should you advise your brother who is joining 3rd year MBBS wards?
ANSWER
• Be punctual and regular
• Maintain professional behavior
• Respect patients and staff
• Take proper history
• Perform complete examination
• Maintain patient confidentiality
• Revise cases daily
, SLC 27’
• Carry notebook for learning
• Always wash hands before examining patients
★ EXAM PEARL
• Professionalism + empathy are key OSPE points
PERLS Principles in Confidentiality
ANSWER
• P — Privacy: Patient's right to keep personal and medical information private
• E — Exceptions: Disclosure allowed for Court order, Public safety risk, Notifiable diseases
• R — Records: Maintain accurate, complete, and secure medical records
• L — Limited Disclosure: Share only the minimum necessary information
• S — Sensitive Information: Extra care for HIV status, Mental health, Sexual history
Surgery
Q3. What are simple interrupted sutures and their types?
ANSWER
A simple interrupted suture is an individual stitch placed separately and tied individually.
Types of Sutures
• Interrupted Sutures
◦ Simple interrupted
◦ Vertical mattress
◦ Horizontal mattress
• Continuous Sutures
◦ Continuous running
◦ Continuous locking
Advantages
• Good wound approximation
• Infection does not spread easily
• Easy removal
Disadvantages
• Time-consuming
Q4. What are the properties of silk suture?
ANSWER
• Natural suture material
• Non-absorbable
• Excellent handling