Short cases:Obstetrics 1. Norm pregnancy at 32 weeks (patient had 2 previous scars). List indications & how to manage? How to know if patient had scar tenderness? (answer: in between contractions)

2. O&G (normal pregnancy but with previous scar of LSCS) - Dr.wan Abu Bakar & Dr.firas report the finding plan of delivery sign of impending uterine rupture should elicit scar tenderness

3. Fibroid -dr yusmadi n kuantan ext lectr Assess anaemia in this patient hand pallor, eye conjunctiva, oral- glossitis & angular stomatitis Examine abdomen- 34 weeks, can gt below de mass? Othr features? Y u think its utrtine origin? What else it can be? Speculum: what u wanna see, bimanual ex what can be found?

4. Patient present with menorrhagia & lump 2 weeks ago,45 yrs old. So where do u think it is located? Why submucosal bleeding Investigation? How to manage? - Tahbso or Hystetectomy???

5. Diabetic foot ulcer. Examination Classification Investigations

Surgery Inguinal hernia early complication how to differentiate direct and indirect management explain the procedureSurgery (diffuse thyroid) -Dr. Firas & Dr. Wan Examine neck What is kocher's sign, berry sign. what that indicates? What pamberton sign look for What other system want to examine Ddx of anterior neck swellingNext was thyroid mng wif euthyroid What indication for FNAC Do u think there is CA possibility? What wil be features-???Abdominal fistula

IM 1. Left sided pleural effusion most likely due to suppurative lung disease (pt got clubbing).2. Co-arctation of aorta explain the condition how to treat features of COA causes of 2ry hypertension describe inter-scapular murmur

3. CCF DDX of generalized swelling how nephrotic $ can cause swelling Other compartment in the body that may cause fluid retention eg: lung ( pleural effusion), lower limb(pitting edema), abdomen (ascites), upper limb, facial puffiness

4. Short case 1. Abdominal examination. Dr zamri, dr mustafa. Provisional dx (HCC) Differential dx Other examinations to offer Diagnostic investigations

Paediatrics: 1. Thalassemia investigation and mx ddx supporting points for dx causes of spleenomegally

2. Ventricular Septal Defect long term complication other ddx, MR

3. 15y/o boy with heart murmur (dato jimmy and external examiner) examine CVS grade of thrill what is the murmur, grade probable dx other ddx

4. Short case 2. CVS examination. Dr mustafa dr zamri. Provisional dx (VSD) Diagnostic investigations Complications Management