( Objective structured clinical exam )

OSCE

pediatrics
5th year 2005-2006

Q-1

what is the abnormality ? periorbital edema list three differential diagnosis

Q-2

A 9 month child came with history of vomiting and diarrhea for 6 days. his lab results showing : Na high , Cl high , urea high , K normal

what is your diagnosis ? hypernatremic dehydration list two complications

Q-3

this is a head circumference readings of a child presenting with failure of growth :

2 month 38 cm 4 month 42 cm 6 month 48 cm

plot the reading on the chart provided (there is a chart with the papers) list two differential diagnosis give a confirmatory investigation

Q-4

A 8 years child came to ER with dyspnea and cyanosis. this is his chest x-ray :

name three abnormalities what is the diagnosis (transposition of great arteries) list two investigations to confirm your diagnosis

Q-5

A child came with growth delay. and this is the microscopic picture of his stool :

what is the diagnosis how does this disease cause his delay

Q-6

what are the names of these signs : palmar grasp , pincer grip what are the developmental ages of each one

Q-7

A patient came with lethargy. this is her CBC results :

Hb low MCV low MCH low

name two differential diagnosis name a confirmatory test for each one.

Q-8
name this test ? tuberculin skin test (Mantoux test) what is dose in IU what is the route of administration when to read the test when to consider it positive

Q-9

this is a pedigree showing inheritance pattern :

what is the inheritance pattern ? autosomal dominant give two examples of diseases inherited by this pattern (spherocytosis, tuberosclerosis, etc)

Q-10

this is an ABG results :

PH 7.19 (low) PO2 low PCO2 high HCO3- normal

what is the diagnosis ? respiratory acidosis (or respiratory failure type2) list two causes

Active OSCE stations

1.

2.

This is a 7 years child complaining of skin rash ask his father / mother relevant questions Do a lower limb motor neurological examination EXCLUDING sensory examination and talk while examining (there was a child with scissoring limbs and another one with hypotonia )

3.

4.
5.

Do complete abdominal examination to this child (without the general GIT examination ) ( the child has spleen enlargement ) examine the precoridum (no general exam!) Anwar is a 8-year old girl complaining of right side weakness ask relevant questions (she is a SCA patient, CVA)