Professional Documents
Culture Documents
PUNE
• The OSCE Questions & Answers are prepared by
the faculty for the benefit of Post graduate
students and some are contributed from faulty
• These Questions and answers are made for the
students to understand the pattern of OSCE and
not meant to completely cover the subject of
Pediatrics.
• Answer are checked from standard textbook in
case of doubt plz email
• ashwinborade@yahoo.com
10/20/2019 CME,PUNE 2
Station 1
• Sinus tachycardia; refractory hypotension; QRS duration of > 100 ms indicates risk
for seizures & cardiac arrhythmias; R wave in lead aVR of > 3 mm is also an
indicator of toxicity.
• Refractory hypotension
• QRS duration of > 100 ms indicates risk for seizures & cardiac arrhythmias; R wave
in lead aVR of > 3 mm is also an indicator of toxicity
2 (a) Give –
1. 2 rescue breaths
2. 5 back blows
3. 5 chest thrusts
4. Look into the mouth
5. If FB seen - remove it.
6. If not - give 2 breaths and continue the sequence.
Answ 2 B
• Atrial fibrillation
•
• Rheumatic mitral valve disease ,left AV valve
insufficiency, thyrotoxicosis, pulmonary
emboli, and pericarditis
•
• The best initial treatment is digitalization,
which restores the ventricular rate to normal,
although the atrial fibrillation usually persists.
Station 3 :
A 13 year old boy under investigation in OPD
2. Fragile X Syndrome
1. DieGeorge syndrome
2. Hypocalcemic seizures
3. Primary hypoparathyroidism
4. Thymus gland aplasia leading to abnormal cell mediated
immunity
5. An embryological defect of the third and fourth pharyngeal
pouches
Station5
15 months old child admitted with anemia with hepatosplenomegaly for
evaluation, PS shows.
1.Identify and describe PBS findings. (1)
2.What is the diagnosis? (1)
3.What is definitive treatment? (1)
4.What are clinical features seen in classical case ? (1)
5.What is the basic etiology for this disorder ? (1)
Answer 5
6B:
1. The following are useful in assessing the gestational age of an infant-
a) True b)False c) False d) True e) True
• Station 8 B
• Falciparum malaria
• Severe anemia, cerebral malaria, respiratory distress,
hypoglycemia
• Late treatment failure: Patient will exhibit late treatment
failure (LTF) under following situations:
• (i) Development of danger sign or severe malaria on any
day between day 4 and day 14 in presence of parasitemia.
• (ii) Axillary temperature >37.5ºC in presence of parasitemia
on any day from day 4 to day 14.
Answer 10 B
1. Right & Left pneumothorax with left upper zone haziness
2.Risk Factors-
• Assisted ventilation (including CPAP)
• MAS,RDS
• Other Air Leak Syndromes (e.g. PIE)
• Pulmonary hypoplasia
• Idiopathic or spontaneous
Station 11
• A:Write content of the following in Human milk fortifier
(1/4X 8=2)
1. Protein
2. Fat
3. Sodium
4. Calcium
5. Vit D
6. Thiamine
7. Vit B12
8. Zinc
• B:Write biological value, net protein utilization and protein
efficacy ratio of –
1.Meat
2. Egg
3. Bengal gram
4. Wheat (12 X 0.25=3 )
Answer 11A
PROTEIN 0.2g
Fat 0.1g
NA 1.5
calcium 50
Vit D 250
Thiamine 12
B12 0.05
Zinc 0.18
Answer11B
BIOLOGICAL NPU PER
VALUE
Meat 74 76 3.2
EGG 96 96 3.8
Bengal gram 74 61 1.3
WHEAT 66 61 1.3
Station 12
• Identify diagram .(1)
• What are the uses? (1)
• Name each components A-F along with interpretation of
each (1/4 x 6=3)
Answer 12
• Scatter diagram and correlations.
Below age of 7 yrs: ACTH independent autonomous adrenal lesion like Adrenal
adenoma or carcinoma
• Screening tests:
Assessment of diurnal cortisol rhythm
Overnight dexamethasone supression test
24 hour urinary free cortisol
Salivary cortisol
• Hypophosphatemic Rickets
• X-linked dominant
• 4 causes-
1.Pan hypopitutarisum
2.Isolated GHD
3.Hypothyrodisum
4.Cushing syndrome
5.DM
Station 15
Our patient is a 17 yr old female with history of recurrent seizures. Admitted in PICU
with stroke. She was evaluated for same.
• Identify and describe the investigation? (1/2+1/2)
• What is the diagnosis? (1)
• What other disorder are associated with this disease? (1)
• What is the treatment of choice? (1)
• What are syndromes associated with contralateral hemiplgia in children? (1)
Answer 15
1. a)MRI T1 weighted images show extensive collateralization
of vessels in region of circle of willis.
b) MRA reveals reduced luminal calibre of left internal
carotid artery in petrous, cavernous and supraclinoid
segments.
2. Moya moya disease.
3. Down syndrome, neurofibromatosis, or sickle cell disease
4. Direct superficial temporal artery (STA) to middle cerebral
artery (MCA) bypass is considered the treatment of choice.
5. Weber syndrome, Benedict syndrome ,millard gublar
syndrome.
Station 16 A
Answer 16 B
Vit D def.
VDDR type 2
CRF
ADHR
Fanconi
syndrome
Answer 17
ADHR N dec N N Rd
• Gaucher disease .
• Wrinkled paper cells in BM
• Intracytoplsmic substrate inclusion
• Erlenmeyer flask deformity in distal femur
• Enzyme replacement with b glucosidase
Station 19 (1X5=5)
3.Write down the time limits for using the following vaccines after
reconstitution-
• Varicella (1)
• Measles/MMR (1)
4. Write the schedule of rabies vaccine for a person, who has been
bitten by a dog but has received 5 doses of rabies vaccine
earlier. (1)
Answer 19
1. 165.25
(Formula)
AaDO2 = (713 x FiO2) – (pCO2 / 0.8) – (paO2)
3. 11 ml O2 /dl
Arterial Oxygen content = (Hb x 1.36 x SpO2 ) + ( 0.0031
x PaO2)
Station 21 :
• Floor
• Ambu bag
• Chittle forceps
• Probe of pulse oximeter and Weighing scale
• Laryngoscope
Answer 21
• FLOOR : By Phenol
• Ambu bag : after dismantling clean with soapimmearse
in Cidex for 4-6 hrs rinse with water dry,wrap and put
a date
• Cheattle forceps : autoclave
• Probe of Pulse oxymeter : by spirit
• Weighing machine : 2% Bacillocid
• Laryngoscope : by spirit. If used for infected patient than
wash with soap & water -- after removing bulb,put blade
in 2% cidex wash, dry and wrap.
Station 22
Match the following (5)
Characterstics
Level of evidence
I Case series
Characterstics
Level of evidence
IV Case series
V Expert opinion