OSCE

Please follow following Instructions

• Write your roll number on answer sheet.

• Write OSCE numbers on answer sheet.
• There are altogether 20 OSCE stations.
• Each OSCE caries 1 mark.
• Full marks 20
• Time allotted 2 minutes for each station
• Slides will change automatically
 Slide 1

Shyam is 7 years old had fever and rash (shown in

picture) since 3 days.
i. How long should he avoid going to school?
ii. Name 2 complications that might occur.
 Slide 2

This is chest X-ray of 6 yr

old boy complaining of
fever and cough since 5
days.

i. What abnormal findings can you expect in the

clinical examination of chest?
ii. List 2 complications.
 Slide 3

This is 5 yr old girl with

fever for 3 days. On
examination, tongue
appears red, as shown in
picture.

i. What is finding in the tongue?

ii. What are 2 differential diagnosis of this patient

 Slide 4

This is X-ray wrist of a

boy who walks with
both his knees
touching each other.

i. What are the findings in X ray?

ii. How will you treat this boy?
 Slide 5

This is a newborn just delivered.

i. What is the swelling visible over the back?
ii. Name 2 other associated deformities that can be
present in this baby.
 Slide 6

This is a 15 days old baby brought to OPD.

i. What is the visible finding in the picture?
ii. Name 1 intervention that you can do in all newborns
to prevent this condition.
 Slide 7

This is chest X ray of a girl

who is 12 months with
history of recurrent
pneumonia. Now also she
has tachypnea and signs of
respiratory distress.

i. What is two important findings in this x ray?

ii. Name 2 possible differential diagnosis.
 Slide 8

2 yr old boy has fever and increased frequency of

micturition since 2 days. He has past history of 2
episodes of urinary infection in last 1 year.

i. What are the investigations would you like to

do?
ii. Give 2 risk factors that have to be looked for in
this patient.
 Slide 9

The above picture shows palm of a 9 month old boy.

i. Write the most likely abnormality?

ii. Write 2 common causes for this.
 Slide 10

i. What is the finding in the picture shown above?

ii. How do you treat this condition?
11
 Slide 11
A 3 year old boy presented in OPD with fever and
loose stools since 2 days. There is mucus and
blood in stool.
His stool on microscopic examination shows :
– pus cells 12-14/HPF
– RBC- 40-50/HPF

i. Name 2 likely causative organisms.

ii. List 2 complications.
 Slide 12

The growth chart shows the serial weights of Jay measured

during his OPD visits.
i. What is the interpretation of his growth chart?
ii. List at least 2 possible causes for this type of growth.
 Slide 13

14 yr old boy developed weakness of both legs

for last 10 days without history of trauma.
His CSF showed the following:
Total cells= 4, all lymphocytes, Protein= 150mg/dl and
Sugar=60mg/dl

i. What is the likely diagnosis?

ii. Give 2 complications of this condition.
 Slide 14

This picture shows urine of a 10 year old boy.

i. List 2 common causes.
ii. What are the investigations you would send
in this patient ?
 Slide 15

The above photo is of a 11 years old girl who presented in OPD.

1. Write two important diseases of separate systems that could
present with above finding.
2. Write one investigation for each disease for diagnosis.
• 5 years old male child was seen in OPD with
history of fever of 8 days.
• On examination, he has pallor, spleno-
hepatomegaly with no lymphadenopathy.

1. Write two important differential diagnosis.

2. Write investigations that will help confirming
your diagnosis.

Slide 16
17
 Slide 17

These are the skin lesions seen in a 9 years old

child with severe abdominal pain
I. What is the most likely diagnosis?
ii. Write two important complications of this condition.
• A 14 month old, 10 kg child is brought to
hospital with history of loose stool for 2 days.
• On assessment, child is irritable with sunken eyes
and has eager to drink. There is loss of skin turgor.

i. What degree of dehydration does this child have?

ii. What treatment will you offer to this child?

Slide 18
 Slide 19

1.What is the striking

clinical sign shown?

2.Name two conditions

which can give rise to
this problem.

20
 Slide 20

A mother with her 9 month old girl is waiting in

queue to get immunized.

i. What vaccines will she get?

ii. When will she get another dose of one of the
same vaccines?