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UHS OSPE Pediatrics Annual 2009
Club foot
VWB disease
Pneumothorax
Foley`s
X-ray rickets
GCS and management of trauma
ABd paracentisis and comlications
EPI chart
................................
Tuberculoma .. t/m
Ascitic tab procedure
Enteric fever d/d?
Diarrhea plan C
Rickets
Phototherapy machine 3 complications
Clubbing causes
Fe def anemia
pleural effusion
............................
Hemolytic anemia
Glycogen storage diseases
Meningiomyelocele
Chest tube
Splinter Hemorrhage
...Infantometer
Renal stone
Xray B/L consolidation with lyphadenopathy
Hepatomegaly
ARI
pic of face with sunken eyes
...................
1st day peads ospe : haemolytic anemia,its diagnosis? treatment? 1 complication? / glycogen storage disease, other signs & investigations? / meningomyelocoele,identify picture? complications?what 2 give the mother 2 prevent further children? / chest tube drainage & its complications? / vsd presenting with complications of infective endocarditis? pic, investigate to confirm? / infantometer, its use n how 2 use it / kidney stone xray, findings, symptoms of dis / T.b xray findings n investigatnz.
2nd day peads ospe:
1.Clubing,other site,causes.2.Richeti rosary (pic),tel abnormality nd diagnosis.3.Tuberculoma,ct scan findng,management.4.Shock scenario,investigation,management.5.Hair on end apearance,diagnosis,investigation.6.Photother...apy machine,purpose of it,complications.7.Abd paracentesis,identify,procedure.8.Typhoid scenario,diagnosis, D/D,indication of steroid in it.
3rd day peads ospe:
1- head injry pt.count gcs n mangmnt
2-foly catheter..Indic nd cmplic
3-von willibrnd disease. Diagns tst, patrn of inherit
4-tension pnemo findings nd emrgncy treatmnt
...5-rckts findings nd diagnsis
6-vacc accordin to epi at brth,10 weeks,14 weeks,6 mnth & 15 mnth
7-abd paracentesis pic.Diag & cmplic
8-talipes equinvarus..Diag nd treatmnt
4th day peadz ospe:
1.weight machine....idntify n growth parametrz of newborm,1yr n 2yr.
2.pulse oxymetr....idntify,wat measurez
3.down synd pic....idntify,featurz n cmplicationz
4.term baby wid meconium...senerio....neonatal sepsis,specific in...vst.n managment
5.vomiting wid ph 7.4 Hco3 38...senerio....pyloric stenosis,mangment
6.x.ray wid plural efusion n cnsolidation...pneumonia,causz
7.x.ray of kidney wid uti infectionz history...findingz(dilatd pelvis n stonez),causez
8.peripheral blood film pic...idntify cellz(sickle cellz),featurz of it
UHS OSPE PEDIATRICS 2010 Supplementary
1) Newborn baby with neonatal jaundice a few hours after birth, Hb:12----
(i) diagnosis?(Rh incompatibility)
(ii) important investigations (blood groups of mother and baby, direct coomb's test in the infant)
(iii) management (photo-therapy, exchange transfusion, pharmacologic therapy)
2) Picture of child with Down's syndrome
(i) diagnosis?
(ii) enlist clinical features seen in the picture?
(iii) type of defect? (trisomy 21)
3) ECG findings given---
(i) diagnosis? (Rheumatic fever with carditis)
(ii) ecg findings? (first degree heart block, PR interval prolonged)
4) Blood film picture showing infected RBCs----
(i) diagnosis? (cerebral malaria)
(ii) name of investigation?(thick and thin blood films)
(iii) management?
5) Picture of vesicular rash in specific skin area only---
(i) diagnosis: (herpes zoster infection)
(ii) treatment ?
6) Patient with relative on anti tb drugs---
(i) imp investigations?
(ii) (don't remember the other 2 questions sorry)
7) X-ray of wrists---
(i) diagnosis? (rickets)
(ii) x-ray findings? (cupping fraying flaring osteopenia)
(iii) important investigations?
8) X-ray with collapsed lung ---
(i) diagnosis? (pneumothorax)
(ii) xray findings?
(iii) emergency treatment?
OSPE PMC
GBS, pyogenic meningiis. marasmus. kwashiorker, nephrotic syndrome, ambu bag, stunted growth, RDS
ospe at LMDC..
RDS,growth hormone deff,kwashiorkar,marasmus,ambu bag,nephrotic syndrome,tuberculous meningitis.
WMC ospe 21st feb
unobservd
Ambu bag
GB
Hypopituitrism
Bcterial meningitis
RDS
Marasmus
Kwashrkor
Nephrotic
Observd
Down's syndrome
Thalasemia
paedr ospe NMC
1. Gbs. Cmplictn
2. Hypopituitary dwarfism
3. Ambu bag. Use n cmplictn
4. Kwashiorkor n causativ agnt
5. Marasmus
6. Meningitis n cmplictns
7. Intrctiv hptospleenomgaly
8. Intrctiv rspy systm exminatn
9. Rds x ray
10. Nephrotic syndrom. Features
UHS OSPE PEDIATRICS 2011
QMC 21.02.11
observed stationz:
1. GPE n relevant ov TOF pt.
2.GPE n relevant ov nephrotic syndrome..
Pmc ospe....xray respiratory distres syndrme n d/ds.growth hrmne deficiency..cngenital hypopitutrism..
Long cases at LMDC..
down syndrome,asthma,enteric fever,pneumonia,gastroenteritis,TB n diabetes mellitus
Wmc peads 21.2.11
nephrotc syndrome pic.dig n 4 cardinl symtms
2.mengits csf rpt
dig n cmplication
3.RDS.xray pic
dig n d/d
4.kwashikor pic
dig,caz n skn changz
5.marsmus pic
dig n caz
6.G B syndrome snrio
dig n lyf threatning cmplication
7.ambu bag pic
idntfy,use n cmplication
8.short strature pic
hypopituitrsm n anthropometrc measurs.
Intrctv
down synd gpe
thalasemia..
wmc paeds ospe.. static
1. pic of ambu bag; uses, complicatns
2.pic of a dwarf child due to hypopituitrism; cause of growth faiure,anthropometric measures..
3.scenario wd symmetrical loss of power and deep tendon reflexes in lower limbs; dx. cause of mortality
4.csf findings of acute bact meningitis; dx, comlications
5.pic of marasmic child; cx, causes
6. 24 hr old child present wd severe resp distress and x ray showing RDS;dx d/d
7. pic of child wd generalized edema (nephrotic synd); dx and four characteristc featues to clich dx
8. pic of child wd kwashirkor; what is the nutirent deficiency, name one skin leson
observed..
1.palpation of abd of child wd thalasemia
2. gpe of child wd down syndrome..
UMDC peads ospe 21 feb
1.gbs,1complication which cause death
2.meningitis,compli
3.marasmus,factors causing it
4.RDS,d/d
5.kawashkor,def of nut name it,name 1 skin manifestin
6.nephrotic,cardinal sign
7.ambu bag,use n compli
8.short stature,causes,investigation(anthropometric)
Paeds Ospe:
a) Microcytic Hypochromic Anemia, THALASSEMIA diagnosis and 3 aspects of management
ans) blood tranfusion, chelation therapy, folic acid, calcium, splenectomy, bone marrow transplant
b) Club Foot Picture....diagnosis and mode of inheritence
ans) mode of inheritence is multifactorial...
c) Measles picture...diagnosis and complications
ans) hemorrhagic measles, pneumonia, viral encephalitis, gastroenteritis
d) Tetralogy of fallot picture...identify labelled abnormalities and diagnosis
ans) pulmonary stenosis, vsd, right vent hypertrophy and over riding aorta
e) Xray chest showing consolidation middle lobe right lung and hyperexpansion left lung...xray findings and diagnosis
f) Umblical Hernia pic(pic uploaded)...diagnosis and complications
ans) strangulation, ischemia, obstruction, constipation, vomiting, infections
g) Microcytic Hypochromic Anemia with parameters...TIBC raised, FERRITIN reduced...diagnosis IRON DEFICIENCY, 3 food products for managament.
ans) green leafy vegetables, apples and bananas, red meat
NMC-OSPE=22-02-11
1. Chicken-poc(photo given) => diagnosis? comlications?
2. TOF(diagram)=> diagnosis? 4 features of TOF in diagram-label them?
3. Lobar Pneumonia(X-ray given)=> findings in x-ray? diagnosis?
4. Iron Deficiency Anemia(laboratory investigations given)=> diagnosis? 3 types of diet you would like to recommend?[Apple, green leafy vegetables, meat, eggs, carrots]
5. Thalassemia major(laboratory investigations given)=> diagnosis? 3 modes of management?[blood transfusion, bone-marrow transfusion, chelation therapy]
6. Umblical hernia=> diagnosis? complications?
7. Club-foot(photo)=> diagnosis? inheritence?[multifactorial]
8. Clubbing(photo)=> identify? causes?
WMC 22nd Feb. '11
1.Club foot, mode of inheritance
2. Chicken pox and compl
3. TOF diag and label diagram
4. Opacity Xray, diag. Lobar pneumonia
5. Clubbing and causes
6. Umblical hernia and compl
7. Iron def anemia and food items
8. Thalassemia and treatment.
Interactive:
1. Meningomyelocoele
2. VSD
Peds ospe. 22.2.11 qamc
1. Pic of TOF, idntify 4 lesions, diagnosis.2. Blood count showing low mcv, low serum feritn, and iron, raisd iron binding capacty. What anemia.? What diet?3. Bld count: low mcv, hb f 60% , hb low, retic 3, what anemia? (thalasemia.), 3 rx ways... 4. Lobar pneumnia. X ray. 5.clubbed foot pic.. Diagnosis and mode of inheritnc?6.clubing of fingr nails pic. Finding , 3 causes.7. Chiknpox pic and scenerio. Diagnosis and 2 complications8.umblical hernia pic.. Finding, 2 complications.In short cases, always remembr to tak cnsent, develop repot with pt, exposure then examine.
Wmc ospe 22nd feb
Iron def anemia blood cp report diag n food products fr treatment
hypochromic microcytic pic of B-thalasemia intermedia blood cp n hb electrophoresis report
talipes equinovarus its mode of inheritence
lobar pneumonia xray wid findings
pic of chicken pox
n its complications
umblical hernia pic its complications clubbing pic causes
tetralogy of fallot.. Pic of d heart frm pervez
interactive
meningiomyelocele walay pt py motor exam plus spine
vsd
NMC- OSPE 23-02-11
1. Club foot=> diagnosis? complications?
2. GBS=> diagnosis? Complication that cause death?
3. Measles=> diagnosis? complications?
4. Omphalocele=> diagnosis? complications?
5. Congenital hypothyroidism=> two complications? treatment?
6. Ambu bag with face mask=> uses? complications?
7. Patent ductus arteriosis=> diagnosis? 1 auscultatory finding?
8. Angular stomatitis=> diagnosis? which microneutrient is deficient?
Ospe QAMC 23.02.20111.
Hypothyroidism scenerio plus pic diag? Complications? Life long treatment?2. Measles pic plus scenerio diag? Cmplications?3. Ambu bag used for? Complication?4. Exomphalos pic diag? Treatment?5. P.D.A Pic diag? What sound heard on auscltation?6. G.B.S scenerio diag? Cmplications?7. Angular stomatitis pic diag? Which micronutrient def?8. Clubbed foot pic diag? Cause?
ambu bag indications n 1 cmplication
club feet diag n cause
measles diag n 3 complication
omphaloceale diag n mangemnt
pda diagnose pathology in pic n ascultatory findings
hypothyroidism diag,2 cmplicationz n drug
gbs diag n 1 complication leading to death.
angular stomatitis . . diagnose frm pic n which micronutrient deficiency
ospe szmc 23feb
1.angular stomatitis..identify,cause
2.club foot..identify,cause
3.umbo bag..identify,one use one compl
4.xmphlocele..diag,treatment
5.measels..identify,3 compl
6.cretinism..identify,complica
7.patnt duc arteriosus..identify,finding on auscul
8.g.b.s..diag,one compl lesdng to death
9.shrt cases..dwn synd..thalasemia
ospe
Ambu bag,
Club foot,
Measles,
Exampholos,
PDA,
Hupothyroidism,
GB syndrome
1. Clubbing(pic)=> identify? causes?
2. Acute hepatitis(scenario)=> investigations?
3. VSD with PDA(pic)=> identify? 4 complications?
4. Measles(photo)=> identify? complications?
5. Diaphragmatic hernia(X-ray)=> describe x-ray?
6. Microcytic anemia=> 2 d/d? investigations?
7. Deudenal atresia(xray)=> findings?
8. Matching:
[thalassemia major with increased fetal Hb
alfa thalassemia with hydrops fetalis
sickle cell anemia with hyposplenism
g6pd with oxidative drugs
heredity spherocytosis with gall stones]
NMC-21-02-2011
1. Ambu bag(pic)=>uses[respiratory insuffiency, resp. arrest, mechanical ventilation],Complications:Hyper inflation of lungs, Bullae formation, Infections.
2.Hypopituitarism(pic of a dwarf child)=> cause of growth failure[lack of hormones],anthropometric measures[length, height, weight, and head circumference acc. to age]
3.GBS(scenario with symmetrical loss of power and deep tendon reflexes in lower limbs)=> diagnosis? cause of mortality[respiratory muscles' involvement and respiratory failure]
4.Acute bacterial meningitis(CSF findings given)=>diagnosis? complications?[cerebral edema and raised ICP, subdural effusion,inappropriate ADH secretion, seizures, stroke, shock, ataxia, blindness, anemia]
5. Marasmic child=> diagnosis? causes[dietary deficiency, infections, suboptimal weaning, over-diluted milk]
6. RDS(x-ray with scenario of 24 hour old child presented with severe respiratory distress)=>diagnosis? d/d[pneumonia, meconium aspiration, milk aspiration, diapgragmatic hernia, transient tachycardia in newborn]
7. Nephrotic syndrome(pic of child wd generalized edema)=> diagnosis? four characteristic features of child[protein urea, hypoproteinemia, edema, hyperlipidaemia]
8. Kwashiorkor (pic)=> what is the nutirient deficiency?[protein], name one skin lesion[Flaky Paint dermatitis, ulcers]
NMC-OSPE- 22-02-11
1. Chicken-poc(photo given) => diagnosis? comlications?[infections, pupura fulminans, encephalitis, Reye's syndrome, pneumonia, myocarditis]
2. TOF(diagram)=> diagnosis? 4 features of TOF in diagram-label them?[pulmonary stenosis, right ventricular hypertrophy, overriding aorta, VSD]
3. Lobar Pneumonia(X-ray given)=> diagnosis? findings in x-ray??[gross consolidation]
4. Iron Deficiency Anemia(laboratory investigations given)=> diagnosis? 3 types of diet you would like to recommend?[Apple, green leafy vegetables, meat, eggs, carrots]
5. Thalassemia major(laboratory investigations given)=> diagnosis? 3 modes of management?[blood transfusion, bone-marrow transfusion, chelation therapy,folic acid, calcium, splenectomy ]
6. Umblical hernia=> diagnosis? complications?[Ischemia, obstruction, strangulation, haemorrhage, infections, necrosis, gangrene, autoimmune problems]
7. Club-foot(photo)=> diagnosis? inheritence?[multifactorial]
8. Clubbing(photo)=> identify? causes?[given below]
NMC- OSPE 23-02-11
1. Club foot=> diagnosis? complications?[genetic, malpresentation, edward's synd., compartment synd., amniotic band synd.]
2. GBS=> diagnosis? Complication that causes death?[Respiratory failure]
3. Measles => diagnosis? complications?[given below]
4. Omphalocele=> diagnosis? complications?[infection, rupture and intestinal obstruction]
5. Congenital hypothyroidism=> two complications[mental retardation, growth retardation, heart defects]? treatment?[thyroxine with regular monitoring]
6. Ambu bag with face mask=> uses?[given above] complications?[given above]
7. Patent ductus arteriosis=> diagnosis? 1 auscultatory finding?[continuous murmur, P2 loud]
8. Angular stomatis=> diagnosis? which microneutruent is deficient?[deficiency in vitamin B2 (Riboflavin), B3 (Niacin), B6 (Pyridoxine), B9 (folic acid) or B12, Iron]
NMC-24-02-11
1. Clubbing(pic)=> identify? causes?[Lung cancer, TB, Interstitial lung disease, lung abscess, empyema, bronchiectasis, cystic fibrosis, Congenital cyanotic heart disease, Subacute bacterial endocarditis, Malabsorption, Crohn's disease and ulcerative colitis, Cirrhosis]
2. Acute hepatitis(scenario)=> investigations?[LFTs, Viral serologic testing, PT measurement]
3. VSD with PDA(pic)=> identify? 4 complications?[CCF, Infective endocarditis, Pulmonary hypertension(Eisenmenger's syndrome)]
4. Measles(photo)=> identify? complications?[otitis media, pneumonia, encephalitis, hemorrhagic measles, thrombocytopenia, myocarditis, corneal ulceration, conjunctivitis]
5. Diaphragmatic hernia(X-ray)=> describe x-ray?[CBC, chest x-ray, CT, MRI, echo]
6. Microcytic anemia=> 2 d/d?[Iron deficiency anemia, Beta-thalassemia, anemia of chronic disease, lead poinsoning] investigations?[Hb level, CBC morphology, MCV, MCH MCHC, serum iron level, transferrin level, bone-marrow exam, electrophoresis and x-rays for thalassemia]
7. Duedenal atresia(xray)=> findings?[An X-ray of the abdomen shows two large air filled spaces, the so-called "double bubble" sign..treatment: A tube is placed to decompress the stomach. Dehydration and electrolyte abnormalities are corrected by providing fluids through an intravenous tube. An evaluation for other congenital anomalies should be performed. Surgery to correct the duodenal blockage is necessary, but is not an emergency.]
8. Matching:
[thalassemia major with increased fetal Hb
alfa thalassemia with hydrops fetalis
sickle cell anemia with hyposplenism
g6pd with oxidative drugs
heredity spherocytosis with gall stones]
NMC- 25-02-11
1. Patient with H/O ten minutes back, he's given oxygen and diazepam rectally=> Choose 2 most important bed side tests...(i)blood sugar (ii)temperature (iii)SOMI (iv)ABGs (v)pulse-oxymetry=> [Ans= SOMI, temperature]
2. Nephritic syndrome=> ( Choose 3 best investigations out of six.... (i)24h hr urine collection (ii)urea & creatinine (iii)throat swab (iv)ASO titre (v)renal biopsy (vi)USG of kidney[Ans=(i)urea & creatinine (i)throat swab (iii)ASO titre]
3. Miliary TB=> diagnosis? x-ray findings?[Numerous small cavities seen... (small millets), hilar lymphadenopathy]
4. What are the effects of haemophilia and Vwf on bleeding time, APTT and PT?=> [In haemophila BT and PT are normal but APPT is increased... In Vwf BT and APPT are increased but PT is normal]
5. Diaphragmatic hernia(X-ray)=> describe x-ray?[gut loops in the chest, medistinum shift], investigations?[CBC, chest x-ray, ct, MRI, echo]
6. Down syndrome(face shown)=> 5 clinical features[ short stature, low set ears, slanting eyes, simian crease, flat facies, depressed nasal bridge]
7. Duedenal atresia(xray)=> findings?[An X-ray of the abdomen shows two large air filled spaces, the so-called "double bubble" sign..treatment: A tube is placed to decompress the stomach. Dehydration and electrolyte abnormalities are corrected by providing fluids through an intravenous tube. An evaluation for other congenital anomalies should be performed. Surgery to correct the duodenal blockage is necessary, but is not an emergency.]
8. Matching:
[thalassemia major with increased fetal Hb
alfa thalassemia with hydrops fetalis
sickle cell anemia with hyposplenism
g6pd with oxidative drugs
heredity spherocytosis with gall stones]
1.Malar rash(pic of face with rsh)=> What is the rash called? write two conditions in which this rash coulf occur? What investigations you will go for?
2. Chronic reanl failure(scenario)=> diagnosis? write down 1st five investigation you will like to order?
3. Thallasemic face=> two d/d? investigations?
4. Purpuric rash(pic)=> what is the rash called? investigations?
5. NG tube=> identify? indications?
6. Noonan syndrome....(webbed neck...pictue of a girl) => what is the finding shown? what other findings tou will look for in this patient?
7. Karyotyping(chromosomal pictures)=> what is this called? what sample is order for this?
8. RDS( a baby of 12 days developed respiratory distress and grunting)=> causes? treatment?
NMC- 25-02-11
1. Patient with H/O fits ten minutes back, he's given oxygen and diazepam rectally=> Choose 2 most important bed side tests...(i)blood sugar (ii)temperature (iii)SOMI (iv)ABGs (v)pulse-oxymetry=> [Ans= SOMI, temperature]
2. Nephritic syndrome=> ( Choose 3 best investigations out of six.... (i)24h hr urine collection (ii)urea & creatinine (iii)throat swab (iv)ASO titre (v)renal biopsy (vi)USG of kidney[Ans=(i)urea & creatinine (i)throat swab (iii)ASO titre]
3. Miliary TB=> diagnosis? x-ray findings?[Numerous small cavities seen... (small millets), hilar lymphadenopathy]
4. What are the effects of haemophilia and Vwf on bleeding time, APTT and PT?=> [In haemophila BT and PT are normal but APPT is increased... In Vwf BT and APPT are increased but PT is normal]
5. Diaphragmatic hernia(X-ray)=> describe x-ray?[gut loops in the chest, medistinum shift], investigations?[CBC, chest x-ray, ct, MRI, echo]
6. Down syndrome(face shown)=> 5 clinical features[ short stature, low set ears, slanting eyes, simian crease, flat facies, depressed nasal bridge]
7. Duedenal atresia(xray)=> findings?[An X-ray of the abdomen shows two large air filled spaces, the so-called "double bubble" sign..treatment: A tube is placed to decompress the stomach. Dehydration and electrolyte abnormalities are corrected by providing fluids through an intravenous tube. An evaluation for other congenital anomalies should be performed. Surgery to correct the duodenal blockage is necessary, but is not an emergency.]
8. Matching:
[thalassemia major with increased fetal Hb
alfa thalassemia with hydrops fetalis
sickle cell anemia with hyposplenism
g6pd with oxidative drugs
heredity spherocytosis with gall stones]
NMC-26-02-11
1.Malar rash(pic of face with rsh)=> What is the rash called? write two conditions in which this rash coulf occur[SLE, drug reaction, antiphospholipid synd]? What investigations you will go for?[CBC, renal parameters, antibodies, ESR, x-rays]
2. Chronic reanl failure(scenario... urine protein ++, BUN-120, pus cells 12-15, blood+, hypochromic microcytic cells, for 2 yrs, failure to thrive, )=> diagnosis? write down 1st five investigation you will like to order?[CBC, USG, urine protein, urine blood, serum urea, serum creatinine, isotopic GFR, ]
3. Thallasemic face(scenario- repeated blood transfusion... hepatosplenomegaly)=> two d/d?[thallassemia, Pyruvate Kinase Deficiency] investigations?[CBC, Hb electrophoresis, RBC morphology, serum Iron, x-ray]
4. Purpuric rash(pic)=> what is the rash called? investigations?[CBC, PT, BT, APPT, ESR, CT]
5. NG tube=> identify? indications?[unconscious, feeding, aspiration, gastric lavage]
6. Noonan syndrome....(webbed neck...a girl with short stature) => what is the finding shown? what other findings tou will look for in this patient?[heart defects, bleeding problems, and skeletal malformations. Eye abnormalities.. Triangular-shaped face, Hypertelorism, Down-slanting eyes, Ptosis, Strabismus (48%), Amblyopia (33%), Refractive errors (61%), Low-set ears with thickened helices, High nasal bridge, Short webbed neck]
7. Karyotyping (chromosomal pictures)=> what is this called? what sample is order for this?[blood cells, fetal skin cells (from amniotic fluid or the placenta) and occasionally bone marrow cells.]
8. RDS( a baby of 12 days developed respiratory distress and grunting)=> causes?[Surfactant deficiency, Meconium aspiration, milk aspiration] treatment?[ABC, oxygen, steroids, nebulize salbutamol, good nursing care]
