pediatricspediatrics

55thth year 2005-2006 year 2005-2006

OSCEOSCE( Objective structured clinical ( Objective structured clinical

exam )exam )

المرض الرئيسي للنجاحالمرض الرئيسي للنجاح

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Q-1Q-1

what is the what is the abnormality ? abnormality ? periorbital edemaperiorbital edema

list three list three differential differential diagnosisdiagnosis

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Q-2Q-2

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

what is your diagnosis ? hypernatremic what is your diagnosis ? hypernatremic dehydrationdehydration

list two complications list two complications

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Q-3Q-3

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

2 month 38 cm2 month 38 cm4 month 42 cm4 month 42 cm6 month 48 cm6 month 48 cm

plot the reading on the chart provided plot the reading on the chart provided (there is a chart with the papers)(there is a chart with the papers)

list two differential diagnosislist two differential diagnosis give a confirmatory investigation give a confirmatory investigation

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Q-4Q-4

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

name three abnormalitiesname three abnormalities what is the diagnosis what is the diagnosis

(transposition of great (transposition of great arteries)arteries)

list two investigations to list two investigations to confirm your diagnosisconfirm your diagnosis

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Q-5Q-5

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

what is the diagnosiswhat is the diagnosis how does this disease cause his delayhow does this disease cause his delay

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Q-6Q-6

what are the names of what are the names of these signs : palmar these signs : palmar grasp , pincer gripgrasp , pincer grip

what are the what are the developmental ages of developmental ages of each oneeach one

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Q-7Q-7

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

Hb lowHb lowMCV lowMCV lowMCH lowMCH low

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

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Q-8Q-8

name this test ?name this test ? tuberculin skin test (Mantoux test)tuberculin skin test (Mantoux test) what is dose in IUwhat is dose in IU what is the route of administrationwhat is the route of administration when to read the testwhen to read the test when to consider it positivewhen to consider it positive

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Q-9Q-9

this is a pedigree showing this is a pedigree showing inheritance pattern :inheritance pattern :

what is the inheritance what is the inheritance pattern ? autosomal dominantpattern ? autosomal dominant

give two examples of diseases give two examples of diseases inherited by this pattern inherited by this pattern (spherocytosis, tuberosclerosis,(spherocytosis, tuberosclerosis,

etc…)etc…)

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Q-10Q-10

this is an ABG results :this is an ABG results :PH 7.19 (low)PH 7.19 (low)PO2 lowPO2 lowPCO2 highPCO2 highHCO3- normalHCO3- normal

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

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المرض الرئيسي للنجاحالمرض الرئيسي للنجاح

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1.1. This is a 7 years child complaining of This is a 7 years child complaining of skin rash ask his father / mother skin rash ask his father / mother relevant questionsrelevant questions

2.2. Do a lower limb motor neurological Do a lower limb motor neurological examination EXCLUDING sensory examination EXCLUDING sensory examination and talk while examination and talk while examining (there was a child with examining (there was a child with scissoring limbs and another one scissoring limbs and another one with hypotonia )with hypotonia )

Active OSCE stationsActive OSCE stations

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3.3. Do complete abdominal Do complete abdominal examination to this child (without examination to this child (without the general GIT examination ) the general GIT examination ) ( the child has spleen ( the child has spleen enlargement )enlargement )

4.4. examine the precoridum (no examine the precoridum (no general exam!)general exam!)

5.5. Anwar is a 8-year old girl Anwar is a 8-year old girl complaining of right side complaining of right side weakness ask relevant questions weakness ask relevant questions (she is a SCA patient, CVA)(she is a SCA patient, CVA)

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