Peads with brain buster nomenclature ops

Osce peads

1. PED 310 OSCE END OF ROTATION EXAM 23 RD JANUARY 2024

2. STATION 1 A young mother brings a 18 day old baby whom she thinks the colour is a bit off. Describe what you see (2 marks) Take a TARGETED and RELEVANT history (5 marks) This baby has bilirubin ++ on urinalysis. What is the investigation of choice? (3 marks)

3. STATION 2 You are a junior doctor working in paediatrics. This patient in brought in by her carer following and episode of limb jerking and brief loss of consciousness. His temperature is 39 o C Outline your exam approach - what signs will you look for and why? (4 marks) What is the most likely diagnosis? (2 marks) Give 4 features of your diagnosis (4 marks)

4. STATION 3 1. Look at this spine X ray of an 8 year old child who presented with cough for 20 days. Describe what you see. (2 marks) What would your possible clinical finding be in the musculoskeletal system? (2 marks) What is your most likely diagnosis? (2marks) Give 2 other investigations that may be relevant in this case1. (4 marks)

5. STATION 4 CHOLERA Just after graduating as a new doctor, you are told to report to the Cholera centre at HEROES stadium Give 3 features of the cholera vibrio organism (3 marks) What are the 5 key health messages concerning Cholera (5 marks) What has been the average case mortality rate in the past 2 week here in Zambia (2 marks)

6. STATION 5. Look at the image 1. Mention any 3 important features you see? (3 marks) 2. What is the diagnosis? (2marks) 3. Mention 4 causes of this condition (2marks) 4. List 3 complications of this condition(3 marks).

7. STATION 6 1. Descibe what you see in this Picture (1marks) 2. What is the Diagnosis? (2 marks) 3. Mention 3 Laboratory investigations you would do to confirm your Diagnosis (3 marks) 4. Give 4 complications of this condition that you may anticipate. (4 mark) Urine

8. STATION 7 An 11 year old girl, HIV +, Pre-ART for 2 years , presents with epistaxis, haematuria and palpitations for 3 days. On examination she has generalised lymphadenopathy and a generalised hyperpigmented itchy rash. Haemogram WBC-0.4 X 10 9 /L HB- 6g/dl PLT- 48 X 10 9 /L What is her WHO stage?(2marks) Mention 4 further tests you would do?(4marks) Give 3 possible causes of the blood picture seen? (4 marks)

9. STATION 8 1. Describe what you see (1mark) 2. What is the diagnosis (1mark) 3. Mention 4 risk factors for this condition (2marks) 4. What 4 signs would you elicit (2 mark) 5. List 4 anticipated complications (4 mark)

10. STATION 9 A 5 year old comes in with history of breathing difficulties and wheezing after playing. This is the 3 rd episode On examination, he has noisy breathing, SCR and unable to speak-only words HR 130b/min SPO2 89% 1. What is the most likely diagnosis and severity of this condition(2marks) 2.List 4 possible exacerbating factors (4marks) 3. Give 4 signs of this condition (4 marks)

11. STATION 10 You receive a 4 month old baby from Kalomo district hospital who is usually blue and would turn breathless from time to time. Take a relevant history (10 marks)

12. THE END