Skip to main content

Peadiatrics Viva/OSPE/OSCE Questions by batch 2015


Unit 1 Short extrnal. Motor sys of lowr limb. There ws no finding. Show knee jerk. Two Causes of lmn . Choose singl tst fr polio. I sed stool cuz non invasive.                      
Short case dr akmal. Gpe ... child ws maramic... MEASURE LENGTH/HEIGHT, WEIGHT, OFC of every child n kno wats normal fr that age...
Tell findings.. was there  wrinkling? Yes on face, no buccal pad o fat. Define marasmus.                       Osce xray uppr lobar pneumonia.organisms.complications.
Scenario severe dehydration.Mx.
Pic of maculopapular rash.likely Dx.comps.
Helping babies breathe.                      
Long case internal mam. Wats age of child n ur Dx. Wt? I sed she ws being nebulized so i dint measure.
Thats no excuse! 😅 ofc? classify her pneumia by imci. Tell findings.. my pt ws preterm so mam ws trying to ask causes of low wt in 2 mo child... i cud only cum up wid infections n improper feeding 😁
Xray findings.. consolidation.. she ws lyk lobar consolidation in 2 mo old????! Again i ws clueless 😶 Rx .

Short GPE akmal laeq
External motor system UPPER LIMB
long Pneumonia

Short cases in unit 2 were.  Pleural effusion                      
Meningitis tha ek shaid                      
With upper motor lesion                      
Pansystolic murmur n nephrotic syndrome                      
Maine was nephrotic n effusion.. nephrotic wale per gpe kaha tha.  Examination nae dhekte bus findings pochn. Asked most likely cause of ur finding.  Why not heart cause n liver . Investigation wagaira.  When will be urine protein significant                      
I thnk bus yehe the baki yaad nae arae  :(                      
Effusion wale main b findings.  Causes.  Most likely diagnosis.  Diff bw empyema n parapnemonic effusion. Investigation of the patient n treatmnt.. TB hoskhta ? Uska test n asked details of mantoux   Long with dr akmal. Pnemonia.. history sune the thore se.  Most likely diagnosis?  Why ? Imnci ke acc treatmnt. Infant tha wo to wo wale btane the.. most imp findings in this child on chest.  Resp rate n recessions. Epi vaccines against pnemonia.. in main measles n tb ka btana ha along with pnemococcal n h inf                      
Short cases bta dye the aj unit 2 main


Unit 2

Osce. Pneumonia imnci...ors two compositions...wat r they? Wich is better n y?. Pic hypothyroid ...positiv findings Ix . helping babies breathe...1st she said normal...den she said no cry...

Long case. Ext unit 1...pnemonia ka case...history suni thori si...wat are causes of excessive crying in children. Wats ur diagnosis. Investigations.  treatment...cyanosis resp prob se hai ya convulsive se how do u differentiate...agar convulsions k sath ye patient hoti to wat wud u think....

Short case.... Unit 2 xternal. malnourished 5 yr old child...command gpe....wats ur diagnosis ...edema kb hota...she has history of on n off diarrhea...wats dx. Wats cystic fibrosis...uska test...neonate me kia hota...

Short case unit 2 internal...examine motor system of lower limbs....findings?  Hypotonia n areflexia tha...causes....cerebellum k kia features hotay....upgoing plantars...kia dx...causes of lmn disease..

Short 1 examine nervous system of lower limb. Mam tallat.
Viva by external coz mam was busy with 2 other girls.
Hypotonia tha. Differentials. Kesy differentiate krengy transverse myelitis boldea tha mne GBS k sath un dono ko. I said ni pta.
Bus.

Then examine back of chest. Left side effusion thi. Differentials? Kesy differ krengy consolidation ko effusion se. Jao.

Long case SLE 😛 I said ni leyna. Then he gave me hemophilia. Viva by unit1 ext. History examination suna. 3 points on history for bleeding disorder. 2 points of symptoms for a bleeding disorder in child 6 weeks. Treatment of hemophilia.

Unit 1.
Osce
1.meningomyelocoele ke pic the complications, antenatal prevention
2. 'some dehydration' ke imnci management
3. Hypochromic microcytic anemia
4. Help baby breathe.. Sir gives diff scenarios to diff students
Short case 1 external
Abdominal exam
Causes of abd distension in children
Causes of int perforation
Xray finding, pneumoperitoneum
Pancreatitis
Short case 2. Dr akmal laeeq
Lower limb motor system
Hypereefleia hypertonia causes and differentials
Investigations
Long case unit 2 external
Case pneumonia
History differentials
Pertussis
Meningococcemia ke finding purpura
Aur causes
Aplastic anemia ka diagnosis treatment
During
Dexamethasone therapy opv given? Bcg given? Precautions of dpt vaccine
Osce same as asnias
Terror zada tha overall scene is easy.
Mobile ly lyty but long k lia buks mil jati.
Short Dr laeq k pas abdominal exam ascitis thi asked causes and other positive findings. Investigations
External short examine abdomin spleenomegaly thi. Asked non hemolytic causes leshmania ka diagnosis bs.
Long external took viva from unit 2. anemia ka pt tha. Malnutrition
Positive findings puchi specific vitamin Def k signs like vit a k in eyes niacin k zn k . Mangmnt btao isko coeliac hoskti ha no sir acha kase diagnose krty ise. Okay jao.
Osce xray uppr lobar pneumonia.organisms.complications.
Scenario severe dehydration.Mx.
Pic of maculopapular rash.likely Dx.comps.
Unit 1 Short extrnal. Motor sys of lowr limb. There ws no finding. Show knee jerk. Two Causes of lmn . Choose singl tst fr polio. I sed stool cuz non invasive.
Short case dr akmal. Gpe ... child ws maramic... MEASURE LENGTH/HEIGHT, WEIGHT, OFC of every child n kno wats normal fr that age...
Tell findings.. was there wrinkling? Yes on face, no buccal pad o fat. Define marasmus.
Long case internal mam. Wats age of child n ur Dx. Wt? I sed she ws being nebulized so i dint measure.
Thats no excuse! 😅 ofc? classify her pneumia by imci. Tell findings.. my pt ws preterm so mam ws trying to ask causes of low wt in 2 mo child... i cud only cum up wid infections n improper feeding 😁
Xray findings.. consolidation.. she ws lyk lobar consolidation in 2 mo old????! Again i ws clueless😶 Rx .
Short GPE akmal laeq
External motor system UPPER LIMB
long Pneumonia
Short cases in unit 2 were. Pleural effusion
Meningitis tha ek shaid
With upper motor lesion
Pansystolic murmur n nephrotic syndrome
Maine was nephrotic n effusion.. nephrotic wale per gpe kaha tha. Examination nae dhekte bus findings pochn. Asked most likely cause of ur finding. Why not heart cause n liver . Investigation wagaira. When will be urine protein significant
Effusion wale main b findings. Causes. Most likely diagnosis. Diff bw empyema n parapnemonic effusion. Investigation of the patient n treatmnt.. TB hoskhta ? Uska test n asked details of mantou
Long with dr akmal. Pnemonia.. history sune the thore se. Most likely diagnosis? Why ? Imnci ke acc treatmnt. Infant tha wo to wo wale btane the.. most imp findings in this child on chest. Resp rate n recessions. Epi vaccines against pnemonia.. in main measles n tb ka btana ha along with pnemococcal n h inf
Unit 2
Osce. Pneumonia imnci...ors two compositions...wat r they? Wich is better n y?. Pic hypothyroid ...positiv findings Ix . helping babies breathe...1st she said normal...den she said no cry...
Long case. Ext unit 1...pnemonia ka case...history suni thori si...wat are causes of excessive crying in children. Wats ur diagnosis. Investigations. treatment...cyanosis resp prob se hai ya convulsive se how do u differentiate...agar convulsions k sath ye patient hoti to wat wud u think....
Short case.... Unit 2 xternal. malnourished 5 yr old child...command gpe....wats ur diagnosis ...edema kb hota...she has history of on n off diarrhea...wats dx. Wats cystic fibrosis...uska test...neonate me kia hota...
Short case unit 2 internal...examine motor system of lower limbs....findings? Hypotonia n areflexia tha...causes....cerebellum k kia features hotay....upgoing plantars...kia dx...causes of lmn disease...
Unit 2
Short 1 examine nervous system of lower limb. Mam tallat.
Viva by external coz mam was busy with 2 other girls.
Hypotonia tha. Differentials. Kesy differentiate krengy transverse myelitis boldea tha mne GBS k sath un dono ko. I said ni pta.
Bus.
Then examine back of chest. Left side effusion thi. Differentials? Kesy differ krengy consolidation ko effusion se. Jao.
Long case SLE 😛 I said ni leyna. Then he gave me hemophilia. Viva by unit1 ext. History examination suna. 3 points on history for bleeding disorder. 2 points of symptoms for a bleeding disorder in child 6 weeks. Treatment of hemophilia.
Aur short case me differentials polio b kaha tha mne. Its diagnosis aur vaccines he asked
Finding b koi ni thi apparently 😣 on general look
Ksi ko ni dea SLE wala aaj dun worry  hemophilia was easy usme bus gum bleed kr ri h uski. Aur ek knee swelling h. Examination me aur kuch nae

Unit 1 short case...
Osce bta daitay ...
Short case ..
External..
Cervical lymphadenopathy...
D/d ... lymphomas kon sai hottay ... hodgkin k types...
Diff between lymphoma n tb ki swellings...
Tb ko diagnose kaisay karo gi...
Dr akmal laique...
GpE...
Easy ... nutritional requirment of a child .. mantoux test ...
Height weight ... malnutrition ...
Treat..
Pneumonia vaccinations..
Long case...
Acute hep...
History... positive findings.. hepatospleenomegaly... ascities and scrotal swelling ... pallor and jaundice...
Bleeding mai family history ki significance...hemophilia females mai kaisay ho ga... monosomy...xo kya hotta.. hai.. iss ptnt mai kon si portal HTN hai... vit k dependant k illawa kon sai coagulation factors liver bnata hai .. mechanism of edema in him...kon sa metabolic disease brain aur liver ko effect karta hai... wilsons kya hotta hai ... treat n diagnose ... child pugh score and thrombocytopenia...

One of the seniors said kal anay walay bachay yeh parh k aen:
ASD murmur details
Encephalitis and encephalopathy difference
Febrile fits cause?
BCG scar how is it formed?
Long case(unit1). This is not all. Leken majority in mein se they.
Pneumonia
Nephrotic syndrome
CCF
CP
Cerebral infarct (hemiplegia)
Meningitis
Unit 1
They tell u osce questions bas phele 5bachon k bad luck hoti hai :-P
-Lobar pnemonia x ray. Complication.oraganism
-Pic maculopapular rash. Diagnosis measles.comlications
-severe dehydration senario.management
-help baby breathe
Short case
Yeh nai btae k andar kiya case hai
External...Motor exam of upper limbs probably bacha CP ka tha...but normal findings thein...lekin jab sir ne ki to brisk reflex ho gae :-( causes of UMN.diff viral and pyogenic meningitis
Sir akmal laeeq....GPE of a jaundiced pt.positive findings.hepatomegaly causes
Long case
Maam talat
HTN....case wasnt diagnosed yet..causes .positive findings in child.examination. investigations.treatment

Unit 2 short cases
Pleural effusion
VSD
Nephrotic syndrome py GPE krwa rahy thy
Meningitis
Mine were pleural eff n GPE
Mam Talat
-findings
-pneumothorax ka percussion note
-pleural eff n consolidation me clinically diff
-causes of pleural eff
-treatmnt of eff
External:
Findings
-causes of generalized edema
-one investigation to diff b/w CRF n nephrotic
-nephrotic ka treatmnt
-steroids kitni duration k lye dety hain
-if there is genralized edema n HTN then diagnosis
-complications of nephritic
-traetmnt of heart failure
Long case(external)
Fever n chronic diarrhea
-history
-DDs
-acute,chronic n persistant diarrhea ka diff
-persistant diarrhea k organisms
-cystic fibrosis ka confirmatory test
-celiac dis ki investigations
-lectose intolerance
-osmotic n secretory diarrhea
-pt k angular stomatitis b tha so uski causes
-fever ki types
-IBD ki investigations

Unit 2.
Osce
4 tables.
1 diarrhoea imnci Tx dehydration classification.
2. A scenario of Fe deficiency anemia (if I'm right)
3. A photo of meningomyelocele. Dx. Complications. Antenatal Dx or care.
4. Helping baby breathe (mam kept altering the scenario n u had to perform accordingly)
Short case:
External.
Command was to do GPE. Case was nephrotic (most likely) I wasn't told what was inside, some people did come to know.
He asked positive findings. Kind of scolded me for not asking for proper sized cuff. Causes of edema. Investigations. At what protein level do we call it nephrotic. What other investigations would u do.
If u find edema+ enlarged L nodes what would be Dx? (I dint know.)
Edema + Liver enlargement. Dx?
How would u check clubbing.
Causes of clubbing.
Pathophysiology of edema development in liver disease.
Relationship of nephrotic with HTN (this too I dint know)
Dr Talat:
Examine precordium.
It had findings all on inspection palpation n auscultation.
I told Acc to my perception.
Asked Dx.
MR Acc to me. Grades of murmur. Causes of MR in the pt. What is the severity of MR in this pt? I said v severe. Why? Cz heart is enlarged, shifted apex beat n rt ventricular heave.
I felt that short cases went in quite a fussy hustle n I don't know how right my findings were.
Long case
With external of unit 1.
Pneumonia.
Hx. Provisional Dx. Did u weigh the child. Is the wt normal. Malnutrition classifications. Diff bw marasmus n marasmic kawashiorkor.
How would u treat pneumonia.
Why this antibiotic n y not that.
Fe deficiency anemia
How would u investigate?
A very good luck to all.


Comments

Here's more you should read...

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)
Salam everyone, let me start in the name of Allah who’s the greatest benefactor of all mankind. I am going to write a detailed composition regarding preparation for USMLE Step 1. I am a final year student at King Edward Medical University and I took my exam on June 10th. Final year is the year before internship/ house job in Pakistan. I just got my scores: 99/266



Let me introduce some myths surrounding USMLE Step 1 which are especially prevalent within Pakistan; I am not too sure about India because I heard their students typically appear in their final years.


 Myth number 1:Do not appear for USMLE Step 1 within your graduation

 Verdict: Baseless, illogical reasoning

Explanation: This is so prevalent in Pakistan it’s almost pathetic. One of the biggest concerns surrounding our students is that Step 1 is a huge risk to be taken before graduation. Let me put it in another way: Step1 would always remain a risk whenever it is taken, …

Australian Medical Council AMC Part 1 Guide - Experience and Tips

AMC Part 1 by Dr. Asad Khizar Malik (Rank : 77/620) Australian Medical Council  Guide - Experience and Tips
Salam people, let me start in the name of Allah who’s the greatest benefactor of all mankind. Hope everyone is doing great. I'll try to write as much as I can for the people who are due to various reasons more interested in joining Australian Hospitals for post-grad training as compared to the USMLE pathway.

I am a graduate of King Edward Medical University, class of 2004-2010. I did my 6 months house job after graduation in Mayo Hospital, and after that, i gave my AMC Part 1 in November, 2010 from Brisbane. With the grace of Allah, I passed that in first attempt.

So lets start with the discussion here, but PLEASE NOTE THAT IT IS ENTIRELY MY PERSONAL EXPERIENCE AND REASONING WHY I PREFERRED AUSTRALIA OVER USA FOR RESIDENCY.

First thing in mind that comes with post grad training in Pakistani doctors minds is: Which way to go after graduation? That is a very tough decision that is …

FSc Premedical Guide - How to fly high..

FSc Premedical Guide - How to fly high.. Unsa Athar Your 40% needs to be excellent to get into KEMU or  some other good place.
(Dedicated to my teachers who not only taught me the fsc books but also many priceless lessons of life)
(Unsa Athar)
The tree that never had to fight For sun and sky and air and light, But stood out in the open rain And always got its share and rain, Never became a forest king, But lived and died a scrubby thing… Good timber does not grow with ease, The stronger wind, the stronger trees.
Getting yourself educated in the desi manner i.e. through the Board of Intermediate and Secondary Education is one of the top most challenges of today’s society. Matriculation seems difficult at that time, but when you enter FSc, you realize that matric was the easiest job in the world.  Those obese books of intermediate part I and part II are the worst enemies one can ever have.  People say Medical is tougher, but I find one basic difference in both. When you enter a medical college, y…

HISTOLOGY SLIDES AND HANDMADE DIAGRAMS

Anatomy/Histology Gallery
Read the instructions here 1st Year

Histology Slides for Professional Exams
Folder 1- Labelled Folder 2 - Labelled Folder 3 - Labelled
Histology Revision Slides Updated (2011)
by Laiba Khalid
Lower Limb Anatomy Spotting Labelled
http://kemunited.blogspot.com/2013/05/lower-limb-spotting-labelled.html

Embryology Models Some models are labelled and others mentioned in comments

Anatomy Museum Models (unlabelled) This album covers Upper limb, Lower limb and Thorax regions of anatomy

2nd Year
HISTOLOGY Diagrams Hand-drawn CARDS 2ND YEAR MBBSThese are hand-drawn histology diagrams by Demonstrator Dr. Shaista (Dept of Anatomy, KEMU) and submitted by Anosha.NEUROLOGY/ Neuroantomy SPOTTING  (LABELLED SPECIMEN) 2ND YEAR  Each structure is labelled and a great job done by Anosha. Neuroanatomy / Brain 2nd Year Important topics by LaibaNeuroanatomy Models Labelled  Gross models labelled by Maryam Shahid Abdomen & Pelvis Anatomy Spots Labelled Excellent job by Maryam Shahid
Anatomy Learni…

USMLE Step 2 CK experience by Rizwan Khan (254)

IN THE NAME OF ALLAH THE MOST BENEFICENT AND MERCIFUL

     I recently got done with Step 2 CK exam & I want to elaborate my experience and the mistakes that I made during my prep so that any of my colleagues who are preparing for this exam might benefit from them. I wont go much in detail about how to prepare and where to prepare from since it is already highly debated on the forum and in the previous posts but would focus more on my personal experience and the bad choices which I made during the preparation phase.
SELF-ASSESSMENTS AND QBANKS Uworld 74% Kaplan Qbank 69%
Kaplan diagnostics  = 80% (70 days before exam) Kaplan Simulation Exam 1 = 71% (50 days before exam) Kaplan Simulation Exam 2 = 76%  (40 days before exam) Fred simulation for CK = 84% (39 days before exam) NBME 2 (offline) 21 mistakes (30 days before exam)
NBME 4  =    263 (13 days before exam) UWSA =  259 (2 days before exam)
Real exam = 254