Respi

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  • 1. OSCE PEDIATRICS Respiratory dnbpaediatrics.blogspot.in
  • 2. Station 1 • Appropriate active device for a passive user i.e., a child below three years with asthma: dnbpaediatrics.blogspot.in
  • 3. Answer Station 1 • Spacer with mask dnbpaediatrics.blogspot.in
  • 4. Station 2 • What is the grade of asthma severity in a child having: • Symptoms of airflow obstruction > once a day. • Night time symptoms > once a week. • PEF – 60-80% of personal best with >30% of diurnal variation. dnbpaediatrics.blogspot.in
  • 5. Answer Station 2 • Moderate persistent. dnbpaediatrics.blogspot.in
  • 6. Station 3 • What would be the pulmonary score/ severity of asthma exacerbation in a 7 year old child with a respiratory rate of 35, terminal expiratory wheeze and mild increase in work of breathing: dnbpaediatrics.blogspot.in
  • 7. Answer Station 3 • 3 (mild) dnbpaediatrics.blogspot.in
  • 8. Station 4 • Name the device: dnbpaediatrics.blogspot.in
  • 9. Answer Station 4 • Peak flow meter. dnbpaediatrics.blogspot.in
  • 10. Station 5 • What would be the approximate normal value of PEFR of a subject standing 120 cms. tall? dnbpaediatrics.blogspot.in
  • 11. Answer Station 5 • 200 Litres/min. • Formula for approximate normal PEFR for a given height: • PEFR ( L/min) = [ ht. ( in cms ) – 80] x 5 dnbpaediatrics.blogspot.in
  • 12. Station 6 • Spirometer is used to measure: dnbpaediatrics.blogspot.in
  • 13. Answer Station 6 • Vital capacity and its subdivisions and expiratory (or inspiratory) flow rate. dnbpaediatrics.blogspot.in
  • 14. Station 7 • 3 findings in this CXR: dnbpaediatrics.blogspot.in
  • 15. Answer Station 7 • Multiple fractured ribs on the right side. • B/L pneumothorax. • Air in the soft tissue of neck. • Scoliosis dnbpaediatrics.blogspot.in
  • 16. Station 8 • Resistance to penicillin in streptococcal pneumonia is mediated by: dnbpaediatrics.blogspot.in
  • 17. Answer Station 8 • Penicillin binding proteins with altered affinity for penicillin. dnbpaediatrics.blogspot.in
  • 18. Station 9 • The most important indirect marker of PCP (P. carinii) pneumonia: dnbpaediatrics.blogspot.in
  • 19. Answer Station 9 • Hypoxemia (i.e., a PaO2 < 80 mm of Hg in room air). dnbpaediatrics.blogspot.in
  • 20. Station 10 • Chest radiograph findings typical of PCP pneumonia: dnbpaediatrics.blogspot.in
  • 21. Answer Station 10 • Interstitial infiltrates beginning in the perihilar region and spreading to the periphery. Apices spared until later in the disease. dnbpaediatrics.blogspot.in
  • 22. Station 11 • Predominant pathogenetic feature, responsible for a broad variable presenting manifestations and complications in Cystic Fibrosis: dnbpaediatrics.blogspot.in
  • 23. Answer Station 11 • Dysfunction of epithelial surfaces. dnbpaediatrics.blogspot.in
  • 24. Station 12 • Unilateral hyperlucent lung syndrome is: • (a) also known as • (b) associated with dnbpaediatrics.blogspot.in
  • 25. Answer Station 12 • (a) Swyer James syndrome. • (b) Adenovirus infecton dnbpaediatrics.blogspot.in
  • 26. Station 13 • Silo Fillers disease is caused by: dnbpaediatrics.blogspot.in
  • 27. Answer Station 13 • Inhalation of the oxides of nitrogen. dnbpaediatrics.blogspot.in
  • 28. Station 14 • Diagnosis of Silo Fillers’ disease requires: dnbpaediatrics.blogspot.in
  • 29. Answer Station 14 • History of entering a silo within 4 weeks (usually within 24-100 hrs) of its being filled. • And 2 or more of following symptoms: • - dyspnoea • - wheezing • - cough • - nausea • - choking or fatigue. dnbpaediatrics.blogspot.in
  • 30. Station 15 • Most common cause of lung abscess in children: dnbpaediatrics.blogspot.in
  • 31. Answer Station 15 • Aspiration of infected material dnbpaediatrics.blogspot.in
  • 32. Station 16 • Pleural effusion is said to be purulent when leukocytes are --------. dnbpaediatrics.blogspot.in
  • 33. Answer Station 16 • >5000/mm3 dnbpaediatrics.blogspot.in
  • 34. Station 17 • Criteria for exudative pleural fluid: dnbpaediatrics.blogspot.in
  • 35. Answer Station 17 • At least one of the following: • Pleural fluid/serum LDH > 0.6 • Pleural fluid/serum protein > 0.5 • Pleural fluid LDH > 2/3 upper limit of normal serum values • Pleural fluid cholesterol > 55 mg/dl. • Or • pH < 7.2 • Pleural fluid protein > 3 gs/litre • Pleural fluid LDH > > 200 IU/Ldnbpaediatrics.blogspot.in
  • 36. Station 18 • Indications for drainage in a case of pneumothorax: dnbpaediatrics.blogspot.in
  • 37. Answer Station 18 • >5% collapse • Recurrent pneumothorax • Pneumothorax under tension dnbpaediatrics.blogspot.in
  • 38. Station 19 • Qualifiers of Asthma require------ episodes of airway obstruction. dnbpaediatrics.blogspot.in
  • 39. Answer Station 19 • >3 dnbpaediatrics.blogspot.in
  • 40. Station 20 • Assessment of lung volume is done by counting down the anterior rib ends till: dnbpaediatrics.blogspot.in
  • 41. Answer Station 20 • Middle of the diaphragm. dnbpaediatrics.blogspot.in
  • 42. Station 21 • This film is: • inspiratory/expiratory • normal/overinflated dnbpaediatrics.blogspot.in
  • 43. Answer Station 21 • Inspiratory with mild overinflation. • Explanation - A good inspiratory film should have the anterior end of the fifth or sixth rib meting the middle of the diaphragm. dnbpaediatrics.blogspot.in