Rheumatology, Endocrinology, Nephrology
OSCE PEDIATRICS
PRACTICAL EXAMINATION
www.dnbpediatrics.com
Station 1
1. Is ANA positive in all children with JIA?
2. In what percentage of children is it
positive?
3. Which category...
Answers Station 1
• No
• 40%
• Oligo JIA
www.dnbpediatrics.com
Station 2
• What are the subcategories of JIA as per
the ILAR classification?
www.dnbpediatrics.com
Answers Station 2
• Oligo
• Extended oligo
• Poly
– RF negative
– RF Positive
• ERA
• Systemic
• Psoriatic
• Others
www.dn...
Station 3
• What are the diagnostic criteria for
Kawasaki Diseases?
www.dnbpediatrics.com
Answers Station 3
• Fever >5 days
• Conjunctivitis (Non purulent)
• Pleomorphic rash
• Cervical LN (Unilateral)
• Strawber...
Station 4
• What are the fever characteristics of
SOJIA?
www.dnbpediatrics.com
Answer Station 4
• Quotidian
• Well between fever spikes
www.dnbpediatrics.com
Station 5
• Why should urine examination be done in
a case of HSP?
• For how many week should it be done?
www.dnbpediatric...
Answers Station 5
• To rule out nephritis
• For 3 months
www.dnbpediatrics.com
Station 6
• Does a negative dsDNA exclude lupus?
www.dnbpediatrics.com
Answers Station 6
• No - positive in only 40%
• It suggests renal/central disease/ Increase
disease activity
www.dnbpediat...
Station 7
• Name 3 DARDS used to treat JIA
www.dnbpediatrics.com
Answers Station 7
• Methotrexate
• Hydroxy chloroquine
• Cyclosporin
• Sulphasalazine
• Lefenamide
www.dnbpediatrics.com
Station 8
• Define precocious and delayed puberty in
boys and girls.
www.dnbpediatrics.com
Station 9
• Define short stature.
www.dnbpediatrics.com
Station 10
• Common causes of short stature. Any 5
www.dnbpediatrics.com
Station 11
• What are the FDA approved indications for
GH therapy? Write any three.
www.dnbpediatrics.com
Station 12
• Define overweight and obesity in children.
www.dnbpediatrics.com
Station 13
• Common causes of obesity. Write any five.
www.dnbpediatrics.com
Station 14
• Name the hormones secreted by the
anterior pituitary gland.
www.dnbpediatrics.com
Station 15
• Name the causes of congenital
hypothyroidism. Write any four.
www.dnbpediatrics.com
Station 16
• Causes of goiter. Write any three.
www.dnbpediatrics.com
Station 17
• Define Metabolic syndrome
www.dnbpediatrics.com
Station 18
• Classification of diabetes
www.dnbpediatrics.com
Station 19
• Name the types of insulin based on the
onset and duration of action
www.dnbpediatrics.com
Station 20
• What is the diagnostic hormone for CAH
www.dnbpediatrics.com
Station 21
• Define impaired fasting, GTT and diabetes
www.dnbpediatrics.com
Station 22
• List 4 common causes of gynecomastia
www.dnbpediatrics.com
Station 23
• Peak growth velocity is during Tanner
stage ______ of puberty in girls and
stage________ in boys.
www.dnbpedi...
Station 24
• What is the bladder capacity of a 3 years
old child?
www.dnbpediatrics.com
Answers Station 24
• (Age +2) x 30 = ml capacity of bladder
www.dnbpediatrics.com
Station 25
• What is the amount of post void urine
which is considered significant in a child
www.dnbpediatrics.com
Answers Station 25
• 2 ml/kg or 25 ml
www.dnbpediatrics.com
Station 26
• What should be the width of the bladder
cuff to determine BP in children.
www.dnbpediatrics.com
Answers Station 26
• 40% of mid arm circumference
www.dnbpediatrics.com
Station 27
• Bartter syndrome is an autosomal
_______ disorder, characterised by
______, ______________,
hyperreninemia, h...
Answers Station 27
• Autosomal recessive disorder
charactreised by hypokalemia,
metabolic alkalosis, hypereninemia,
hypera...
Station 28
• What are the investigations that should be
done in a 1 yr old child as a part of
evaluation following initial...
Answers Station 28
• US KUB
• DRCG/MCU
• DMSA scan
www.dnbpediatrics.com
Station 29
• What treatment should be given to a 5 yr
old girl who is afebrile there are no urinary
symptoms and urine c/s...
Answers Station 29
• Asymptomatic bacteruria does not
require any antibiotics
www.dnbpediatrics.com
Station 30
• Define the following terms
Remission
Relapse
Frequent relapse
Steroid dependent
Steroid resistant
www.dnbpedi...
Answers Station 30
• Remission - Urinary protein negative or trace or
<4mg/m2/hr for 3 consecutive days
• Relapse - UP 3+ ...
Station 31
• On usual dietary intake ______% of the
filtered Na is reabsorbed, _____% is
absorbed in the PCT and _____% in...
Answers Station 31
• 99%, 60%, 30%
www.dnbpediatrics.com
Station 32
• The formulae proposed by Schwartz for
measuring GFR in children is
www.dnbpediatrics.com
Answer Station 32
• 0.55x Ht (cm)
• serum creatinine (mg%)
•
www.dnbpediatrics.com
Station 33
• What is the classification of Stages of Chronic
Kidney disease
Stage GFR Description
1
2
3
4
5
www.dnbpediatr...
Answer Station 33
Stage GFR Description
• 1 90 Kidney damage
• 2 60-89 Mild reduction in GFR
• 3 30-59 Moderate reduction ...
Station 34
• What are the normal values of GFR in:
1. 2 yr old child
2. Neonate <34 wks gestation during 1st week
of life
...
Answer Station 34
• 125 mL/min
• 11 mL/min
• 39 mL/min
www.dnbpediatrics.com
Station 35
• Which investigation is required to detect
renal scars?
www.dnbpediatrics.com
Answer Station 35
• DMSA scan
www.dnbpediatrics.com
Station 36
• List any five indications of dialysis in a
child who has ARF
www.dnbpediatrics.com
Answers Station 36
• CNS altered sensorium, seizures
• Hyperkalemia > 6.5 with ECG changes
• Fluid overload or pulmonary e...
MPH:163cm
www.dnbpediatrics.com
www.dnbpediatrics.com
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Ren

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Ren

  1. 1. Rheumatology, Endocrinology, Nephrology OSCE PEDIATRICS PRACTICAL EXAMINATION www.dnbpediatrics.com
  2. 2. Station 1 1. Is ANA positive in all children with JIA? 2. In what percentage of children is it positive? 3. Which category? www.dnbpediatrics.com
  3. 3. Answers Station 1 • No • 40% • Oligo JIA www.dnbpediatrics.com
  4. 4. Station 2 • What are the subcategories of JIA as per the ILAR classification? www.dnbpediatrics.com
  5. 5. Answers Station 2 • Oligo • Extended oligo • Poly – RF negative – RF Positive • ERA • Systemic • Psoriatic • Others www.dnbpediatrics.com
  6. 6. Station 3 • What are the diagnostic criteria for Kawasaki Diseases? www.dnbpediatrics.com
  7. 7. Answers Station 3 • Fever >5 days • Conjunctivitis (Non purulent) • Pleomorphic rash • Cervical LN (Unilateral) • Strawberry tongue • Limb changes – Acute Angioedema – Delayed peeling www.dnbpediatrics.com
  8. 8. Station 4 • What are the fever characteristics of SOJIA? www.dnbpediatrics.com
  9. 9. Answer Station 4 • Quotidian • Well between fever spikes www.dnbpediatrics.com
  10. 10. Station 5 • Why should urine examination be done in a case of HSP? • For how many week should it be done? www.dnbpediatrics.com
  11. 11. Answers Station 5 • To rule out nephritis • For 3 months www.dnbpediatrics.com
  12. 12. Station 6 • Does a negative dsDNA exclude lupus? www.dnbpediatrics.com
  13. 13. Answers Station 6 • No - positive in only 40% • It suggests renal/central disease/ Increase disease activity www.dnbpediatrics.com
  14. 14. Station 7 • Name 3 DARDS used to treat JIA www.dnbpediatrics.com
  15. 15. Answers Station 7 • Methotrexate • Hydroxy chloroquine • Cyclosporin • Sulphasalazine • Lefenamide www.dnbpediatrics.com
  16. 16. Station 8 • Define precocious and delayed puberty in boys and girls. www.dnbpediatrics.com
  17. 17. Station 9 • Define short stature. www.dnbpediatrics.com
  18. 18. Station 10 • Common causes of short stature. Any 5 www.dnbpediatrics.com
  19. 19. Station 11 • What are the FDA approved indications for GH therapy? Write any three. www.dnbpediatrics.com
  20. 20. Station 12 • Define overweight and obesity in children. www.dnbpediatrics.com
  21. 21. Station 13 • Common causes of obesity. Write any five. www.dnbpediatrics.com
  22. 22. Station 14 • Name the hormones secreted by the anterior pituitary gland. www.dnbpediatrics.com
  23. 23. Station 15 • Name the causes of congenital hypothyroidism. Write any four. www.dnbpediatrics.com
  24. 24. Station 16 • Causes of goiter. Write any three. www.dnbpediatrics.com
  25. 25. Station 17 • Define Metabolic syndrome www.dnbpediatrics.com
  26. 26. Station 18 • Classification of diabetes www.dnbpediatrics.com
  27. 27. Station 19 • Name the types of insulin based on the onset and duration of action www.dnbpediatrics.com
  28. 28. Station 20 • What is the diagnostic hormone for CAH www.dnbpediatrics.com
  29. 29. Station 21 • Define impaired fasting, GTT and diabetes www.dnbpediatrics.com
  30. 30. Station 22 • List 4 common causes of gynecomastia www.dnbpediatrics.com
  31. 31. Station 23 • Peak growth velocity is during Tanner stage ______ of puberty in girls and stage________ in boys. www.dnbpediatrics.com
  32. 32. Station 24 • What is the bladder capacity of a 3 years old child? www.dnbpediatrics.com
  33. 33. Answers Station 24 • (Age +2) x 30 = ml capacity of bladder www.dnbpediatrics.com
  34. 34. Station 25 • What is the amount of post void urine which is considered significant in a child www.dnbpediatrics.com
  35. 35. Answers Station 25 • 2 ml/kg or 25 ml www.dnbpediatrics.com
  36. 36. Station 26 • What should be the width of the bladder cuff to determine BP in children. www.dnbpediatrics.com
  37. 37. Answers Station 26 • 40% of mid arm circumference www.dnbpediatrics.com
  38. 38. Station 27 • Bartter syndrome is an autosomal _______ disorder, characterised by ______, ______________, hyperreninemia, hyperaldosteronism, ________blood pressure and wasting of _________, ________ & ________. www.dnbpediatrics.com
  39. 39. Answers Station 27 • Autosomal recessive disorder charactreised by hypokalemia, metabolic alkalosis, hypereninemia, hyperaldosteronism, normal BP and urinary wasting of K, Na, Cl www.dnbpediatrics.com
  40. 40. Station 28 • What are the investigations that should be done in a 1 yr old child as a part of evaluation following initial UTI? www.dnbpediatrics.com
  41. 41. Answers Station 28 • US KUB • DRCG/MCU • DMSA scan www.dnbpediatrics.com
  42. 42. Station 29 • What treatment should be given to a 5 yr old girl who is afebrile there are no urinary symptoms and urine c/s shows E coli with colony count of 105 organisms/ml www.dnbpediatrics.com
  43. 43. Answers Station 29 • Asymptomatic bacteruria does not require any antibiotics www.dnbpediatrics.com
  44. 44. Station 30 • Define the following terms Remission Relapse Frequent relapse Steroid dependent Steroid resistant www.dnbpediatrics.com
  45. 45. Answers Station 30 • Remission - Urinary protein negative or trace or <4mg/m2/hr for 3 consecutive days • Relapse - UP 3+ or more or 40mg/m2/hr for 3 consecutive days • Frequent relapse - 2 or more relapses within 6 month or >3 relapses in any one year • Steroid dependent - 2 consecutive relapses during alternate day treatment or within 2 weeks of discontinuation of steroid • Steroid resistant - absence of remission despite 4 wks of steroid treatment (or 6 week also is correct) www.dnbpediatrics.com
  46. 46. Station 31 • On usual dietary intake ______% of the filtered Na is reabsorbed, _____% is absorbed in the PCT and _____% in the loop of Henle. www.dnbpediatrics.com
  47. 47. Answers Station 31 • 99%, 60%, 30% www.dnbpediatrics.com
  48. 48. Station 32 • The formulae proposed by Schwartz for measuring GFR in children is www.dnbpediatrics.com
  49. 49. Answer Station 32 • 0.55x Ht (cm) • serum creatinine (mg%) • www.dnbpediatrics.com
  50. 50. Station 33 • What is the classification of Stages of Chronic Kidney disease Stage GFR Description 1 2 3 4 5 www.dnbpediatrics.com
  51. 51. Answer Station 33 Stage GFR Description • 1 90 Kidney damage • 2 60-89 Mild reduction in GFR • 3 30-59 Moderate reduction in GFR • 4 15-29 Severe reduction in GFR • 5 <15 Kidney failure www.dnbpediatrics.com
  52. 52. Station 34 • What are the normal values of GFR in: 1. 2 yr old child 2. Neonate <34 wks gestation during 1st week of life 3. Neonate >34 wk gestation during 1st week of life www.dnbpediatrics.com
  53. 53. Answer Station 34 • 125 mL/min • 11 mL/min • 39 mL/min www.dnbpediatrics.com
  54. 54. Station 35 • Which investigation is required to detect renal scars? www.dnbpediatrics.com
  55. 55. Answer Station 35 • DMSA scan www.dnbpediatrics.com
  56. 56. Station 36 • List any five indications of dialysis in a child who has ARF www.dnbpediatrics.com
  57. 57. Answers Station 36 • CNS altered sensorium, seizures • Hyperkalemia > 6.5 with ECG changes • Fluid overload or pulmonary edema • Metabolic acidosis • Hypercatabolic state • Hyponatemia <120mg/l www.dnbpediatrics.com
  58. 58. MPH:163cm www.dnbpediatrics.com
  59. 59. www.dnbpediatrics.com

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