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OSCE PEDIATRICS
Respiratory
dnbpaediatrics.blogspot.in
Station 1
• Appropriate active device for a passive user
i.e., a child below three years with asthma:
dnbpaediatrics.blogs...
Answer Station 1
• Spacer with mask
dnbpaediatrics.blogspot.in
Station 2
• What is the grade of asthma severity in a
child having:
• Symptoms of airflow obstruction > once a
day.
• Nigh...
Answer Station 2
• Moderate persistent.
dnbpaediatrics.blogspot.in
Station 3
• What would be the pulmonary score/
severity of asthma exacerbation in a 7 year
old child with a respiratory ra...
Answer Station 3
• 3 (mild)
dnbpaediatrics.blogspot.in
Station 4
• Name the device:
dnbpaediatrics.blogspot.in
Answer Station 4
• Peak flow meter.
dnbpaediatrics.blogspot.in
Station 5
• What would be the approximate normal
value of PEFR of a subject standing 120
cms. tall?
dnbpaediatrics.blogspo...
Answer Station 5
• 200 Litres/min.
• Formula for approximate normal PEFR for
a given height:
• PEFR ( L/min) = [ ht. ( in ...
Station 6
• Spirometer is used to measure:
dnbpaediatrics.blogspot.in
Answer Station 6
• Vital capacity and its subdivisions and
expiratory (or inspiratory) flow rate.
dnbpaediatrics.blogspot....
Station 7
• 3 findings in this
CXR:
dnbpaediatrics.blogspot.in
Answer Station 7
• Multiple fractured ribs on the right side.
• B/L pneumothorax.
• Air in the soft tissue of neck.
• Scol...
Station 8
• Resistance to penicillin in streptococcal
pneumonia is mediated by:
dnbpaediatrics.blogspot.in
Answer Station 8
• Penicillin binding proteins with altered
affinity for penicillin.
dnbpaediatrics.blogspot.in
Station 9
• The most important indirect marker of PCP
(P. carinii) pneumonia:
dnbpaediatrics.blogspot.in
Answer Station 9
• Hypoxemia (i.e., a PaO2 < 80 mm of Hg in
room air).
dnbpaediatrics.blogspot.in
Station 10
• Chest radiograph findings typical of PCP
pneumonia:
dnbpaediatrics.blogspot.in
Answer Station 10
• Interstitial infiltrates beginning in the
perihilar region and spreading to the
periphery. Apices spar...
Station 11
• Predominant pathogenetic feature,
responsible for a broad variable presenting
manifestations and complication...
Answer Station 11
• Dysfunction of epithelial surfaces.
dnbpaediatrics.blogspot.in
Station 12
• Unilateral hyperlucent lung syndrome is:
• (a) also known as
• (b) associated with
dnbpaediatrics.blogspot.in
Answer Station 12
• (a) Swyer James syndrome.
• (b) Adenovirus infecton
dnbpaediatrics.blogspot.in
Station 13
• Silo Fillers disease is caused by:
dnbpaediatrics.blogspot.in
Answer Station 13
• Inhalation of the oxides of nitrogen.
dnbpaediatrics.blogspot.in
Station 14
• Diagnosis of Silo Fillers’ disease requires:
dnbpaediatrics.blogspot.in
Answer Station 14
• History of entering a silo within 4 weeks (usually
within 24-100 hrs) of its being filled.
• And 2 or ...
Station 15
• Most common cause of lung abscess in
children:
dnbpaediatrics.blogspot.in
Answer Station 15
• Aspiration of infected material
dnbpaediatrics.blogspot.in
Station 16
• Pleural effusion is said to be purulent when
leukocytes are --------.
dnbpaediatrics.blogspot.in
Answer Station 16
• >5000/mm3
dnbpaediatrics.blogspot.in
Station 17
• Criteria for exudative pleural fluid:
dnbpaediatrics.blogspot.in
Answer Station 17
• At least one of the following:
• Pleural fluid/serum LDH > 0.6
• Pleural fluid/serum protein > 0.5
• P...
Station 18
• Indications for drainage in a case of
pneumothorax:
dnbpaediatrics.blogspot.in
Answer Station 18
• >5% collapse
• Recurrent pneumothorax
• Pneumothorax under tension
dnbpaediatrics.blogspot.in
Station 19
• Qualifiers of Asthma require------ episodes
of airway obstruction.
dnbpaediatrics.blogspot.in
Answer Station 19
• >3
dnbpaediatrics.blogspot.in
Station 20
• Assessment of lung volume is done by
counting down the anterior rib ends till:
dnbpaediatrics.blogspot.in
Answer Station 20
• Middle of the diaphragm.
dnbpaediatrics.blogspot.in
Station 21
• This film is:
• inspiratory/expiratory
• normal/overinflated
dnbpaediatrics.blogspot.in
Answer Station 21
• Inspiratory with mild overinflation.
• Explanation - A good inspiratory film
should have the anterior ...
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Respi

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Respi

  1. 1. OSCE PEDIATRICS Respiratory dnbpaediatrics.blogspot.in
  2. 2. Station 1 • Appropriate active device for a passive user i.e., a child below three years with asthma: dnbpaediatrics.blogspot.in
  3. 3. Answer Station 1 • Spacer with mask dnbpaediatrics.blogspot.in
  4. 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. 5. Answer Station 2 • Moderate persistent. dnbpaediatrics.blogspot.in
  6. 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. 7. Answer Station 3 • 3 (mild) dnbpaediatrics.blogspot.in
  8. 8. Station 4 • Name the device: dnbpaediatrics.blogspot.in
  9. 9. Answer Station 4 • Peak flow meter. dnbpaediatrics.blogspot.in
  10. 10. Station 5 • What would be the approximate normal value of PEFR of a subject standing 120 cms. tall? dnbpaediatrics.blogspot.in
  11. 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. 12. Station 6 • Spirometer is used to measure: dnbpaediatrics.blogspot.in
  13. 13. Answer Station 6 • Vital capacity and its subdivisions and expiratory (or inspiratory) flow rate. dnbpaediatrics.blogspot.in
  14. 14. Station 7 • 3 findings in this CXR: dnbpaediatrics.blogspot.in
  15. 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. 16. Station 8 • Resistance to penicillin in streptococcal pneumonia is mediated by: dnbpaediatrics.blogspot.in
  17. 17. Answer Station 8 • Penicillin binding proteins with altered affinity for penicillin. dnbpaediatrics.blogspot.in
  18. 18. Station 9 • The most important indirect marker of PCP (P. carinii) pneumonia: dnbpaediatrics.blogspot.in
  19. 19. Answer Station 9 • Hypoxemia (i.e., a PaO2 < 80 mm of Hg in room air). dnbpaediatrics.blogspot.in
  20. 20. Station 10 • Chest radiograph findings typical of PCP pneumonia: dnbpaediatrics.blogspot.in
  21. 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. 22. Station 11 • Predominant pathogenetic feature, responsible for a broad variable presenting manifestations and complications in Cystic Fibrosis: dnbpaediatrics.blogspot.in
  23. 23. Answer Station 11 • Dysfunction of epithelial surfaces. dnbpaediatrics.blogspot.in
  24. 24. Station 12 • Unilateral hyperlucent lung syndrome is: • (a) also known as • (b) associated with dnbpaediatrics.blogspot.in
  25. 25. Answer Station 12 • (a) Swyer James syndrome. • (b) Adenovirus infecton dnbpaediatrics.blogspot.in
  26. 26. Station 13 • Silo Fillers disease is caused by: dnbpaediatrics.blogspot.in
  27. 27. Answer Station 13 • Inhalation of the oxides of nitrogen. dnbpaediatrics.blogspot.in
  28. 28. Station 14 • Diagnosis of Silo Fillers’ disease requires: dnbpaediatrics.blogspot.in
  29. 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. 30. Station 15 • Most common cause of lung abscess in children: dnbpaediatrics.blogspot.in
  31. 31. Answer Station 15 • Aspiration of infected material dnbpaediatrics.blogspot.in
  32. 32. Station 16 • Pleural effusion is said to be purulent when leukocytes are --------. dnbpaediatrics.blogspot.in
  33. 33. Answer Station 16 • >5000/mm3 dnbpaediatrics.blogspot.in
  34. 34. Station 17 • Criteria for exudative pleural fluid: dnbpaediatrics.blogspot.in
  35. 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. 36. Station 18 • Indications for drainage in a case of pneumothorax: dnbpaediatrics.blogspot.in
  37. 37. Answer Station 18 • >5% collapse • Recurrent pneumothorax • Pneumothorax under tension dnbpaediatrics.blogspot.in
  38. 38. Station 19 • Qualifiers of Asthma require------ episodes of airway obstruction. dnbpaediatrics.blogspot.in
  39. 39. Answer Station 19 • >3 dnbpaediatrics.blogspot.in
  40. 40. Station 20 • Assessment of lung volume is done by counting down the anterior rib ends till: dnbpaediatrics.blogspot.in
  41. 41. Answer Station 20 • Middle of the diaphragm. dnbpaediatrics.blogspot.in
  42. 42. Station 21 • This film is: • inspiratory/expiratory • normal/overinflated dnbpaediatrics.blogspot.in
  43. 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

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