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This document contains 32 slides with questions and answers about the gastrointestinal and respiratory systems for an OSCE (Objective Structured Clinical Examination) in pediatrics. The slides cover topics such as the development of coordinated sucking and swallowing, diagnosis and treatment of infantile hypertrophic pyloric stenosis, reflexes in infants, hepatitis infections and markers, pancreatic enzymes, causes of diarrhea, and tests for conditions like H. pylori infection.

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Slide 1
OSCE PEDIATRICS
GIT and Respiratory system
click here for more
www.dnbpediatrics.com

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Slide 2
Station 1
Coordinated sucking and swallowing develops
at what gestational age.

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Slide 3
Answer Station 1
34 WEEKS

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Slide 4
Station 2
First born male child presents at 5 weeks of
age with vomiting following feeds. Following
vomiting child is again hungry & demands
milk. On examination a small lump noted in
upper abdomen especially while feeding.
On investigations hypochloremic alkalosis
is noted. What is your diagnosis and what
is the definitive treatment.

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Slide 5
Answer Station 2
1. Infantile Hypertrophic Pyloric
Stenosis, Ramsted Pyloromyotomy

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Slide 6
Station 3
On blowing air onto the fan a healthy infant
shows reflex swelling and oesophageal
contractions. What is the
reflex called?

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Slide 7
Answer Station 3
 Samtmyers Reflex

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Slide 8
Station 4
 Which Serological markers HBV is seen in
children immunized with Hepatitis – B
vaccine .

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Slide 9
Answer Station 4
1. Anti HBs Ag

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Slide 10
Station 5
 Name two serological markers used for
diagnosis of Hepatitis – B infection.

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Slide 11
Answer Station 5
HBS Ag, IgM Anti HBc Ag

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Slide 12
Station 6
6. Which Hepatotrophic virus infection in
pregnancy is associated with high maternal
mortality and foetal loss.


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Slide 13
Answer Station 6
Hepatitis E virus

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Slide 14
Station 7
Name two groups of E-coli which cause
persistent diarrhea

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Slide 15
Answer Station 7
1. EPEC
2. Entero aggregative EC

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Slide 16
Station 8
Name 2 primary and 2 secondary bile acids.

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Slide 17
Answer Station 8
1. Cholic acid, chenodeoxycholic acid
2. Deoxy cholic acid, Lithocholic acid

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Slide 18
Station 9
 Name 2 pancreatic enzymes which do not
require activation by trypsin

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Slide 19
Answer Station 9
Amylase, Lipase

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Slide 20
Station 10
Name 3 Proteins synthesized by Liver
whose serum concentration decreases as
an acute phase response.

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Slide 21
Answer Station 10
Albumin, Alpha fetoprotein, Transferrin

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Slide 22
Station 11
 Name the coagulation factor which can be
used to distinguish between coagulopathy
associated with liver disease and DIC. What
will be its levels (Inc, Dec or N) in above two
conditions.

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Slide 23
Answer Station 11
F-VII, N in liver disease, decrease in DIC

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Slide 24
Station 12
Name the cause of intractable secretory
watery diarrhea in a new born child.

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Slide 25
Answer Station 12
Microvillous inclusion diseases
Tufting enteropathy

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Slide 26
Station 13
 Demonstration of which reflex on anal
mannometry precludes/excludes the
diagnosis of Hirschprungs disease.

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Slide 27
Answer Station 13
Recto-anal inhibitory reflex (RAIR)

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Slide 28
Station 14
 Name 3 non invasive tests used to diagnosis
H-pylori infection

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Slide 29
Answer Station 14
Serology,
Urea breath test
Stool antigen

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Slide 30
Station 15
 Name all Vitamin K dependent
proteins/coagulation factors

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Slide 31
Answer Station 15
Factor 2
Factor 7
Factor 9
Factor 10
Protein C
Protein S
Osteocalcin

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Slide 32
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4. © 2003 By Default! A Free sample background from www.awesomebackgrounds.com Slide 4 Station 2 First born male child presents at 5 weeks of age with vomiting following feeds. Following vomiting child is again hungry & demands milk. On examination a small lump noted in upper abdomen especially while feeding. On investigations hypochloremic alkalosis is noted. What is your diagnosis and what is the definitive treatment.

6. © 2003 By Default! A Free sample background from www.awesomebackgrounds.com Slide 6 Station 3 On blowing air onto the fan a healthy infant shows reflex swelling and oesophageal contractions. What is the reflex called?

12. © 2003 By Default! A Free sample background from www.awesomebackgrounds.com Slide 12 Station 6 6. Which Hepatotrophic virus infection in pregnancy is associated with high maternal mortality and foetal loss. 

22. © 2003 By Default! A Free sample background from www.awesomebackgrounds.com Slide 22 Station 11  Name the coagulation factor which can be used to distinguish between coagulopathy associated with liver disease and DIC. What will be its levels (Inc, Dec or N) in above two conditions.

26. © 2003 By Default! A Free sample background from www.awesomebackgrounds.com Slide 26 Station 13  Demonstration of which reflex on anal mannometry precludes/excludes the diagnosis of Hirschprungs disease.

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