Paediatrics Prepare yourself for these common pediatric topics in Objective Structured Clinical Examinations The common topics that have been tested in OSCE exams during USMLE Step 2 CS, MCCQE PartII, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are:
Fever Rash Vomiting Diarrhea Seizure; febrile and epilepsy Cough: Asthma, viral, cystic fibrosis Running nose/ ear pain. Anemia Neonatal jaundice Failure to thrive Feeding counseling Short stature Growth chart interpretation Speech delay Enuresis Recurrent abdominal pain Acute abdominal pain Infant colic Hyperactive child Urinary tract infection Immunization counselling Acute poisoning Peanut allergy or allergies Child abuse
1. Andrew Bold came to your office concerning his six month old Jimmy. He has some questions about vaccinations. Talk to him in the next ten minutes. (Immunization). 2. Rochelle Davidson came to your office and want to talk to you about her one year old son Tom. Her sister noticed that Tom is so small. Address her concerns in the next 5/10/15 minutes. (Failure to thrive /or Child abuse /or Single mother/ Feeding). 3. Eric George is 16 year old came to your office asking for a letter to the transportation authority. Talk to him in the next 5/10/15 minutes. (Epilepsy). 4. John Smitherman came to your office worried about his three and half year old daughter, Julie, speech. Talk to him in the next 5/10/15 minutes. (Speech delay). 5. Leanne Goldson brought her two year old daughter, Lisa, to t he emergency because of diarrhea for three days. The ER team managed Lisa is in the next room and she is stable now. Mrs Goldson is waiting in this room. You are the physician on duty now. In the next 5/10/15 minutes enter the room an take a focused history from the mother. (Diarrhea). 6. Sandra Levis brought her two month old son, Leo, to the emergency because of vomiting for two weeks. The ER team managed Leo and he is stable now in the next room. Mrs Levis is waiting in this room worried and crying. You are the physician on duty now. In the next 5/10/15 minutes enter the room an talk to her. (Infant colic /or Single mother /or spousal abuse). 7. Luisa Huang brought her three day old son, Kim, to the emergency because he turned yellow. The ER team managed Kim is in the next room and he is stable now. Mrs Huang is waiting in this room worried. You are the physician on duty now. In the next 10/15 minutes enter the room and talk to her. In the last two minutes the examiner will ask you few questions. (Neonatal Jaundice). 8. Mary Hansfield brought her two and a half year old son, Tony, to the emergency because he just had a fit. The ER team managed Tony is in the next room and he is stable now. Mrs Hansfield is waiting in this room. You are the physician on duty now. In the next 5/10/15 minutes enter the room an talk to her. (Febrile convulsion). 9. Martin Simon came to your office concerned about his 18 month old son, Patrick. He thinks he looks pale. In the next ten minutes address his concerns. (Anemia). 10. Barbara Hancocks is the mother of a six month old baby, Jim, who brings her child to your office because of fever. Jim is in another room with your nurse. Please enter this room and talk to the mother in the next 5/10/15 minutes. (Fever). 11. Mary Levis is the mother of a 4 week old baby, Nick. She brought him to the emergency because of vomiting for two weeks. The ER team managed Nick and he is stable now in the next room.. Mrs Levis is waiting in this room. You are the physician on duty now. In the next 5/10/15 minutes enter the room an talk to her. (Vomiting / Pyloric). 12. Erin Mayer came to your office concerned about her four year old daughter, Emmy, who has cough for quiet some time. In the next 5/10/15 minutes take a focused history and initiate counseling. (Cough).
13. Nicole Bennet came to your office because she thinks her 18 month old daughter, Jane, is not growing well. Please address her concerns in t he next 5/10/15 minutes. (Failure to thrive /or Child abuse /or Single mother/ Feeding). 14. Wanda Hung came to your office because she thinks her six year old son, Kim, is short. Please address her concerns in the next 5/10/15 minutes. (Short stature). 15. Catherine Wellman is in your office to talk about her five year old Eric who wet his bed at night. Please address her concerns in the next 5/10/15 minutes. (Enuresis / UTI). 16. Lesia Malanchuk come to your office because her seven year old daughter, Cathy, is complaining for abdominal pain. Please address her concerns in the next 5/10/15 minutes. (Recurrent abdominal pain). 17. Elizabeth Hartman came to your office because she received a letter from her son's elementary school principle asking her to consult with a physician about his condition. Please address her concerns in the next 5/10/15 minutes. (Hyperactive child). 18. Jennifer Black asked you to see her 15 year old daughter, Tracy, because she refuses to eat and lost over twenty pounds of her weight. Tracy is now here in your office. Please talk to Tracy in the next 5/10/15 minutes. (Anorexia). 19. Jeffery Hamilton brings his two year old son, Martin, to the emergency for a hand injury. When you took X-rays, you found a spiral fracture of the humerus. You also noticed old fractures of both the forearm bones. Please talk to Mr. Hamilton in the next 5/10/15 minutes. (Child abuse). 20. Ellen Anderson came to your office complaining that her two year old son, Tim, cannot sit with the family during dinner and finish his plate. Please talk to her in the next 5/10/15 minutes. (Feeding /or Hyperactive child). 21. Jane Dave is calling concerning her 18 month son, John, who has swallowed his aunt's blood pressure medications. In the next 5/10/15 minutes enter the room and pick up the telephone and talk to her about John and advice her. (Poisoning). 22. Julie Copper is calling concerning her 7 year old daughter, Jessica, who has swallowed 10 birth control pills. She is worried if that will initiate early puberty. In the next 5/10/15 minutes enter the room and pick up the telephone and talk to her about Jessica and advice her. (Poisoning). 23. Andrea Jackson came to the emergency bringing her 18 month old son, Roy, who has been crying for the last ten hours. Please talk to her in the next 5/10/15 minutes. (Acute abdomen/Intussusception). 24. Yee Man Lee came to your office because her 4 year old son, Kim, has rash. Please talk to her in the next 5/10/15 minutes. (Rash). 25. Susan Coupland came to your office because her 4 year old daughter, Julie, has recurrent urinary tract infections. Please talk to her in the next 5/10/15 minutes. (UTI).
