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OSCE PEDIATRICS

PRACTICAL EXAMINATION

Rheumatology, Endocrinology, Nephrology

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Station 1
1. Is ANA positive in all children with JIA?
2. In what percentage of children is it
positive?
3. Which category?

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Answers Station 1
No
40%
Oligo JIA

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Station 2
What are the subcategories of JIA as per
the ILAR classification?

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Answers Station 2
Oligo
Extended oligo
Poly
RF negative
RF Positive
ERA
Systemic
Psoriatic
Others
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Station 3
What are the diagnostic criteria for
Kawasaki Diseases?

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Answers Station 3
Fever >5 days
Conjunctivitis (Non purulent)
Pleomorphic rash
Cervical LN (Unilateral)
Strawberry tongue
Limb changes
Acute Angioedema
Delayed peeling
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Station 4
What are the fever characteristics of
SOJIA?

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Answer Station 4
Quotidian
Well between fever spikes

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Station 5
Why should urine examination be done in
a case of HSP?
For how many week should it be done?

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Answers Station 5
To rule out nephritis
For 3 months

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Station 6
Does a negative dsDNA exclude lupus?

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Answers Station 6
No - positive in only 40%
It suggests renal/central disease/ Increase
disease activity

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Station 7
Name 3 DARDS used to treat JIA

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Answers Station 7
Methotrexate
Hydroxy chloroquine
Cyclosporin
Sulphasalazine
Lefenamide

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Station 8
Define precocious and delayed puberty in
boys and girls.

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Station 9
Define short stature.

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Station 10
Common causes of short stature. Any 5

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Station 11
What are the FDA approved indications for
GH therapy? Write any three.

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Station 12
Define overweight and obesity in children.

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Station 13
Common causes of obesity. Write any five.

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Station 14
Name the hormones secreted by the
anterior pituitary gland.

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Station 15
Name the causes of congenital
hypothyroidism. Write any four.

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Station 16
Causes of goiter. Write any three.

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Station 17
Define Metabolic syndrome

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Station 18
Classification of diabetes

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Station 19
Name the types of insulin based on the
onset and duration of action

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Station 20
What is the diagnostic hormone for CAH

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Station 21
Define impaired fasting, GTT and diabetes

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Station 22
List 4 common causes of gynecomastia

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Station 23
Peak growth velocity is during Tanner
stage ______ of puberty in girls and
stage________ in boys.

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Station 24
What is the bladder capacity of a 3 years
old child?

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Answers Station 24
(Age +2) x 30 = ml capacity of bladder

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Station 25
What is the amount of post void urine
which is considered significant in a child

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Answers Station 25
2 ml/kg or 25 ml

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Station 26
What should be the width of the bladder
cuff to determine BP in children.

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Answers Station 26
40% of mid arm circumference

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Station 27
Bartter syndrome is an autosomal
_______ disorder, characterised by
______, ______________,
hyperreninemia, hyperaldosteronism,
________blood pressure and wasting of
_________, ________ & ________.

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Answers Station 27
Autosomal recessive disorder
charactreised by hypokalemia,
metabolic alkalosis, hypereninemia,
hyperaldosteronism, normal BP and
urinary wasting of K, Na, Cl

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Station 28
What are the investigations that should be
done in a 1 yr old child as a part of
evaluation following initial UTI?

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Answers Station 28
US KUB
DRCG/MCU
DMSA scan

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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

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Answers Station 29
Asymptomatic bacteruria does not
require any antibiotics

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Station 30
Define the following terms
Remission
Relapse
Frequent relapse
Steroid dependent
Steroid resistant

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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)

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Station 31
On usual dietary intake ______% of the
filtered Na is reabsorbed, _____% is
absorbed in the PCT and _____% in the
loop of Henle.

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Answers Station 31
99%, 60%, 30%

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Station 32
The formulae proposed by Schwartz for
measuring GFR in children is

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Answer Station 32
0.55x Ht (cm)
serum creatinine (mg%)

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Station 33
What is the classification of Stages of Chronic
Kidney disease
Stage GFR Description
1
2
3
4
5

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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

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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

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Answer Station 34
125 mL/min
11 mL/min
39 mL/min

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Station 35
Which investigation is required to detect
renal scars?

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Answer Station 35
DMSA scan

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Station 36
List any five indications of dialysis in a
child who has ARF

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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

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MPH:163cm

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