STATION NO. _1_
Name: ___________________________________ Stud. No. ______________ Grp No. _______
1.
What is this test?
______________________________________________
2.
What condition is illustrated?
______________________________________________
3.
How may this present clinically?
______________________________________________
______________________________________________
______________________________________________
STATION NO. __2__
Name: ___________________________________ Stud. No. ______________ Grp No. _______
1.
What is the name of this abnormality?
______________________________________________
2.
List four problems which may be encountered in
the care of this child.
______________________________________________
______________________________________________
______________________________________________
______________________________________________
STATION NO. __3__
Name: ___________________________________ Stud. No. ______________ Grp No. _______
8-week-old male infant with yellow discoloration of the skin and
mild abdominal distension. Physical examination revealed that the
baby is jaundiced and have hepatomegaly.
Laboratory investigation showed:
Total serum bilirubin 200 umol/L, Direct bilirubin is 50 umol/L
ALT 120 U/L, AST 150 U/L, Alkaline phosphatase 650 U/L
Q1. Mention two possible causes of this condition.
______________________________________________________________
______________________________________________________________
Q2. Mention the two most important investigations which will aid
in the diagnosis of this condition.
______________________________________________________________
______________________________________________________________
STATION NO. __4__
(a)
Name: ___________________________________ Stud. No. ______________ Grp No. _______
A 1-year-old boy presented to the Emergency Room with two
days history of low grade fever, frequent vomiting and loose
motions. He was lethargic with a weight of 9 kg. His serum urea
was 8 mmol/L (normal 1.4 – 6.8), serum sodium 155 mmol/L
(normal 130-145) and serum potassium 5.5 mmol/L (normal 3.55.5). His weight in well baby clinic 3 days ago was 10 kg.
Q1. What is the most likely diagnosis?
_______________________________________________
Q2. Mention 3 physical signs of this condition you look for in this
child.
_______________________________________________
_______________________________________________
_______________________________________________
Q3. Calculate this child’s fluid requirement in the first 24 hours.
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
STATION NO. _5__
(a)
Name: ___________________________________ Stud. No. ______________ Grp No. _______
A 7-year-old boy who is otherwise healthy developed
petechial rash 3 weeks after a viral infection. The rash is
asymmetrical and most prominent over the legs. His
platelets count is 15000 mm3.
1.
Mention 3 possible causes of the above
condition.
_______________________________________________
_______________________________________________
_______________________________________________
2.
Mention 2 laboratory investigations to confirm
the diagnosis.
_________________________________________________
_________________________________________________
3.
What is the most serious complication of this
disease?
____________________________________________
STATION NO. __5__ (ORAL)
Name: ___________________________________ Stud. No. ______________ Grp No. _______
A 7-year-old boy was seen in the outpatient clinic with a chief
complaint of excessive urination and consumption of large amount
of fluids.
Q1. What is your differential diagnosis?
_________________________________________________
Q2. What other points in history and Physical examination you
would like to know?
_________________________________________________
_________________________________________________
Q3. Urine dipstick showed:
Specific gravity 1.030
Sugar
++++
Ketones
+++
How are you going to manage this patient in view of the above
findings.
__________________________________________
__________________________________________
__________________________________________
STATION NO. __5__
(b)
ANSWER:
Q1.
What is your differential diagnosis?
-
Q2.
What other points in history and Physical examination you would like to
know?
-
Q3.
Diabetes mellitus
Diabetes insipidus – central or nephrogenic
Hypercalcemia
Chronic hypokalemia
Renal impairment
Duration of illness (acute or chronic)
Weight loss polyphagia
Signs/symptoms of dehydration
Signs/symptoms of  ICP or renal or trauma
Family history
Medication history
Urine dipstick showed:
Specific gravity 1.030
Sugar
++++
Ketones
+++
How are you going to manage this patient in view of the above findings.
(Acute management for D.M with DKA.
“Lab – Fluid – Insulin – Monitoring”
STATION NO. __4__
(a)
Name: ___________________________________ Stud. No. ______________ Grp No. _______
A 1-year-old boy presented to the Emergency Room with two
days history of low grade fever, frequent vomiting and loose
motions. He was lethargic with a weight of 9 kg. His serum urea
was 8 mmol/L (normal 1.4 – 6.8), serum sodium 155 mmol/L
(normal 130-145) and serum potassium 5.5 mmol/L (normal 3.55.5). His weight in well baby clinic 3 days ago was 10 kg.
Q1. What is the most likely diagnosis?
_______________________________________________
Q2. Mention 3 physical signs of this condition you look for in this
child.
_______________________________________________
_______________________________________________
_______________________________________________
Q3. Calculate this child’s fluid requirement in the first 24 hours.
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
STATION NO. _5__
(a)
Name: ___________________________________ Stud. No. ______________ Grp No. _______
A 7-year-old boy who is otherwise healthy developed
petechial rash 3 weeks after a viral infection. The rash is
asymmetrical and most prominent over the legs. His
platelets count is 15000 mm3.
4.
Mention 3 possible causes of the above
condition.
_______________________________________________
_______________________________________________
_______________________________________________
5.
Mention 2 laboratory investigations to confirm
the diagnosis.
_________________________________________________
_________________________________________________
6.
What is the most serious complication of this
disease?
____________________________________________
STATION NO. ____
(a)
Name: ___________________________________ Stud. No. ______________ Grp No. _______
6 weeks male infant with yellow discoloration of the skin and mild
abdominal distension. O/E the baby was jaundice with mild
hepatomegaly.
Laboratory investigations showed:
Total Serum bilirubin
ALT
100 u/L
AST
130 u/L
Alkaline phosphate
200 umol/L
600 u/L
Mention: 2 causes biliary atresia
Neonatal sepsis
Mention: 2 further investigations
Abdominal ultrasound
HIDA Scan
Liver biopsy
Direct
50 umol/L
STATION NO. _4__
Name: ___________________________________ Stud. No. ______________ Grp No. _______
INSTRUMENT A
Q1.
What is this instrument?
- Peak flo
Q2.
How it is used?
Q3.
Mention 2 common diseases in which this instrument can be helpful.
INSTRUMENT B
Q1.
What is this instrument?
Q2. Mention its clinical indication.
Q3. Mention 2 expected complications of its use.
STATION NO. _4__
KEY ANSWERS:
INSTRUMENT A
Q1. What is this instrument?
- Peak flow meter
Q2. How it is used?
- Full inspiration
- Put lips firmly around the mouth piece.
- Produce fast & sharp expiration
Q3. Mention 2 common diseases in which this instrument can be helpful.
- Bronchial asthma
- Cystic fibrosis
INSTRUMENT B
Q1.
What is this instrument?
- Spinal needle
Q2. Mention its clinical indication.
- Lumbar puncture
Q3. Mention 2 expected complications of its use.
- Brain stem herniation
- Bleeding
STATION NO. ____
(b)
Name: ___________________________________ Stud. No. ______________ Grp No. _______
STATION NO. __3__
(For the student)
PLEASE EXAMINE THE LOWER LIMB
OF THIS CHILD.
STATION NO. __3__
(For the Examiner)
Instruction for marking:
Marks
INSPECTION
-
1
PALPATION
-
1
TONE
-
2
POWER
-
2
REFLEXES
-
2
COORDINATION
-
1
SENSATION
1
__________________
TOTAL
=
10
STATION NO. __2__
(For the Examiner)