UNIVERSITY OF KHARTOUM

FACULTY OF MEDICINE
DEPARTMENT OF PAEDIATRICS AND CHILD HEALTH

Station No……Date………... Examination: History: Bronchial Asthma

Student Name:…………………………………………… Index no……………… Batch.................
Exam location: Soba university Hospital . Examiner’s name:……………………………………
Please mark to the RIGHT of appropriate score. Please use only PENCIL

Station specific skills

Introduces self, greets patient ,taking 0 1 2 3
permission
Identification data (Name, age, sex, 0 1 2 3 4
residence)
Eliciting complaints 0 1
Ask about duration 0 1
HPI
Cough (severity, , sputum, pain, type) 0 1 2 3 4
Wheeze, breathlessness, colour 0 1 2 3 4 5
change , cough, disturbed sleep
Diurnal variation 0 1 2
PMH: Frequency of attacks 0 1 2
No. of admission to hospitals 0 1
Precipitating factors: (house pets, dust, 0 1 2 3 4
viral infections, exercise)
Precipitating factors: (cold weather, 0 1 2 3 4
stress, drugs, smoking)
Family History
Family history of asthma (Father, 0 1 2 3
Mother,siblings)
F.H (eczyma, hay fever , allergy) 0 1 2 3
Social(Housing conditions, smoking,animals 0 1 2 3
Drug History:
Oral, MDI , 0 1
Use of air spacer 0 1
Prophylactic drugs
Oral steroids, MDI steroids 0 1 2 3 4
cromoglycate,antileukotrines
 States correct diagnosis 0 1 2
Motivating patient,/parent(gestures, 0 1 2 3
head nodding, hand movement)
Global Assessment: E S B U
E= EXCELLENT, S= SATISFACTORY,
B= BORDERLINE,U=UNSATISFACTORY
Student’s total mark Total Mark 51
Examiner’s signature
………………………………….
 UNIVERSITY OF KHARTOUM FACULTY
OF MEDICINE DEPARTMENT OF
PAEDIATRICS AND CHILD HEALTH

INSTRUCTIONS TO CANDIDATE
THIS CHILD PRESENTED WITH HISTORY OF RECURRENT COUGH AND .

WHEEZE AND SOMETIMES BREATHLESSNESS FOR THE LAST TWO

.WEEKS

PLEASE TAKE A DETAILED BUT FOCUSED HISTORY FROM THE MOTHER .

.OF THIS CHILD

.TIME ALLOWED FOR THIS STATION IS 6 MINUTES .

 UNIVERSITY OF KHARTOUM
FACULTY OF MEDICINE
DEPARTMENT OF PAEDIATRICS AND
CHILD HEALTH

INSTRUCTIONS TO EXAMINER
THIS STATION IS MEANT TO TEST THE STUDENT’S ABILITY TO TAKE .

.HISTORY FROM A MOTHER OF A CHILD WITH BRONCHIAL ASTHMA

NO INTERRUPTION SHOULD BE MADE WHILE THE STUDENT IS TAKING .

HISTORY FROM THE MOTHER .

.The student should be asked to give the most likely diagnosis.
.TIME ALLOWED FOR THIS STATION IS 6 MIN .