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OSCE PAEDO QUESTIONS Compiled
OSCE PAEDO QUESTIONS Compiled
STATION 1
STUDY THE PICTURE BELOW AND ANSWER THE FOLLOWING QUESTIONS
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THIS IS THE LEG X-RAY OF A BOY WHO CAME TO THE A&E WITH
FEVER OF 2 WEEKS DURATION
71.There is evidence of soft tissue swelling
72.There is osteolysis of the tibia
73.There is a “bone in bone appearance”
74.There is evidence of periosteal reaction
75.The radiograph suggests acute pyomyositis
76.This radiograph confirms an infection of the soft tissue
77.There will be a positive history of abnormal gait
78.On examination there may be tenderness and limitation of movement in the affected
limb
79.Pencil rolling test is most likely going to be negative
80.Antibiotic treatment will include Cloxacillin and metronidazole
81.Treatment is usually started orally
10 year old Tosin was rushed to the ORKCHER after she had an episode of
convulsion. Two days earlier she complained of headache and body pains and her
nanny said she had a fever and was very drowsy. She had also been passing dark
coloured urine since this morning. According to her nanny this had never
happened before. Tosin just returned a week ago from Germany where her
parents work as diplomats. Her parents both carry the sickle cell trait.
Two-year old Mudiaga drew the attention of his 9-year old elder brother when he
vomited a characteristic smelling fluid. It was later found that he had ingested
about half the kerosene his mother stored in a Coca-cola bottle. Immediately he
was brought to the ORKCHER. At presentation he was coughing, dyspnoeic and
wheezing. Auscultation revealed chest rhonchi.
STATION 18
STATION 19