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Practical exam questions of pediatric

-Group -D

Case:meningitis

:Questions
what are the signs of meningeal -1
irritation(meningism)
on examination, what test you should do?kernig -2
sign , neck stiffness & Brudzensky sign & where the
???patient feels the pain upon doing these tests
??is fever a contraindication to vaccination-3
how you should assess a 4 years old child language -4
??development
is the meningeal signs reliable in infant -5
baby(age<1year)

Case :-croup

yrs aged female child ,admitted to the hospital for 4--

severe distressing cough associated with vomiting
following each episode of cough,change in voice
.quality

?what are DDX of wheezy chest-1

?what are DDx of the case-2
?growth chart for the wt&age proportion-3

if u have pt with recurrent wheezy chest,& -4

recurrent cough,what u suspect him to have when he
?grows

?auscultate the chest-5

case: Shortness of breathcauses ,,,, ,, differential

diagnosis

Questions about history,, especially

Developmental ,,,, and general questions, for
example, what is given to patient has and why,,,
Cyanosis ,,, causes upper respiratory tract
obstruction and most important feature,,,, define
stridor ,,, wheezing ,,, and the difference between the
two, substernal recession ,,,, why,,,, features
respiratory distress

respiratory case

History

hopi and ros , what are the important quistions in

family and social hx. , what do you suspect the ddx ,
what is the causes for each , what are he findings in
this case ? , do you measure the vital signs ?? , how
do you describe the condition of the patient , how you
?will treat a case of acute bronchiolitis

: Case

History completely

General exam

ve findings+

?How do u calculate calories

GIT case vomiting&diarrhea

ask about h.p.l
?why urine output decrease
.ask about vaccine &family hx
assessment of dehydration & malnutrition+general examination
how to differentiate between viral & bacterial cause of diarrhea

Case shortness of breath

o 6months(milestone)
general exam & finding
o Cyanosis
o What if cyanosis is present with SOB?
o Auscultate the chest?
o What is the another name for wheeze?
case Cough:-

hx of URTI (rhinorrhea & mild fever), then suddenly continuous

cough developed affecting pt sleep, feeding & respiration...
1-Dx & DDx
2- what are the important questions in family hx.
3-how to difrentiate between bronchiolitis & pneumonia clinically &
by invistigations
4-treatment of pneumonia & bronchiolitis
5-if pneumonia what is the most likely micro-organism would
affect the pt at this age

case respiratory

o shortness of breath & fever

o signs of good feeding for mother & baby?
o Complications of vaccination?
o What u should notice in BCG?(scar formation).
o DDx of wheezy chest?
o How to deffreinate between sitting with support
and without support
o Assess development of child
o Signs of pathological jaundice
Case GIT:-

Define diarrhea?when u consider this infant is having

diarrhea?

Signs of dehydration?

Investigations of gastroenteritis?

Squint .

Talk about feeding Hx?