OSCE Pediatrics - Previous Year Questions

This is a list of some of the Pediatric OSCE stations from previous DNB exam based on my recall. Even though they might not get repeated as it is, knowing the pattern is definitely helpful for preparation.

If you are a beginner and would like to know DNB practical exam pattern, here is an orientation. The post will also orient you to OSCE patterns and types of various OSCE stations asked in DNB exams.

Observed stations

Let us start with stations I remember. Observed OSCE station as the name suggests involves objective assessment via direct observation of actions of the student.

If you would like to know more about observed station, here is the link.

Counseling stations

Question - Newborn screening has shown TSH >100 of a newborn. Counsel the mother.

Question - 2. 5 yrs male child with c/o late-night awakening and sleep-related issues, Counsel the mother.

Question - 3. 2 yr old male, c/o Pneumonia, requiring ventilation and IPCU admission, Counsel the mother.

History taking

Question - 12 yr old male with c/o chest pain. Obtain relevant history.

You can find a collection of various posts on history taking here.

Examination

Question - 5. 8 yr old male child.do inspection, palpation, and percussion of the respiratory system.

You can know more about focused clinical examination for Pediatric OSCE here.

NRP

Question - NRP scenario was given with a baby born with meconium-stained liquor, which did not cry at birth, was asked to resuscitate as per guidelines.


Following are the Unobserved OSCE stations I can recall from the exam.

OSCE Video stations

Question - A video of the neonate with a meningococcal rash all over body was shown on the laptop screen with the following questions.

  1. Note the findings?
  2. What is a possible diagnosis?
  3. What endocrine emergency can precipitate?
  4. What are possible neurological complications?

Question - 4 short videos clips were shown. We had to Identify the physical finding and write 1 example each.

  1. A. Respiratory distress with paradoxical breathing
  2. B. Acidotic breathing
  3. C. Respiratory distress with grunting
  4. D. Respiratory distress with stridor.

Question - A Infant with severe dehydration with acidotic breathing was shown and the following questions were asked.

  1. Enlist 3 findings?
  2. What can be the cause?
  3. 3 other conditions which can lead to the clinical sign?
  4. Initial fluids of choice of initial resuscitation of this child?

ECG OSCE station

Question - ECG trace of ventricular tachycardia was given along with scenario. History of consumption of some unknown tablets was mentioned. HR was 120, Blood sugars were 100mg/dl BP was 90/60. Mydriasis was mentioned. We were asked to Identify the poison? and Drug of choice?

Question - The second scenario was that of Asystole. A Child with pneumonia in PICU on ventilator was given. The staff nurse gave an urgent call in view of this ECG. Identify rhythm? Enumerate 6 causes of cardiac arrest?

Here is a detailed post on basics of ECG - physiology and mechanics

OSCE station on Dentistry

The following questions were asked

  1. Define delayed dentition
  2. Causes of delayed dentition?
  3. Causes of early exfoliation?
  4. Eruption schedule of secondary molars?

Vaccine and immunology OSCE stations

Question - IPV polio vaccine was given with the following questions

  1. What is switch date?
  2. Date of recognition?
  3. Dose and site of intradermal injections?
  4. 2 states in India giving intradermal polio vaccine?
  5. How long opened vial of IPV can be stored?

Question - This was based on AEFI. Few scenarios were given and we were asked to classify the scenarios into AEFI categories.

OSCE stations based on statistics

  1. Different types of studies (methodology) to be done in different scenario of reserach were asked.
  2. Examples of stratified sampling method were asked.

More on Medical Statistics here.

OSCE stations based on Infectious diseases

Question - Classify given Cephalosporins into 1 st or 2nd/ 3rd/ 4th/ 5th generation. Total 10 names of cephalosporins were given.

More posts on OSCE infectious diseases.

EEG OSCE station

Following 4 different traces of EEG were given and we were asked to match with the diagnosis.

  1. Centrotemporal spikes
  2. Myoclonic seizure
  3. Periodic discharge,
  4. Diffuse cerebral epileptiform discharge.

OSCE based on investigations

Question - Write diagnosis for given lab finding in tables, the diagnosis were hypoglycemia, ketosis, hyperglycemic like nonketotic GHD fasting GSD.

Question - 11 yrs old girl with initial non-specific symptoms of behavioral abnormality, develops fever followed by status epilepticus. CSF findings are - 100 lymphocytes. Genexpert is negative. USG abdominal showed a mass in Rt. Ovary. MRI showed non-specific changes in cortical and subcortical areas.

  1. What is the diagnosis?
  2. What should be the further work up?
  3. What is the investigation of choice?

Question - A 15 yr old female with SMR stage 1 with findings of high LH, FSH, 17-OHP, low estrogen was given.

  1. What is the diagnosis?
  2. What further investigation should be planned?
  3. What can be the possible treatment?

Question - This station involved filling in the gaps in table. With Increased/decreased variable in table of Hypocalcemia. Columns and rows were given as follows and we had to mark increase or decrease lab parameter with arrow for the specific disorder.

CalciumIonic calciumPhosphatePTHVit D
Hypophosphatemic rickets
Nutritional rickets
Renal osteodystrophy
Type 2 Vit D dependent rickets
Hyperparathyroidism

OSCE questions based on lab investigations.

OSCE on Fetal medicine and lactation

  1. Match the maternal drug intake with side effects on fetus. Total 8 drugs were given.
  2. Classify drugs given to lactating mother in these categories as Safe/caution/Avoid.

Toxicology OSCE stations

This generally includes clinical scenario of a case with alleged Poisoning. A child with accidental overconsumption of thyroxin tablets was given.

  1. Initial decontamination?
  2. What is the antidote?
  3. How early and how late signs can develop?

Radiology OSCE

Chest X-ray of Full term neonate requiring multiple surfactant administrations with no signs of improvement was given. The answer was Neonatal alveolar hypoproteinosis. The following question were asked.

  1. What is the diagnosis?
  2. Investigation to confirm?
  3. What is the Treatment?

X-ray chest of a neonate with TOF was given. Following questions were asked.

A. Diagnosis?
B. Antenatal USG findings?
C. Treatment?

Here you can find OSCE questions on X-ray, CT, MRI, and more.

OSCE stations in Hematology

A slide of Peripheral smear was given, with a question to identify the cell shown which was marked with an arrow. The cell was an acanthocyte.

OSCE questions in Hematology here.

OSCE Clinical scenarios

A scenario was of 5 years female with FTT, recurrent pneumonia and fouls smelling frothy stool was given. Serum lipids were low. Nasal potential diff-n, celiac screening was negative. The diagnosis was asked. The scenario was of Abetalipoproteinemia. Following questions were asked.

  1. What is the diagnosis?
  2. What is the pathology and mechanism?
  3. Give differentials
  4. What is the treatment?

OSCE Picture diagnosis

A picture of a newborn with microcephaly was given. Following questions were asked.

  1. Recent viral infection which can cause this?
  2. Family of virus?
  3. Transmission in adults and children?
  4. Symptoms other than fever?
  5. What are other neurological complications?

These questions are based on recall and there may be errors, you can submit corrections using the contact form. If you have a collection of OSCE's from the previous year, you can share with others using upload or simply email us at dnbpediatricsblog@gmail.com.

Similar posts

  1. OSCE in Pediatrics - Questions from December 2016 DNB exam
  2. All posts on OSCE
  3. OSCE stations in Respiratory and GIT
auhtor

About Author

Kishor L Giri | DNB Pediatric

Kishor completed his DNB Pediatric residency at Jehangir Hospital, Pune and currently working as a Pediatrician in Navi Mumbai. His articles focus on clinical aspects of the exams including tips for preparing practical and OSCE exams.