OSCE DNB Pediatrics practical exam December 2016

OSCE Questions asked in DNB Pediatrics practical examination held in December 2016 


1) Demonstrate the power of the following muscles in the right hand

a. Abductor pollicis brevis
b. Dorsal interossei
c. Opponens pollicis brevis
d. Brachioradialis
e. Supraspinatus

2) Check the second nerve in the given child

3) Mark the surface marking of right lung and the oblique fissure

4) Clinical examination in a child with hypertension

5) NRP scenario, 18 hour old baby suddenly becomes unresponsive

6) 6 month old 5kg boy comes with HR of 210 and shock. Manage the child ( ECG shows SVT)


1) There was a video of child with Crouzon syndrome, 3 findings and the definite treatment for proptosis was asked

2) There was a video of a child with PKAN ( could be heard in the audio) Pantothenase Kinase Associated neurodegeneration, old name Hallervorden spatz disease, dystonia/chorea can be identified. Three differential diagnosis were asked

3) Video of a child with opsoclonus and titubation. The main question was to elicit 3 findings from the video. The sub question was what is the condition associated with the clinical scenario.

4) There was a video of a child with power 1/5 and clinical scenario fitting in with GBS ( Fever 2 weeks back) and 5 clinical signs had to be determined from the video, The second question was treatment for the same


1) Picture of Gottrons papules

a. Diagnosis
b. 4 different lab findings in this child

2) Faces scale/ visual analogue scale

a. Name of this chart for ascertaining pain
b. Age group in which this is used
c. Non pharmacological methods to decrease pain

3) 2 EEG’s from Nelson textbook showing absence seizure and juvenile myoclonic epilepsy

4) 3 MRI's images porencephalic cyst, periventricular leukomalacia and  one more...The diagnosis and the clinical scenarios in which these imaging is seen and what type of neurodeficit/CP is associated with each MRI

5) X-ray of child with right upper lobe collapse

a. A child on ventilator suddenly desaturates, x-ray taken, what is the problem in the x-ray
b. What all can be the possibilities for desaturation in ventilated child
c. What ventilation settings would you do in this scenario


1) Iron poisoning clinical scenario

a. What is the toxic dose of iron some salt(?sulphate)
b. Symptoms of iron toxicity
c. Treatment of iron toxicity

2) A child is found in car unconscious along with father. Car has been on and stationary for past 12 hours

a. What is the scenario
b. What is the treatment
c. Why would you expect a normal saturation in this child

3) A 5 year old child drinks from a bottle that his dad who works in a factory brings and loses his vision

a. What poisoning
b. Treatment

4) Clinical scenario of PCP pneumonia In AIDS

a. Treatment
b. Diagnosis
c. Prophylaxis

5) Vaccines

a. Minimum age for administering hep A and varicella vaccine
b. AAP schedule for rotavirus vaccine
c. Vaccination for baby born to mother with unknown Hep B status

6) Child previously well coming with sudden vomiting and illness following high protein intake and with no acidosis but significantly elevated ammonia, diagnosis and treatment of case scenario

7) Diagnose acid base status of  5 different ABG's

8) Child with fever and rashes involving palms and soles and having a lesion over the thigh (Rickettsia)

a. Diagnosis
b. D/D
c. Treatment
d. Lab investigation

9) 3 year old child with history of low grade fever of 1 day duration, skipped dinner and breakfast and comes with 1 episode of seizure with extreme lethargy

a. Diagnosis
b. 2 advice to family

10) 1 station with 1 karyotype and 1 inheritence pattern

a. Diagnose karyotype
b. In above karyotype, how much % will have heart disease
c. The inheritance pattern was Y inheritance and example for that

(Don't miss the next post with answers )
Enter your email address:

Dr Arun Thomas is DNB in Pediatrics from Manipal Hospital, Bangalore and is currently working as a specialist at Aster Medcity, Cochin