بسم الله الرحمن الرحيم
Practical exam questions of pediatric
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D
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Group
Case:meningitis
Questions:
what are the signs of meningeal irritation(meningism)
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1
on examination, what test you should do?kernig sign , neck
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2
where the patient feels the pain
stiffness & Brudzensky sign &
upon doing these tests???
is fever a contraindication to vaccination??
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3
how you should assess a 4 years old child language
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4
development??
is the meningeal signs reliable in infant baby(age<1year)
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5
croup
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Case :
--4 yrs aged female child ,admitted to the hospital for severe
distressing cough associated with vomiting following each episode
of cough,change in voice quality.
1-what are DDX of wheezy chest?
2-what are DDx of the case?
3-growth chart for the wt&age proportion?
4-if u have pt with recurrent wheezy chest,& recurrent cough,what
u suspect him to have when he grows?
5-auscultate the chest?
causes ,,,, ,, differential diagnosis
case: Shortness of breath
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?
se vomiting&diarrhea
GIT ca
h.p.l
ask about
decrease?
urine output
why
vaccine &family hx.
ask about
malnutrition+general examination
assessment of dehydration &
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
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signs of good feeding for mother & baby?
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Complications of vaccination?
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What u should notice in BCG?(scar formation).
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DDx of wheezy chest?
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How to deffreinate between sitting with support and without
support
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Assess development of child
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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?