pediatric practical exam questions group -D-

بسم الله الرحمن الرحيم

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

Case :-croup

--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?

case: Shortness of breathcauses ,,,, ,, 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&diarrheaask about h.p.l why urine output decrease?ask about vaccine &family hx.assessment of dehydration & malnutrition+general examinationhow to differentiate between viral & bacterial cause of diarrhea
Case shortness of breath
6months(milestone)general exam & finding
Cyanosis
What if cyanosis is present with SOB?
Auscultate the chest?
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

shortness of breath & fever
signs of good feeding for mother & baby?
Complications of vaccination?
What u should notice in BCG?(scar formation).
DDx of wheezy chest?
How to deffreinate between sitting with support and without support
Assess development of child
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?