Pediatrics OSCE questions

1. A 2-year-old child presents with a fever of 102°F, cough, and runny nose. What is the most likely diagnosis and what would be your management plan?

2. A 5-year-old child presents with a rash that started on his face and has spread to his trunk and extremities. Describe the characteristics of the rash and discuss possible differential diagnoses.

3. A 10-year-old child is brought in by his parents for a routine check-up. What are the recommended vaccinations for this age group and what are the potential side effects?

4. A 6-month-old infant is brought in for a well-child visit. What developmental milestones should the infant have reached by this age and what are some red flags for developmental delays?

5. A 3-year-old child is brought in for a follow-up visit after being diagnosed with asthma. Discuss the management plan for this child, including medications and monitoring.

6. A 12-year-old girl presents with abdominal pain and bloating. What are the possible causes of her symptoms and what diagnostic tests would you order?

7. A 4-year-old child is brought in for a hearing screening. Describe the different types of hearing tests that can be performed in this age group and how they are interpreted.

8. A 7-year-old child is brought in for a sports physical. What are the important components of a sports physical exam and what are some common sports-related injuries in children?

9. A 9-year-old child is brought in for a school physical. What are the recommended screenings and assessments for this age group, including vision and hearing tests?

10. A 1-year-old child is brought in for a weight check. Discuss the growth charts used to monitor a child's growth and development and how to interpret them.

General

- How would you assess a child's hydration status?
- What are the common causes of fever in children?
- How would you manage a child with asthma?
- Explain the principles of safe medication administration in children.
- How would you counsel parents about childhood immunizations?

Physical Examination

- Demonstrate the auscultation of heart sounds in a child.
- Perform a neurological examination on a toddler.
- Describe the steps involved in assessing a child's growth and development.
- How would you examine a child with abdominal pain?
- Explain the findings of a clubfoot.

Medical Conditions

- Discuss the management of a child with bronchiolitis.
- What is the differential diagnosis of a rash in a child?
- Explain the signs and symptoms of meningitis in children.
- How would you manage a child with acute otitis media?
- Describe the treatment options for a child with cystic fibrosis.

Emergencies

- What are the immediate steps to take in a child with anaphylaxis?
- How would you assess and manage a child with a seizure?
- Explain the principles of CPR for a child.
- Describe the management of a child with a suspected foreign body aspiration.
- How would you differentiate between croup and epiglottitis?

Communication

- Explain the use of anticipatory guidance in pediatric practice.
- How would you provide age-appropriate health education to a child?
- Discuss the challenges of communicating with parents from diverse backgrounds.
- Explain the importance of empathy and sensitivity in pediatric encounters.
- How would you build rapport with a child who is anxious about a procedure?

Ethical Considerations

- What are the ethical implications of confidentiality in pediatric practice?
- Explain the principle of autonomy in pediatric decision-making.
- Discuss the role of parental consent in the treatment of children.
- How would you handle a situation where a parent refuses a recommended treatment?
- Explain the importance of advocacy for the rights of children.