Pediatric OSCEs
Prepare yourself for these common pediatric topics in Objective
Structured Clinical Examinations
The common topics that have been tested in OSCE exams during USMLE
Step 2 CS, MCCQE Part II, PLAB 2,
OSCEs for medical students and medical school clinical finals, Clinical
Skills Assessment for International Medical Graduates are:
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Fever.
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Rash.
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Vomiting.
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Diarrhea.
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Seizure; febrile and epilepsy
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Cough: Asthma, viral, cystic fibrosis.
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Running nose/ ear pain.
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Anemia.
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Neonatal jaundice.
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Failure to thrive.
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Feeding counseling.
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Short stature.
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Growth chart interpretation.
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Speech delay.
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Enuresis.
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Recurrent abdominal pain.
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Acute abdominal pain.
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Infant colic.
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Hyperactive child.
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Urinary tract infection.
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Immunization counseling.
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Acute poisoning.
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Peanut allergy.
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Child abuse.
 Common
pediatric OSCEs
Common OSCE exam cases that have been seen in USMLE Step 2 CS,
MCCQE II, PLAB 2,
OSCEs for medical students and medical school clinical finals, Clinical
Skills Assessment for International Medical Graduates are:
Note: Usually there is no child in the room and so no physical
examination.
(Please note: For USMLE Step 2 CS, there is no
examiner in the room. The encounter is video monitored and taped. Thus, there will be no
questions asked in the room other than the patient's questions. However, during physical examination, you are
still required to explain what are you going to do to the patient before
physically touching him/her. All USMLE Step 2 CS stations are of 15 minutes
long and require focused history taking, physical examination, and
counseling as needed. Thus, ignore the last statement in the following
sample stations about the available time and required tasks to do.).
-
Andrew Bold came to your office concerning his six month old
Jimmy. He
has some questions about vaccinations. Talk to him in the next ten
minutes. (Immunization).
-
Rochelle Davidson came to your office and want to talk to you about her
one year old son Tom. Her sister noticed that Tom is so small. Address her
concerns in the next 5/10/15 minutes. (Failure to thrive /or Child abuse
/or Single mother/ Feeding).
-
Eric George is 16 year old came to your office asking for a letter to
the transportation authority. Talk to him in the next 5/10/15 minutes. (Epilepsy).
-
John Smitherman came to your office worried about his three and half
year old daughter, Julie, speech. Talk to him in the next 5/10/15 minutes. (Speech
delay).
-
Leanne Goldson brought her two year old daughter, Lisa, to the emergency
because of diarrhea for three days. The ER team managed Lisa is in the
next room and she is stable now. Mrs Goldson is waiting in this room. You
are the physician on duty now. In the next 5/10/15 minutes enter the
room an take a focused history from the mother. (Diarrhea).
-
Sandra Levis brought her two month old son, Leo, to the emergency
because of vomiting for two weeks. The ER team managed Leo and he is
stable now in the next room. Mrs Levis is waiting in this room worried and
crying. You are the physician on duty now. In the next 5/10/15 minutes enter
the room an talk to her. (Infant colic /or Single mother /or spousal
abuse).
-
Luisa Huang brought her three day old son, Kim, to the emergency because
he turned yellow. The ER team managed Kim is in the next room and he is
stable now. Mrs Huang is waiting in this room worried. You are the
physician on duty now. In the next 10/15 minutes enter the room and talk to
her. In the last two minutes the examiner will ask you few questions. (Neonatal
Jaundice).
-
Mary Hansfield brought her two and a half year old son, Tony, to the
emergency because he just had a fit. The ER team managed Tony is in the
next room and he is stable now. Mrs Hansfield is waiting in this room. You
are the physician on duty now. In the next 5/10/15 minutes enter the room an
talk to her. (Febrile convulsion).
-
Martin Simon came to your office concerned about his 18 month old son,
Patrick. He thinks he looks pale. In the next ten minutes address his
concerns. (Anemia).
-
Barbara Hancocks is the mother of a six month old baby, Jim, who brings
her child to your office because of fever. Jim is in another room with
your nurse. Please enter this room and talk to the mother in the next
5/10/15 minutes. (Fever).
-
Mary Levis is the mother of a 4 week old baby, Nick. She brought him to
the emergency because of vomiting for two weeks. The ER team managed
Nick and he is stable now in the next room.. Mrs Levis is waiting in this
room. You are the physician on duty now. In the next 5/10/15 minutes enter the
room an talk to her. (Vomiting / Pyloric).
-
Erin Mayer came to your office concerned about her four year old
daughter, Emmy, who has cough for quiet some time. In the next 5/10/15 minutes
take a focused history and initiate counseling. (Cough).
-
Nicole Bennet came to your office because she thinks her 18 month old
daughter, Jane, is not growing well. Please address her concerns in the
next 5/10/15 minutes. (Failure to thrive /or Child abuse /or Single
mother/ Feeding).
-
Wanda Hung came to your office because she thinks her six year old son,
Kim, is short. Please address her concerns in the next 5/10/15 minutes. (Short
stature).
-
Catherine Wellman is in your office to talk about her five year old Eric
who wet his bed at night. Please address her concerns in the next 5/10/15 minutes. (Enuresis / UTI).
-
Lesia Malanchuk come to your office because her seven year old daughter,
Cathy, is complaining for abdominal pain. Please address her concerns in
the next 5/10/15 minutes. (Recurrent abdominal pain).
-
Elizabeth Hartman came to your office because she received a letter from
her son's elementary school principle asking her to consult with a
physician about his condition. Please address her concerns in the next
5/10/15 minutes. (Hyperactive child).
-
Jennifer Black asked you to see her 15 year old daughter, Tracy, because
she refuses to eat and lost over twenty pounds of her weight. Tracy is now
here in your office. Please talk to Tracy in the next 5/10/15 minutes. (Anorexia).
-
Jeffery Hamilton brings his two year old son, Martin, to the emergency
for a hand injury. When you took X-rays, you found a spiral fracture of
the humerus. You also noticed old fractures of both the forearm bones.
Please talk to Mr. Hamilton in the next 5/10/15 minutes. (Child abuse).
-
Ellen Anderson came to your office complaining that her
two year old
son, Tim, cannot sit with the family during dinner and finish his plate.
Please talk to her in the next 5/10/15 minutes. (Feeding /or Hyperactive
child ).
-
Jane Dave is calling concerning her 18 month son, John, who has
swallowed his aunt's blood pressure medications. In the next 5/10/15 minutes
enter the room and pick up the telephone and talk to her about John and
advice her. (Poisoning).
-
Julie Copper is calling concerning her 7 year old daughter, Jessica, who has
swallowed 10 birth control pills. She is worried if that will initiate
early puberty. In the next 5/10/15 minutes
enter the room and pick up the telephone and talk to her about Jessica and
advice her. (Poisoning).
-
Andrea Jackson came to the emergency bringing her 18 month old son, Roy,
who has been crying for the last ten hours.
Please talk to her in the next 5/10/15 minutes. (Acute abdomen/ Intussusception).
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Yee Man Lee came to your office because her 4 year old son, Kim, has
rash. Please talk to her in the next 5/10/15 minutes. (Rash).
-
Susan Coupland came to your office because
her 4 year old daughter, Julie, has recurrent urinary tract infections. Please talk to her in the next 5/10/15 minutes. (UTI).
Now;
What do you have to do in these OSCE stations
in order to cover the checklist?.....
What to ask to be thorough and cover
the differential diagnosis?....
How to ask in an efficient,
respectful, and empathic way?.....
How to wrap up the medical station?.....
How to counsel the patient?.....
How to perform a complete, safe, and
respectful physical examination?.....
Your
biggest challenge in OSCE exams is the limited available time.
You
need to memorize sets of questions and actions to be asked and done while
you're in an
autopilot manner!
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