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:
-
Fever.
-
Rash.
-
Vomiting.
-
Diarrhea.
-
Seizure;
febrile and epilepsy
-
Cough:
Asthma, viral, cystic fibrosis.
-
Running
nose/ ear pain.
-
Anemia.
-
Neonatal
jaundice.
-
Failure
to thrive.
-
Feeding
counseling.
-
Short
stature.
-
Growth
chart interpretation.
-
Speech
delay.
-
Enuresis.
-
Recurrent abdominal pain.
-
Acute
abdominal pain.
-
Infant
colic.
-
Hyperactive child.
-
Urinary
tract infection.
-
Immunization counseling.
-
Acute
poisoning.
-
Peanut
allergy.
-
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).
-
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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