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OSCE 1 Q
The goals to be achieved by the NRHM at national level include
1.Infant mortality rate reduced to −−−− per 1000 live births
2. Maternal mortality rate reduced to −−−per 1 lac live births
3. Malaria mortality rate reduction to −−− by 2012
4. Dengue mortality rate reduction to −−− by 2012
5. Tuberculosis DOTS services maintain −− cure rate through entire
6. Increasing utilisation of FRUs from <20% to −−
7. Engaging −−− female ASHA in 10 states
8. NRHM was launched in the year −− for a period of −− years
9. NRHM is operational in the country with special focus on −− states
OSCE 1 A
The goals to be achieved by the NRHM at the National level include:
a) Infant Mortality rate reduced to: 30 per 1000 live births (1)
b) Maternal Mortality ratio reduced to: 100 per 1 lac live births (1)
c) Malaria Mortality Rate reduction to: 10% by 2012 (HALF MARK
d) Dengue Mortality Rate reduction to: 50% by 2012
e) Tuberculosis DOTS services maintain 85% cure rate through entire
f) Increasing utilization of FRUs from <20 % to 75%
g) Engaging 2,50,000 female ASHA in 10 states
h) NRHM was launched in the year 5th April 2005 for a period of seven
i) NRHM is operational in the whole country with special focus on
OSCE 2 Q
4 year old boy came with fever 10 days, cough and this clinical
OSCE 2 Q
1. Describe the lesion
2. What is the diagnosis?
3. Causative organism ?
4. Transmitted by
5. Any 3 complications
6. Two treatment forms
OSCE 2 A
• Diagnosis: Eschar in scrub
• Lesion: Necrotic area, like the
skin burn of cigarette butt, but
• Orientia tsutsugamushi
• Trombiculid mite
Meningoencephalitic, ARF, my
• Treatment: IV
Azithromycin, Oral Doxycycline
• ( 1 MARK EACH)
OSCE 3 Q
Calorie and protein content of the following food items per 100 gm
2. Bengal gram
Calorie and protein content of the following food items
Rice 350 kcal 7g
Bengal gram 360 kcal 17g
Groundnut 560 kcal 25g
Fish 80 kcal 6g
Egg 80 kcal 6g
Dates 317 kcal 2.5g
Apple 59 kcal 0.2g
Almond 655 kcal 20g (8 MARKS)
2.Describe the lesion?
3.Causes?- Two infections/
5. Name two complications
OSCE 4 Q
OSCE 4 A
1. STEVEN JOHNSON SYNDROME
2. Severe bullous lesions, target lesions, mucosal
3. Mycoplasma & Herpes simplex
4. Antibiotics for secondary infection, topical steroids for eyes,saline
compresses for denuded skin,mouth washes
IvIg and steroids in some cases
5. Corneal ulcer, anterior uveitis, myocarditis, hepatitis, acute
tubular necrosis, osteomyelitis
OSCE 5 Q
3 yr old male child comes to PHC situated in an area with low
malaria risk with fever
1. What 3 questions you will ask as per IMNCI?
2. Mention the 3 categories into which the child can be classified
3. List the steps in the management if the child has meningeal
OSCE 5 A
1. Duration of fever/ how long the fever?
If more than 7 days, is it every day?
History of measles in the last 3 months
2. Very severe febrile disease
Fever- Malaria unlikely
3. Make blood smear and give first dose of im quinine
First dose of iv or im chloramphenicol/amoxicillin
Treatment to prevent low blood sugar
First dose of paracetamol
Refer urgently (2+2+2 MARK)
OSCE 6 Q
A 5 day old newborn male with history of oligo-hydramnios in
the antenatal period in the mother underwent MCU
1. Describe the MCU
2.What is the absolute
indication for MCU in
3.What antenatal intervention
would have helped this child?
4. What are the chances of CKD
in adolescence in this child?
5. What are the surgical
procedures possible ?
OSCE 6 A
1. MCU showing narrow anterior urethral stream, dilated
posterior urethra, dilated and trabeculated bladder with
diverticulae and secondary VUR
2. Suspected PUV
3. Vesico amniotic shunting
5. Primary fulguration, vesicostomy and high
OSCE 7 Q
A 3 yr old child had ARF following bloody diarrhea and
peripheral smear is done
1.Read the smear
2. Two Common conditions
associated with this sort of
3.Diagnosis in this child? What
are the types?
4. What is the prognosis in this
5. What is the singular description
of kidney biopsy?
OSCE 7 A
1. Peripheral blood smear showing many schistocytes and RBC
fragments due to hemolysis, and relatively few platelets
reflective of thrombocytopenia.
2. RBC fragmentation (Schistocytes) can be seen in
HUS, TTP, DAVC, SLE, artificial cardiac valves, intracardiac
patches and in hemolytic transfusion reaction
3. HUS – Typical (D+) and atypical (D-)
4. Relatively good in typical with small percentage settling with
residual renal failure whereas in atypical most of them have
recurrences with chances of progressing to ESRD
5. Thrombotic microangiopathy
OSCE 8 Q
1. What is the effect of this drug
on pulmonary blood flow?
2. What will happen if it is used
in a hypovolemic child?
3. Predominant mechanism
4. Arrange alpha, beta1 &
beta2 in order of reducing
5. Advantage of this drug ?
6. Dose range?
OSCE 8 A
1. Pulmonary vasodilatation and attenuates hypoxic
vasoconstriction of pulmonary blood vessel
2. Decrease in the cardiac output
3. Beta 1 agonist
4. Beta1> beta2>alpha
5. No effect on HR, PVR & BP
1 mark each
1. What is the abnormality?
2. Ideal Lead for identifying abnormality
3. What is Bazett formula?
4. Two drugs should be avoided?
5. Two Associated syndromes?
OSCE 9 Q
OSCE 9 A
1) Prolonged QT interval: Beginning of the QRS
complex to the end of the T wave, of
activation and recovery of the ventricular
2) Ideal lead: LII, V1, V2
3) The Bazett formula is used to calculate the
QTc, as follows: QTc = QT/square root of the R-
OSCE 9 CONTD.
4) Drugs (Direct)
Terfenadine, Astemizole, Ketoconazole, EM(In
direct) by prolonging their metabolism
5) Syndromes associated: Romano Ward
(AD), Jervell Lange Nielsen (AR, uncommon)
1 mark each answer,2 mark for last answer
OSCE 10 Q
5 yr old brought with fall from a
height Develops vomiting and
GCS drops from 14/15 to 9/15
1.Describe the abnormality
2. What is the diagnosis?
3. Which is the commonest site
and vessel involved?
4. What is the differential
diagnosis and how will you
differentiate the two?
5. What is the management?
OSCE 10 A
1.High density biconvex shadow
3.Temporoparietal region,middle meningeal artery.
4. Subdural Haematoma. Subdural Haematoma is
5.Intubation due to sudden fall in GCS
Urgent neurosurgical referral for craniotomy
OSCE 11 Q
1. Dose and storage
2. What is the seroconversion rate after 2 doses?
3. Three antibiotics present in trace amounts in IPV which
contributes to allergic reactions?
4. IAPCOI recommendation on IPV and schedule
5. Absolute indication for IPV and what is the exception in the
schedule for that condition?
6. IPV Vaccine recommendation for the child who completed
primary series of OPV?
OSCE 11 A
1. 0.5 ml 2-8 degree celsius
2. 90 to 100 percent
3. Streptomycin, Neomycin & polymyxin
4. IAPCOI recommends IPV. 6,10,14 weeks and booster at one
and half years
5. B cell immunodeficiency. Second booster dose at 5 years is
6. Two doses of IPV at 2 months interval.
(1 mark for each)
OSCE 12 Q
• 5yr female child brought with bleeding PV past 2 yrs,
• hyperpigmented patch over neck, thelarche+,
• X-ray bone age advanced, X-ray femur- ?#
1. What is your diagnosis ?
2. What are the components of this syndrome ?
3. Name two endocrine associations.
4. How will you treat
OSCE 12 Q
OSCE 14 Q
1.What is the diagnosis?
3.If Antenatally detected what is the advise for the
mode of delivery? why?
4.How will u manage after birth?
5.What % is associated anomalies?
6.Which condition closely resembles & how will u
OSCE 14 A
2.1 in 5,000 livebirths
3.LSCS–when defect large>5cm,bcoz it prevent rupture of sac
4.latex free products
Continuous NG sump suctioning
Warm saline soaked gauge
6.gastrochisis- no sac,immediate surgical evaluation,1 in 10,000
births,<5% ass anomalies
(1 mark for each point)
OSCE 15 Q
7 Yr old child presented with bilateral sudden loss of vision,
motor weakness and seizures following upper respiratory
Infection. There is no significant family history. MRI finding of the
child is shown here
1.Describe the abnormality and
2.Give a differential diagnosis
3.How will you differentiate
between the two?
4.What is the CSF finding?
5.What is the line of treatment?
6.What is the prognosis?
OSCE 15 A
1. Large, patchy areas of subcortical and deep white matter hyperintensity in
the bilateral corona radiata s/o ADEM
2. Multiple sclerosis
B/L optic neuritis Unilateral
< 10 yrs >10 yrs
Prone for recurrences
4. Lymphocytic pleocytosis
5.Intravenous methylprednisolone 30mg/kg/day for 3-5 days followed
By oral prednisolone 1mg/kg/day for 10 days.
6. 70 percent will recover without any residual disability in 6 months
(1 mark for each point)
OSCE 16 Q
10 month old child Santosh comes to emergency department with
complaints of fever for 1 day followed by one episode of
generalised tonic clonic seizures lasting for less than 2 min.Child is
Developmentally appropriate for age with no neonatal issues or
significant past history. How will you counsel the parents for this
OSCE 16 A
1. Introduces (1/2)
2. Risk of recurrence and good long term prognosis
3. Details first aid for seizures
4. Discuss option for intermittent anticonvulsant prophylaxis or
advises the same
5. There is no need for EEG
6. Explain it is not due to intracranial infection
7. It is different from epilepsy
8. Do u have any doubts
9. Thank you (1/2)
1 mark for the other points
OSCE 17 Q
WRITE APPROPRIATE TERMINOLOGIES IN SCREENING TEST
1.Indicator measures actually what is supposed to measure?
2.Measured indicator has same value if measured by different
people in similar circumstances?
3.Indicator is sensitive to changes in situation concerned?
4.Indicator reflects changes only in situation concerned?
5.Indicator has ability to obtain data needed?
OSCE 18 Q
1. What is this device?
OSCE 18 A
1.What is this device? Laryngeal Mask Airway (1)
2.Two Indications? Routine airway in operating
room, In cases with difficult bag mask ventilation
3.Contraindication? Severe airway obstruction (1)
4.Two Limitations? Dislodgement during
transport, minimizes but cannnot prevent
5.Complication? Regurgitation and aspiration (2)