Pediatric Assessment Flashcards
7 cards from real OSCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric Assessment flashcards as text
A 10-month-old is brought in with sudden-onset colicky abdominal pain, intermittent drawing up of legs, and one episode of 'redcurrant jelly' stool. What is the most likely diagnosis?
Answer: Intussusception
Intussusception classically presents in infants with intermittent colicky pain, drawing up of legs, and redcurrant jelly stools from mucosal ischemia.
When calculating a fluid bolus for a pediatric patient in shock, what is the correct initial volume?
Answer: 20 mL/kg of 0.9% NaCl
The standard initial fluid bolus for a child in shock is 20 mL/kg of isotonic crystalloid (0.9% NaCl or Ringer's lactate).
During a newborn examination, you note the infant's left hand has a simian crease, upslanting palpebral fissures, and sandal gap between the first and second toes. What syndrome should you suspect?
Answer: Down syndrome (Trisomy 21)
Simian crease, upslanting palpebral fissures, and sandal gap are classic features of Down syndrome (Trisomy 21).
A 7-year-old presents with a widespread purpuric rash on the lower limbs and buttocks, joint pain, and abdominal pain. His platelets are normal. What is the most likely diagnosis?
Answer: Henoch-Schönlein purpura
Henoch-Schönlein purpura (IgA vasculitis) presents with palpable purpura on lower limbs/buttocks, arthralgia, and abdominal pain with normal platelet count.
In assessing a child's Glasgow Coma Scale, which best describes a score of 8 or below?
Answer: Severe impairment warranting airway protection
A GCS of 8 or below indicates severe neurological impairment and is the threshold requiring consideration of definitive airway management.
You are examining a 12-year-old with a 3-week history of polyuria and polydipsia. His capillary blood glucose is 28 mmol/L. What complication must you actively rule out?
Answer: Diabetic ketoacidosis
A new presentation of type 1 diabetes with very high glucose requires urgent assessment for diabetic ketoacidosis (DKA) with blood gas and ketones.
A 3-year-old is found unresponsive. After calling for help, what is the correct initial pediatric BLS action?
Answer: Give 5 rescue breaths first
Pediatric BLS begins with 5 initial rescue breaths because cardiac arrest in children is usually secondary to respiratory arrest.
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