OSCE Pediatric Assessment 5

Question 1

A 2-year-old is brought in with a 3 cm burn on his palm from touching a hot oven tray. The wound is blistered but blanches with pressure. What burn depth does this represent?

Accepted Answer

Superficial partial-thickness (dermal)

Answer

Superficial partial-thickness burns are blistered, pink, moist, painful, and blanch with pressure as the papillary dermis is involved.

Question 2

During an OSCE child protection station, you notice a toddler has multiple bruises in different stages of healing over the shins and forehead, with one bruise over the lumbar spine. What is most concerning?

Accepted Answer

Lumbar spine bruise — in a non-mobile area, raising abuse concern

Answer

Bruises over non-bony prominences such as the lumbar spine are not consistent with typical childhood falls and should raise concern for non-accidental injury.

Question 3

A 7-month-old is noted to have no babbling and does not respond to her name. She also fails to track faces. What is the most appropriate next step?

Accepted Answer

Refer urgently for hearing assessment and developmental evaluation

Answer

Absent babbling, failure to respond to name, and not tracking faces by 7 months are red flags for both hearing loss and autism spectrum disorder requiring urgent assessment.

Question 4

In a pediatric OSCE anaphylaxis station, a 6-year-old (weight ~20 kg) has urticaria, wheeze, and hypotension after eating peanuts. What is the correct IM epinephrine (adrenaline) dose?

Accepted Answer

0.3 mL of 1:1,000 (0.3 mg)

Answer

Children weighing 15–30 kg receive 0.3 mg (0.3 mL of 1:1,000) epinephrine IM into the anterolateral thigh for anaphylaxis.

Question 5

You are examining a 3-year-old and want to assess for meningism. Which clinical sign involves passive hip flexion causing involuntary knee flexion?

Accepted Answer

Brudzinski's sign

Answer

Brudzinski's sign is elicited by flexing the neck; involuntary hip and knee flexion indicates meningeal irritation.

OSCE Practice Test

OSCE Practice Test

OSCE Pediatric Assessment 5