Global child health catch-up and malnutrition risk — OSCE · Paeds Cases

Prompt

Parent of a 2-year-old recently arrived refugee with fever and diarrhoea; incomplete immunisation card; low weight-for-height; asks which tests are essential today.

Candidate tasks

Stabilise and treat dehydration risk before elective investigations. [1]
Outline catch-up immunisation principles without inventing false contraindications. [1]
Assess nutrition risk and safety-net follow-up. [1]
Explain sustainable, high-impact priorities to the family. [1]

Examiner notes

Pass if the candidate prioritises ABC and rehydration, plans valid-dose catch-up, screens malnutrition and avoids low-value panels that delay prevention. Fail if they defer all vaccines indefinitely or order non-indicated advanced imaging first. [1]

References

[1]Jones G How many child deaths can we prevent this year? Lancet, 2003.PMID 12853204
[2]Black RE Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet, 2010.PMID 20466419
[3]Liu L Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet, 2012.PMID 22579125
[4]Liu L Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet, 2015.PMID 25280870
[5]Liu L Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet, 2016.PMID 27839855
[6]You D Global, regional, and national levels and trends in under-5 mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Inter-agency Group for Child Mortality Estimation. Lancet, 2015.PMID 26361942
[7]Lawn JE Every Newborn: progress, priorities, and potential beyond survival. Lancet, 2014.PMID 24853593
[8]Kerber KJ Continuum of care for maternal, newborn, and child health: from slogan to service delivery. Lancet, 2007.PMID 17933651
[9]Darmstadt GL Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet, 2005.PMID 15767001
[10]Gera T Integrated management of childhood illness (IMCI) strategy for children under five. Cochrane Database of Systematic Reviews, 2016.PMID 27378094

Examiner notes

References

[1]Jones G How many child deaths can we prevent this year? Lancet, 2003.PMID 12853204
[2]Black RE Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet, 2010.PMID 20466419
[3]Liu L Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet, 2012.PMID 22579125
[4]Liu L Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet, 2015.PMID 25280870
[5]Liu L Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet, 2016.PMID 27839855
[6]You D Global, regional, and national levels and trends in under-5 mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Inter-agency Group for Child Mortality Estimation. Lancet, 2015.PMID 26361942
[7]Lawn JE Every Newborn: progress, priorities, and potential beyond survival. Lancet, 2014.PMID 24853593
[8]Kerber KJ Continuum of care for maternal, newborn, and child health: from slogan to service delivery. Lancet, 2007.PMID 17933651
[9]Darmstadt GL Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet, 2005.PMID 15767001
[10]Gera T Integrated management of childhood illness (IMCI) strategy for children under five. Cochrane Database of Systematic Reviews, 2016.PMID 27378094