MBBS OSCE · Paediatrics
Neonatal jaundice — assessment and phototherapy counselling OSCE
OSCE on pathological jaundice recognition, work-up, phototherapy explanation, danger signs of encephalopathy.
10 min stationVerification in progress
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Exam tags
NEET-PGINICET
Candidate instructions
Assess the neonate, outline investigations, start appropriate therapy, and counsel parents.
Candidate tasks
- Identify pathological features (early onset, high TSB, poor feeding).
- Request timed TSB interpretation, blood group/Coombs, G6PD, sepsis screen if unwell.
- Explain intensive phototherapy and when exchange transfusion is considered.
- Counsel feeding, eye protection, monitoring, and warning signs.
- Mention kernicterus risk if untreated severe disease.
Examiner checklist
- Pathological vs physiological distinction
- Hour-specific threshold concept
- Haemolysis work-up including G6PD
- Phototherapy practicalities
- Exchange if encephalopathic/threshold failure
- Parental communication quality
Model standard
Treat as pathological early jaundice: intensive phototherapy now, investigate haemolysis, escalate to exchange if needed, prevent kernicterus.
Common errors
- "Physiological, observe only" despite high early TSB
- Delaying therapy for non-essential tests