UKOM Sp.A case studies
UKOM Sp.A · Put your knowledge to work in context.
UKOM Sp.A - the Uji Kompetensi Spesialis Anak - is the competency examination Indonesian paediatricians sit to demonstrate that they meet national specialist standards in child health. It is aimed at doctors who have completed or are completing specialist training in paediatrics (Sp.A) and who need to evidence competence for registration and professional practice. The UKOM Sp.A case studies are 5 cases and about 5,085 words.
1Apnoea and hypoglycaemia in a 36-week infant at 28 hours
A 36+1-week female, birth weight 2,410 g (appropriate for gestational age), is admitted to a level II special-care nursery after an uncomplicated vaginal delivery to a 29-year-old mother treated with magnesium sulfate for pre-eclampsia. Cord gas: pH 7.31, base deficit 4 mmol/L.
1,008 words, about 5 min2A 20-month-old who does not point or respond to his name
A 20-month-old boy is brought for the second time because he still does not talk. He uses two single words inconsistently, does not point to show something, and does not follow a one-step command unless it is accompanied by a gesture.
1,044 words, about 5 min3Bowed legs, a wrist swelling and a diet history in a 10-month-old
A 10-month-old boy is referred for bowed legs and a swelling at both wrists. He was born at term, was exclusively breastfed to 6 months, and since then has taken a home-made rice porridge with no fortified cereal and no formula.
986 words, about 5 min4Varicella exposure in a child on alternate-day prednisolone
A 6-year-old girl with steroid-sensitive nephrotic syndrome in remission has been taking prednisolone 20 mg on alternate days (2 mg/kg on the dosing day) for 11 weeks. She attends the day unit for a routine blood pressure check.
1,038 words, about 5 min5A 7-week-old with poor feeding, weak femoral pulses and a 6-hour transfer
A 7-week-old boy is brought with poor feeding and fast breathing for 4 days. He was discharged at 24 hours after a normal newborn examination; newborn pulse oximetry screening was 97% in the right hand and 96% in either foot.
1,009 words, about 5 min