OMSB Pediatric Exam MCQs

Exam Parameter

Details

Exam Title

Omani Examination for Pediatrics (OMSB_OEPEDS)

Authority

Oman Medical Specialty Board (OMSB)

Delivery Mode

Computer-Based Testing (CBT via Pearson VUE / Prometric)

Exam Code

OMSB_OEPEDS / PED-OMSB

Question Format

Multiple-Choice (Single Best Answer)

Number of MCQs

100 to 150 questions

Exam Duration

2.5 to 3 hours (150 to 180 minutes)

Passing Score

60% to 65%

Negative Marking

None

Language

English

Score Result

Pass / Fail outcome reflected on the OMSB candidate portal

Score Validity

5 years

Specialty Module

Core Topics

Key Focus Areas & Clinical Scenarios

Neonatology & Perinatal Medicine

Neonatal Resuscitation Program (NRP) algorithms, APGAR scoring, meconium aspiration syndrome, respiratory distress syndrome (RDS), neonatal hyperbilirubinemia, and necrotizing enterocolitis (NEC).

Managing depressed newborns at delivery, phototherapy vs. exchange transfusion criteria, surfactant administration thresholds in preterm infants, and early detection of congenital diaphragmatic hernia.

Pediatric Emergency, Critical Care & Trauma

Pediatric Advanced Life Support (PALS) protocols, septic shock fluid resuscitation, acute respiratory failure, status epilepticus, and accidental poisoning/ingestions.

Timely inotrope/vasopressor selection in fluid-refractory shock, managing foreign body aspiration, choosing rescue therapy for severe status asthmaticus, and calculating N-acetylcysteine dosing for acute acetaminophen toxicity.

Respiratory & Upper Airway Conditions

Acute viral bronchiolitis, viral croup (laryngotracheobronchitis), bacterial tracheitis, acute epiglottitis, persistent asthma exacerbations, and community-acquired pneumonia.

Indications for nebulized epinephrine and oral dexamethasone in croup, differentiating bacterial tracheitis from viral stridor, GINA pediatric step-up guidelines, and assessing pleural effusion complications.

Gastroenterology, Hepatology & Nutrition

Acute gastroenteritis, oral rehydration therapy (ORT), parenteral dehydration deficit calculations, hypertrophic pyloric stenosis, intussusception, celiac disease, and childhood failure to thrive.

Calculating rehydration maintenance and deficit volumes, identifying target signs on abdominal ultrasound for intussusception reduction, correcting hypochloremic alkalosis in pyloric stenosis, and dietary management of protein-losing enteropathy.

Cardiology & Congenital Heart Anomalies

Acyanotic heart defects (VSD, ASD, PDA, coarctation of the aorta), cyanotic lesions (Tetralogy of Fallot, TGA), acute rheumatic fever, Kawasaki disease, and viral myocarditis.

Immediate hypercyanotic "Tet" spell stabilization, maintaining ductal patency with intravenous prostaglandin E1 infusions in cyanotic neonates, and applying modified Jones criteria for rheumatic fever.

Neurology & Neuromuscular Disorders

Febrile seizures (simple vs. complex), pediatric status epilepticus algorithms, bacterial and viral meningitis, cerebral palsy staging, infantile spasms (West syndrome), and childhood acute flaccid paralysis.

Stepwise anticonvulsant sequencing for ongoing seizures, interpreting abnormal CSF parameters in suspected neuroinfections, recognizing hypsarrhythmia on EEG, and managing intracranial hypertension.

Infectious Diseases & Immunization

Childhood exanthems (measles, rubella, roseola, parvovirus B19), tuberculosis, occult bacteremia, congenital infections (TORCH panel), and national pediatric immunization schedules.

Differentiating infectious exanthems from non-infectious eruptions, diagnostic workup of fever without a localizing source in young infants, IVIG timing in Kawasaki disease, and catch-up vaccine planning.

Endocrinology, Genetics & Metabolism

Diabetic ketoacidosis (DKA) fluid and insulin protocols, congenital hypothyroidism, congenital adrenal hyperplasia (CAH), inborn errors of metabolism, Down syndrome, and Turner syndrome.

Cautious IV fluid titration in pediatric DKA to prevent cerebral edema, early recognition of salt-wasting crisis in neonates, interpreting newborn metabolic screening recalls, and managing precocious puberty.

Nephrology, Urology & Musculoskeletal Care

Nephrotic syndrome (minimal change disease), acute post-streptococcal glomerulonephritis (APSGN), hemolytic uremic syndrome (HUS), pediatric UTIs, septic arthritis, and transient synovitis.

Corticosteroid induction regimens and relapse management in nephrotic syndrome, initial workup of gross hematuria and hypertension, investigating toddler limp, and imaging protocols after first febrile UTI.

Hematology & Pediatric Oncology

Nutritional anemias (iron deficiency vs. thalassemia trait), sickle cell disease vaso-occlusive and acute chest crises, immune thrombocytopenia (ITP), acute lymphoblastic leukemia (ALL) presentation, and lymphoma.

Managing acute chest syndrome in sickle cell patients, observation vs. medical therapy for childhood ITP without significant bleeding, and recognizing oncologic emergencies such as superior vena cava syndrome or tumor lysis.

Growth, Development & Medical Ethics

Normal gross/fine motor and cognitive milestones, WHO child growth standards, autism spectrum screening (M-CHAT), child maltreatment indicators, parental consent, and OMSB regulatory ethics.

Identifying falling percentiles and nutritional stunting, evaluating isolated speech delays, recognizing suspicious fracture and bruising patterns indicating non-accidental trauma, and navigating informed refusal.