Neonatology

Question 1

Physiologuc anemia occurs at what week in term babies?

Answer 1

6-8 weeks

Question 2

Physiologuc anemia occurs at what week in preterm babies?

Answer 2

2-3 weeks

Question 3

Newborn screening is RA

Answer 3

9288

Question 4

If blood for newborn screening test was collected

Answer 4

After 2 weeks

Question 5

Enzyme deficient in the classic for of galactosemia

Answer 5

Galactose-1-PO4 uridyltransferase deficiency (GALT

Other enzymes: galactokinase and galactose-4-epimerase

Question 6

Most common manifestation of phenylketonuria without treatment is

Answer 6

Developmenyal delay

Question 7

Unpleasant musty odor is characteristic of

Answer 7

Phenylketonuria

Question 8

Well-defined, flat, blue-gray lesion found in the sacral area of a newborn. Normal or abnormal?

Answer 8

Mongolian spot; normal

Question 9

Small papules or pustules on an errythematous base filled with eosinophil found in newborns

Answer 9

Erythema toxicum

Question 10

Small pearly white inclusion cysts usually found in the face of a newborn

Answer 10

Milia

Question 11

Lacy pattern in skin similar to cobblestones found in newborns

Answer 11

Cutis marmorata; reaction to cold stress

Question 12

Waiter’s tip is a characteristic feature of

Answer 12

Erb-duchenne palsy (C5-C6)

Arm adducted, pronated and internally rotated

Question 13

Claw hand is a characteristic feature of what birth injury?

Answer 13

Klumpkenpalsy (C8-T1)

With horner syndrome if with T1 involvement)

Question 14

Moro reflex is present until

Answer 14

4-6 months

Arms abduct and extend, hands open, and legs flexed

Question 15

Urethral opening on the dorsal penis

Answer 15

Epispadia

Question 16

Urethral opening on the ventral penis

Answer 16

Hypospadia; more common

Question 17

If the testes will not descend by ____ months, it will remain undescended

Answer 17

4 months

Majority descends in the 1st 3 months

Question 18

Undescended testes is treated surgically by

Answer 18

9-15 months

Question 19

Absence of lanugo and vernix caseosa, long nails, abundant scalp hair, desquamating skin and increased alertness are signs of

Answer 19

Post term infant

Question 20

Reticulogranular, ground glass pattern with air bronchograms

Answer 20

RDS

Question 21

“Bubbly lungs” or cystic lucencies, irregularly aerated lungs

Answer 21

Bronchopulmonary dysplasia

Question 22

Most common cause of PPHN

Answer 22

Meconium aspiration syndrome

Question 23

Coarse streaking granular pattern in both lung fields, irregularly aerated lungs, flattened diaphragm

Answer 23

MAS (with PPHN)

Question 24

Physiologic jaundice presents in newborn when?

Answer 24

After 48 hours of life

Disappears by 5th to 7th day

Question 25

Pathologic jaundice presents in newborn when?

Answer 25

During 1st 24 hours of life

Question 26

Total bilirubin in physiologic jaundice? In pathologic jaundice?

Answer 26

peaks at 14-15 mg/dl In pathologic, > 15mg/dl

Question 27

Direct bilirubin in physiologic jaundice? In pathologic jaundice?

Answer 27

Physiologic - 10% of TB

Question 28

Most common cause of hemolytic disease in the newborn

Answer 28

ABO compatibility Mother is type O and baby is type A or B.

Question 29

Onset of early neonatal sepsis

Answer 29

1st 7 days of life

Question 30

Onset of late neonatal sepsis

Answer 30

8-28th day of life

Question 31

3 common bacteria causing neonatal sepsis

Answer 31

E. Coli GBS L. Monocytogenes Viruses: HSV and enterovirus

Question 32

Chorioretinitis, intracranial calcifications, hydrocephalus in newborn are symptoms of

Answer 32

Toxoplasmosis

Question 33

Treatment of toxoplasmosis in the newborn

Answer 33

Pyrimethamine and sulfonamide

Question 34

IUG, cataracts, CHD, mental retardation, deadness, blueberry muffin rash

Answer 34

Congenital rubella syndrome

Question 35

Most common congenital infection

Answer 35

CMV

Question 36

Chorioretinitis, microcephaly and paraventricular calcification

Answer 36

CMV

Question 37

Most common life threating emergency of the GIT in neonates

Answer 37

Necrotizing enterocolitis

Question 38

Greatest risk factor of necrotizing enterocolitis

Answer 38

Prematurity

Question 39

Pneumatosis intestinalis seen in abdominal X-ray

Answer 39

Necrotizing enterocolitis

Question 40

Pathogenesis of TTN

Answer 40

Delayed resorption of fetal lung fluid

Question 41

Which respiratory conditions in newborn infanys have the highest incidence of air leak?

Answer 41

MAS (41%) | RDS (27%)

Question 42

Pathognomonic of pneumomediastinum

Answer 42

Subcutaneous emphysema

Question 43

Infection due to inadequate care of the cord

Answer 43

Omphalitis

Question 44

Hypotonia, lethargy, poor feeding, poor suck are signs of what phase of kernicterus?

Answer 44

1st phase

Question 45

Hypertonia, opithotonus, high pitch cry and seizure are symptoms of what phase of kernicterus?

Answer 45

2nd phase

Question 46

Hypotonia, long term neurologic injury, extrapyramidal disturbance, deafness are what phase of kernicterus?

Answer 46

3rd phase

Question 47

Bronze baby syndrome is a complication of?

Answer 47

Phototherapy

Question 48

Most common complication of cephalhematoma

Answer 48

Hyperbilirubinemia

Question 49

Collection of blood beneath the aponeurosis and may extend to eyes and nape

Answer 49

Subgaleal hemorrhage

Question 50

In subgalela hemorrhage, what vessel is ruptured?

Answer 50

Emissary vein

Question 51

4 criteria for diagnosis of perinatal asphyxia

Answer 51

pH 5 minutes Neurologic sequelae (hypoxic ischemic encephalopathy) Multisystem organ failure