Neonatology

Question 1

What is the injection that is routinely given to new-born to inhibit hemorrhage:

A. Vitamin K

B. Vitamin C

C. Vitamin D

D. Vitamin E

Answer 1

Answer: A

Question 2

Breastfeeding after delivery should start:

A. Immediately

B. 6 hr

C. 8hr

D. 24 hr

Answer 2

Answer: a

Question 3

26 years old female g1p1 brought her two weeks old baby who cries a lot. He is on breastfeeding since birth, he stop crying at night when she gave him formula milk. On examination the baby looks normal except for increase gurgle sound. What is the most likely diagnosis?

A. Paralytic ileus.

B. Lactose malabsorption.

C. Increase bowel gases.

D. Breast milk jaundice.

Answer 3

C or B

but most likely B

Question 4

Baby with 5 min after birth assessing ( hr 120 ,breath irregular and grasping , acrocynotic , cough and grimace , flexing all limbs not moving ) apgar score

A. 6

B. 7

C. 8

D. 9

Answer 4

Answer: c

Explanation: apgar score is assessed at 1 and 5 minutes and scored based on the table.

Question 5

Neonate born in home by a midwife presented with umbilical bleeding. What does he need?

Answer 5

Answer : Vit K injection

Prophylactic vitamin K is given routinely to newborns shortly after birth to prevent VKDB, previously referred to as hemorrhagic disease of the newborn. In our practice, a single intramuscular dose of 1 mg is administered,

Question 6

Case of gonorrhea eye infection in a newborn.. What to give?

Answer 6

Answer: gonorrhea eye infection= copious, purulent discharge, swelling of the lids and conjunctivae, corneal involvement common (risk for perforation).

Appear one to two week after birth uni or bilateral

drug of choice IV Ceftriaxone 25-50 mg/kg not exceed 125 mg.

● Erythromycin (0.5 percent) ophthalmic ointment

● Tetracycline (1 percent) ophthalmic ointment;

Question 7

Neonate with deafness , rash .. What the cause ?

A.Rubella

B.measles

C.CMV

Answer 7

Answer: A

Rubella infection Manifestation:

1. “Blueberry Muffin” rash due to extramedullary hematopoiesis
2. cataracts
3. “Salt and Pepper” retinopathy
4. Radiolucent bone disease (long bones)
5. IUGR, glaucoma, hearing loss, pulmonic stenosis, patent ductus arteriosus, lymphadenopathy, jaundice, hepatosplenomegaly, thrombocytopenia, interstitial pneumonitis, diabetes mellitus

Question 8

Case about neonate algorithm for resuscitation very long case i couldn’t remember

Answer 8

??

Question 9

Pathogenesis of jaundice in newborn From a mother has -ve blood group And the newborn has +o

Answer 9

http://emedicine.medscape.com/article/797150-overview#a5