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Pediatrics > Newborn Care > Flashcards

Newborn Care Flashcards

1
Q

Differential diagnosis for physiologic jaundice

A

Congenital Hypothyroidism

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2
Q

Enzyme lacking in Congenital Adrenal Hyperplasia

A

21-Hydroxylase def (95%) lacking CORTISOL

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3
Q

Lab request to request for CAH?

A

17-Hydroxyprogesterone

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4
Q

Most common Galactosemia?

A

GALT (Classic form)

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5
Q

Increased risk of E.coli neonatal sepsis?

A

Galactosemia

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6
Q

Blood exam and PBS findings with G6PD Deficiency?

A

Reticulocytosis/Heinz bodies

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7
Q

Gradual mental retardation with developmental delay and musty odor urine?

A

Phenylketanuria

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8
Q

Problem with branched-chain fatty acid?

A

Maple Syrup Urine Disease

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9
Q

Cobblestone appearance in skin of neonates due to cold temp? Mottled look?

A

Cutis Marmorata

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10
Q

Drug in studies that decreases size in hemangiomas in neonates?

A

Propanolol

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11
Q

Before resolution of baby’s Cephalhematoma, what PE finding will you see?

A

Exaggerated jaundice (due to resolution of the hematoma)

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12
Q

Collection of blood beneath aponeurosis covering baby’s scalp and entire length of occipitofrontalis muscle?

A

Subgaleal hematoma

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13
Q

Until how many months does Moro Reflex present in newborn?

A

Birth until 4-6 months

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14
Q

Most commonly fractured bone or nerves in newborns? Why?

A

Clavicle and brachial plexus due to shoulder dystocia

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15
Q

Nerve damage in neonates due to traction of head with adducted arm, pronated and internally rotated? (Upper trunk)

A

Erb-Duchenne Palsy

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16
Q

Claw hand in newborns due to brachial palsy?

A

Klumke’s palsy

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17
Q

Anterior neck mass?

A

Thyroglossal duct cyst (resolved surgically)

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18
Q

Redundant skin or webbed neck

A

Turner syndrome

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19
Q

Physiologic effect of increase jn hormones that is seen coming out of the infant’s nipples?

A

Witch’s milk

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20
Q

Herniation of umbilicus with a sac?

A

Omphalocele

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21
Q

Herniation of umbilicus without a sac?

A

Gastroschisis

22
Q

Herniation of abdominal contents due to diastasis recti?

A

Umbilical hernia

23
Q

Baby came in with scaphoid abdomen, respiratory distress and hearing bowel sounds on auscultation of the chest?

A

Diaphragmatic Hernia

Bochdalek- posterolateral form
Morgagni- retrosternal

24
Q

Dorsal urethral opening

A

Epispadia

25
Q

Ventral opening of urethra? More common

A

Hypospadia

26
Q

Accumulation of fluid in neonates’ tunica vaginalis? Resolves until when?

A

Hydrocele and resolves by 12 months old

27
Q

Most common pediatric hernia?

A

Indirect inguinal hernia

28
Q

How long should testes be classified as undescended?

A

> 4 months of age

29
Q

Undescended testis should be surgically treated not later than?

A

9-15 months of age

30
Q

Babies who are born large for gestational age are at risk for?

A

Hypoglycemia or polycythemia

31
Q

Cause of RDS in newborns?

A

Deficiency of immaturity of surfactant?

32
Q

Chest xray finding in RDS?

A

Ground-glass pattern
Air bronchograms
White lunch

33
Q

Prevention of RDS in newborns?

A

Maternal steroid 48 hrs prior to delivery

34
Q

Baby born term via C-section with CXR findings of :

Overaeration with fat diaphragm with prominent vascular markings

A

Transient tachypnea of the Newborn

35
Q

Neonate presenting with persistently decreased O2 saturation due to Meconium Aspiration?

A

Persistent Pulmonary Hypertension of the Newborn

36
Q

Most common life threatening emergency of GIT in premature neonates presenting with:
Distended abdomen, bloody stool and pneumatosis intestinalis with thrombocytopenia

A

Necrotizing enterocolitis

37
Q

Baby was initially fed but there was intolenrant to feeding with significant retention of food with abdominal distention?

A

NEC (found in DISTAL ILEUM and PROXIMAL ILEUM)

38
Q

Jaundice after 48th hr of life?

A

Physiologic jaundice

39
Q

Jaundice in the first 24 hrs of life?

A

Pathologic jaundice

40
Q

Most common cause of hemolytic disease of the newborn?

A

ABO Incompatibility

Mother is Type O and Baby is Type A or B

41
Q 
Lab result findings:
(+) Direct Coomb's Test
Spherocytes on PBS
Normal to low Hemoglobin
Increased reticulocyte
Increased indirect bilirubin
A

ABO incompatibility

42
Q

Treatment for mother with possible Rh incompatibility?

A

RhoGAM

43
Q

Coomb’s test negative with normal or decreased Hgb and normal reticulocyte count?

A

Indirect Hyperbilirubinemia

44
Q

Presence of glucoronidase in milk is assoc in where?

A

Breast Milk Jaundice

45
Q

Onset of:
Breastfeeding jaundice?
Breastmilk Jaundice?

A

3-4 days of life

After 7th day of life

46
Q

Coob’s test negative with normal or decreased hemoglobin and increased reticulocyte count?

A

Direct hyperbilirubinemia

47
Q

Viruses commonly involved in Neonatal Sepsis?

A

HSV

Enterovirus

48
Q

Age group associated with neonatal sepsis?

A

From birth- 28th day of life

Early: Birth-7th day; Late: 8th-28th day

49
Q

Most common TORCH infection?

A

CMV causing microcephaly

50
Q

2 most common cardiac conditions associated with Rubella?

A

PDA

Pulmonic Stenosis

51
Q

Presents with blueberry muffin rash?

A

Rubella

Pediatrics (4 decks)

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