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Random Notes for Royal College Exam > NICU > Flashcards

NICU Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

What is fetal pO2?

A

25-30mmHg

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2
Q

What closes first the umbilical vein or the arteries?

A

Umbilical arteries close first

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3
Q

What are the acute complications of exchange transfusion?

A
  1. Acidosis
  2. Hypoxia
  3. Symptomatic hypoglycemia
  4. Transient bradycardia w/ or w/out calcium infusion
  5. Cyanosis
  6. Transient vasospasm
  7. Thrombosis
  8. Apnea w/ bradycardia
  9. Death
  10. Infectious risks incld. CMV, HIV, and hepatitis
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4
Q

What are the long term complications of exchange transfusion?

A
  1. Necrotizing enterocolitis (rare)
  2. Portal vein thrombosis
  3. Inspissated bile syndrome
  4. 0.3/100 procedures mortality rate
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5
Q

What is the most common cause of spastic diplegia CP?

A

Prematurity and IVH (PVL)

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6
Q

What is the most common cause of hemiplegia CP?

A

Stroke

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7
Q

What is the most common cause of athetoid/dyskinetic CP?

A

Asphyxia
Kernicterus
Mitochondrial
Genetic/metabolic

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8
Q

Who should receive ROP screening?

A

<1250g or GA <31wks

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9
Q

When should the first eye examination occur for ROP?

A

At 31 weeks cGA or 4 weeks of life whichever is LATER

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10
Q

How long can apnea of prematurity persist until?

A

44 weeks cGA

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11
Q

What are the most common causes of conjugated hyperbilirubinemia in the neonate?

A
  1. Extrahepatic biliary atresia 25%
  2. Idiopathic neonatal hepatitis 25%
  3. Infectious hepatitis i.e. CMV 11%
  4. Parenteral nutrition associated 6%
  5. Metabolic disease (e.g. galactosemia) 4%
  6. Alpha-1-antitrypsin deficiency 4%
  7. Alagille syndrome 1%
  8. Progressive familial intrahepatic cholestasis 1%
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12
Q

What is the most common cause of splenomegaly in a neonate?

A

Portal vein thrombosis

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13
Q

What are the classic clinical features of congenital CMV?

A
  1. IUGR
  2. HSM
  3. Thrombocytopenia
  4. Microcephaly
  5. Periventricular calcifications
  6. SNHL
  7. Chorioretinitis
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14
Q

What are the classic clinical features of congenital syphilis?

A
  1. IUGR
  2. Snuffles
  3. Variable rashes incld palms and soles
  4. Osteitis/perichrondritis
  5. Chorioretinitis
  6. Aseptic meningitis
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15
Q

What are the classic clinical features of congenital toxoplasmosis?

A
  1. Hydrocephalus
  2. Cerebral calcifications
  3. Chorioretinitis
  4. Macrocephaly
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16
Q

What are the classic clinical features of congenital rubella?

A
  1. IUGR
  2. Blueberry muffin rash
  3. HSM
  4. Cataracts
  5. Bone lucencies
  6. Cardiac anomalies (PDA)
  7. SNHL
17
Q

What are the classic clinical features of congenital VZV?

A
  1. Microcephaly
  2. Cicatricial scars
  3. Limb hypoplasia
  4. Microphthalmia
  5. GERD
18
Q

What are the classic clinical features of congenital Zika?

A
  1. Microcephaly
  2. Brain malformations
  3. Macular scars
  4. Contractures
19
Q

What are the features of congenital SLE?

A
  1. Rash
  2. Complete heart block
  3. Thrombocytopenia
  4. Hepatitis

Random Notes for Royal College Exam (23 decks)

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