NICU

Question 1

*Classic triad for congenital toxoplasmosis

Answer 1

Chorioretinitis
Hydrocephalus
Intracranial calcifications

Question 2

Boards question:

Hutchinson triad
Frontal bossing
Saddle nose
High palatal arch

Answer 2

Congenital syphyllis

Question 3

Boards question:

What is Hutchinson triad?

Answer 3

Interstitial keratitis
Malformed teeth
Hutchinson incisors and mulberry molars
CN VIII deafness

*congenital syphyllis

Question 4

Boards topic:

Extra medullary hematopoiesis

Answer 4

Congenital

• Rubella
• CMV
• Neuroblastoma

(blueberry muffin rash)

Question 5

Chorioretinitis

Answer 5

It”s either CMV, Toxoplasmosis, or syphyliis

*just run TORCH panel because infections have overlapping symptoms

Question 6

Worrisome sequelae for CMV

Answer 6

hearing loss

Question 7

*Why do we Tx CMV for 6 weeks?

Answer 7

Prevent hearing loss

Question 8

*Tx for symptomatic congenital CMV infection?

Answer 8

6 weeks

• Ganciclovir
• Valganciclovir

Question 9

Boards:

Higher viral load during mom’s first or second Herpes infection?

Answer 9

First

Question 10

Boards:

Sickest Herpes babies?

Answer 10

Mom’s first infection. Or mom’s first infection, but asymptomatic

Question 11

• How to close patent ductus arteriosus?

Answer 11

NSAIDS

Question 12

*How to keep patent ductus arteriosus patent?

Answer 12

PGE

Question 13

• Exam question: Pulse ox on infants and O2 Sat is set no higher than

Answer 13

70%

O2 toxicity leads to retinal damage and blindness

Question 14

Lowest Ox sat

Answer 14

20%

Room air

Question 15

*Oxygen toxicity leads to

Answer 15

retinal damage and blindness

Question 16

Low APGAR score at 5mins is associated with

Answer 16

Cerebral Palsy