Pediatrics - Neonatology flash cards

Question 1

What is the order of disappearance of APGAR signs in a sick baby?

Answer 1

Color, Respiration, Muscle Tone, Reflex, Cardiac

Question 2

What is the order of return of APGAR signs in a resuscitated baby?

Answer 2

Cardiac, Color, Respiration, Reflex, Muscle Tone

Question 3

What are the EINC steps (in correct order)?

Answer 3

Drying, Skin to skin contact, Cord clamping, Non-separation

Question 4

How long is the baby dried after delivery?

Answer 4

30 seconds

Question 5

What room and body temperatures are essential for newborns?

Answer 5

Room 25-28, Baby 36.5-37.5

Question 6

When is it appropriate to clamp the umbilical cord of the baby?

Answer 6

After 2-3 minutes or after pulsations stop

Question 7

When is it appropriate to bathe the baby?

Answer 7

6th hour of life

Question 8

When is it ideal to do newborn screening on preterm infants?

Answer 8

5-7 days old

Question 9

Aside from G6PD def, what other NBS diseases is jaundice seen?

Answer 9

Congenital Hypothyroidism, Galactosemia

Question 10

What enzyme is deficient in classic galactosemia?

Answer 10

galactose-1-uridyltransferase

Question 11

What enzyme is deficient in phenylketonuria?

Answer 11

phenylalanine hydroxylase

Question 12

What enzyme is deficient in Maple Syrup Urine Disease?

Answer 12

Branched-chain alpha keto-acid dehydrogenase complex

Question 13

What do you call the vasomotor response to cold stress, with a lacey pattern similar to cobblestones?

Answer 13

Cutis Marmorata

Question 14

Where are salmon patches seen?

Answer 14

Eyelids, Glabella, Nuchal Area

Question 15

Which bleed is associated with vacuum delivery, and can extend to orbit and subcutaneous tissues of neck?

Answer 15

Subgaleal Hemorrhage

Question 16

Moro reflex lasts up to what age?

Answer 16

4-6 months old

Question 17

What is the most commonly fractured bone during delivery?

Answer 17

Clavicle

Question 18

What is a coloboma?

Answer 18

Congenital defect of eyes (notch/cleft in lens, iris, retina)

Question 19

What age do you reassess a hydrocele if it needs to be surgically corrected?

Answer 19

12 months old

Question 20

If cryptorchid testis doesn’t descend by this age, it probably won’t descend anymore.

Answer 20

4 months

Question 21

Age when you surgically correct cryptorchidism?

Answer 21

not later than 9-15 months of age

Question 22

Definition of IUGR?

Answer 22

less than 3rd percentile for calculated age of gestation

Question 23

Definition of large for gestational age?

Answer 23

more than 90th percentile for age of gestation

Question 24

Most common cause of persistent pulmonary hypertension of the newborn?

Answer 24

Meconium aspiration syndrome

Question 25

Greatest risk factor for necrotizing enterocolitis?

Answer 25

Prematurity

Question 26

Usual onset of necrotizing enterocolitis?

Answer 26

1st 2 weeks of life (3 months for very low birth weight)

Question 27

What X-ray finding confirms presence of necrotizing enterocolitis?

Answer 27

Pneumatosis intestinalis

Question 28

What type of hyperbilirubinemia is always pathologic?

Answer 28

Conjugated (direct)

Question 29

What is the most common cause of hemolytic disease of the newborn?

Answer 29

ABO incompatibility

Question 30

What is given to the mother after delivery to prevent Rh+ sensitization?

Answer 30

Anti-D gamma globulin (RhoGAM)

Question 31

What are the common organisms involved in neonatal sepsis?

Answer 31

GBS, E. coli, Listeria, HSV, enterovirus

Question 32

What is the most common congenital infection?

Answer 32

Cytomegalovirus

Question 33

What is the treatment for congenital Toxoplasmosis?

Answer 33

Pyrimethamine and Sulfonamide

Question 34

What is the treatment for congenital CMV?

Answer 34

Ganciclovir

Question 35

Where do you see chorioretinitis, intracranial calcifications, hydrocephalus, hepatitis and IUGR?

Answer 35

Congenital toxoplasmosis