Sick term infant

Question 1

what diseases are routinely screened for prior to 16 weeks gestation? (5)

Answer 1

Rubella IgG
Hep B surface antigen
Syphilis
HIV antibody
Urine culture for asymptomatic bacteruria

Question 2

Describe a typical scenario of neonatal infection (3)

Answer 2

Typically small babies, commoner in first 24 hours, complicated by lack of clear clinical/localizing features

Question 3

Common organisms in neonatal infection (4)

Answer 3

Group B streps
E. coli
Listerio
Haemophilus influenzae

Question 4

clinical red flag indicators (4)

Answer 4

Respiratory distress
Seizures
Need for mechanical ventilation
Shock

Question 5

Blind treatment of neonatal sepsis (2)

Answer 5

Penicillin + gentamicin or cefotaxime/cefuroxime

Question 6

Lung problems in newborn (2)

Answer 6

Transient tachypnoea

Pneumothorax (spontaneous,or secondary to resuscitation)

Question 7

Common causes of hydrops foetalis (2)

Answer 7

Rhesus disease

parvovirus

Question 8

What is Potter’s syndrome? (3)

Answer 8

typical physical appearance as a result of oligohydramnios, typically caused by bilateral renal agenesis

Question 9

What are the features of meconium aspiration syndrome?

Answer 9

Respiratory distress, commoner in post-term deliveries