Torso

Question 1

True or False? Coughing in the newborn is a normal finding.

Answer 1

False. Coughing is extremely unusual in neonates and can indicate serious abnormality (i.e. Chlamydia)

Question 2

When should a heart murmur be investigated in neonatal life?

Answer 2

Present immediately after birth (often a sign of an abnormal cardiac valve)

Accompanied by cyanosis

Accompanied by evidence of poor perfusion (delayed capillary refill)

Louder than Grade 2

Accompanied by tachypnea

Persistent after the 2nd day of life

Question 3

What is diastasis recti?

Answer 3

Midline gap between the abdominal rectus muscles

Question 4

Describe an omphalocele.

Answer 4

Abdominal contents that pass through a periumbilical defect near the umbilical cord.

Covered with a membrane that encloses the viscera.

Question 5

How does gastroschisis differ from an omphalocele?

Answer 5

NOT covered by a membrane and is not associated with other anomalies or chromosomal abnormalities.

Question 6

What is prune belly syndrome?

Answer 6

Absence of anterior abdominal wall musculature, urinary tract anomalies, and cryptorchidism.

Question 7

What does delayed separation of the umbilical cord possibly indicate?

Answer 7

Separation >1 month of age can occur in infants with neutrophil chemotactic defects leading to recurrent, serious bacterial infections

Leukocyte adhesion deficiency