Mcq for neonatology

5,593 views

Published on

0 Comments
4 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
5,593
On SlideShare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
242
Comments
0
Likes
4
Embeds 0
No embeds

No notes for slide

Mcq for neonatology

  1. 1. MCQ for neonatolgy• Dr Varsha Atul Shah
  2. 2. 1.During delivery of an infant who has anestimated gestational age of 42 weeks, younote that the amniotic fluid looks like pea soupand contains thick particles of meconium.Of the following, the MOST important initial stepin resuscitation of the infant is toA. dry the baby and stimulate if baby is flatB. determine the Apgar scoreC. initiate tracheal intubationD. provide positive pressure ventilationE. suction the hypopharynx
  3. 3. 2. A newborn is delivered by emergencycesarean section because of fetal distressfollowing acute abruption of the placenta. Theinfant is resuscitated and transferred to thenursery. On physical examination, she appearspale, and her extremities are cold to touch. Thecapillary refill is 8 seconds. Results of an arterialblood gas analysis show a Po2 of 48 mm Hg. Ofthe following, the MOST likely additional finding isA. decreased bicarbonate concentrationB. hypercalcemiaC. hyperglycemiaD. hyponatremiaE. normal anion gap
  4. 4. 3. An infant is born at 27 weeks gestationfollowing a pregnancy complicated by pretermlabor that progressed despite administration of atocolytic agent.Of the following, the most appropriate INITIALmanagement is toA. measure transcutaneous oxygen saturationB. perform endotracheal intubationC. place an umbilical arterial catheterD. place the infant in an open bed warmerE. provide nasal continuous positive airwaypressure
  5. 5. 4. Of the following, the condition that is MOST likely to present with seizures during the first 24 hours of life isA .fetal alcohol syndromeB .herpes simplex infectionC. hypoxic-ischemic encephalopathyD. organic acidemiaE. urea cycle defect
  6. 6. 5. A term infant is placed under a radiant warmer,the skin is dried, and the oropharynx and nose aresuctioned. After tactile stimulation, there is minimalrespiratory effort, dusky color, and a heart rate of 86beats/min. Bag/mask ventilation is performed for 30seconds with 100% oxygen at a rate of 40 to 60breaths/min. The heart rate increases to 100 beats/min.Of the following, the NEXT best step is to:A. administer sodium bicarbonateB. continue bag/mask ventilation at a rate of 20 to40 breaths/minC .continue ventilation and begin chestcompressionsD. observes for spontaneous respiration anddiscontinues ventilationE. perform endotracheal intubation
  7. 7. 6. At birth, a newborn infant is noted to have the following findings: heart rate – 70/min, respiratory effort – poor and irregular, limp, no reflex irritability, blue all over the body. The Apgar score of the baby at this point is• 1• 2• 4• 5

×