Disorders of the Newborn

• Q1.A forceps delivered premature baby develops fever, abnormal behavior, bulging fontanelle 5 days after birth. What is the likely causative organism?

  • ANeisseria meningitidis
  • BListeria monocytogenes
  • CStaph aureus
  • DPneumococcus
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• Q2.Most common cause of neonatal seizures is

  • ASepsis
  • BHypoxic ischemic encephalopathy
  • CBacterial meningitis
  • DHypoglycemia
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• Q3.Children born to mothers with SLE are likely to have one of the following anomalies?

  • AASD
  • BTOF
  • CTGA
  • DComplete heart block
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• Q4.A term neonate, with a birth weight of 2700 g, who is otherwise well, and is exclusively breastfed, presents for routine evaluation. His total serum bilirubin is found to be 14mg/dl on day 5. What is the management?

  • APhototherapy
  • BExchange transfusion
  • CStop breastfeeding for 2 days
  • DNo active treatment required
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• Q5.Medical management of kernicterus is :

  • ASulfonamide
  • BErythromycin
  • CPhenobarbitone
  • DPhenytoin
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• Q6.Trans-placental spread is least associated with?

  • AHSV
  • BRubella
  • CHBV
  • DHIV
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• Q7.After 3 days of birth, the base of the umbilical cord is red and swollen. It indicates

  • ANormal phenomenon
  • BCHF
  • CInfection
  • DClotting factor deficiency
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• Q8.Fetal and maternal blood can be differentiated by

  • AKleihaurbetke test
  • BApt test
  • CBubbling test
  • DOsmotic fragility test
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• Q9.5day baby full term breast fed with bilirubin 14mg Idl weight is 2700g what should be done next ?

  • ANormal newborn care
  • BPhototherapy
  • CExchange transfusion
  • Dstop breastfeeding
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• Q10.Pathological jaundice in neonates, criteria include all Except

  • A24 hours later but within 72 hours
  • BMore than 14 days persistence
  • C> 2mg / dl conjugated bilirubin
  • DClay colored stool
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Answer key

Q1: B. Listeria monocytogenes; Q2: B. Hypoxic ischemic encephalopathy; Q3: D. Complete heart block; Q4: D. No active treatment required; Q5: C. Phenobarbitone; Q6: A. HSV; Q7: C. Infection; Q8: B. Apt test; Q9: A. Normal newborn care; Q10: A. 24 hours later but within 72 hours.

Other topics in Paediatrics

• Neonatology Basics and Routine Newborn Care
• Neonatal Conditions Requiring Special Care
• Apgar Scoring and Neonatal Resuscitation
• Milestones of Development
• Patterns of Growth and Development
• Infant Nutrition and Breastfeeding
• Protein-Energy Malnutrition
• Fat-Soluble Vitamin Deficiencies
• Water-Soluble Vitamin and Trace Element Deficiencies
• Disorders of Fluid and Electrolyte Balance
• Mendelian and Non-Mendelian Inheritance Disorders
• Chromosomal Abnormalities
• Inborn Errors of Amino Acid Metabolism
• Urea Cycle, Complex Molecule and Carbohydrate Metabolic Disorders
• Poliomyelitis and HIV/AIDS
• Bacterial and Parasitic Infections in Children
• Measles, Mumps, Rubella and Other Viral Illnesses
• Surgical GI Conditions in Children
• Medical GI Conditions in Children
• Paediatric Liver Disorders
• Respiratory Disorders of the Newborn
• Respiratory Disorders in Childhood
• Fetal Circulation
• Acyanotic Congenital Heart Disease
• Cyanotic Congenital Heart Disease
• Nephrology in Children
• Urology in Children
• Disorders of the Paediatric Nervous System
• Thyroid Disorders in Children
• Congenital Adrenal Hyperplasia and Allied Adrenal Disorders
• Pituitary Gland Disorders
• Pubertal Disorders
• Paediatric Haemato-oncology
• Childhood Solid Tumours
• Musculoskeletal Disorders in Children
• Rheumatological Disorders in Children
• Paediatric Haematology: Bleeding and Clotting Disorders
• Paediatric Anaemias