Friday, March 5, 2010

44 - Neonatology Mcqs - part 1

1q: All of the following are features of prematurity in a neonate except
a. No creases on sole
b. Abundant lanugo
c. Thick ear cartilage
d. Empty scrotum


2q: All of the following therapies may be required in one hour old infant with severe birth asphyxia except
a. Glucose
b. Dexamethasone
c. Calcium gluconate
d. Normal saline


3q: Appropriate therapy for neonate wiith vaginal bleeding on 4th day of life
a. Administration of vitamin K
b. Investigate the case for bleeding disorder
c. Use of FFP
d. No specific therapy


4q: In unconjugated hyperbilirubinemia, kernicterus increases with the use of
a. Ceftriaxone
b. Phenobarbitone
c. Ampicillin
d. Sulphonamides


5q: A 25 year old woman had premature rupture of membrane and delivered male child who was lethargic and apneoic on first day of birth and went into shock. The mother had previous history of abortion 1 year back. On vaginal swab culture, growth of beta haemolytic colonies on blood agar was found. On staining these were found to be gram positive cocci. Which of the following is most likely diagnosis?
a. Streptococcus pyogenes
b. Streptococcus agalactiae
c. Peptostreptococci
d. E.faecium


6q: Neonate presents with jaundice and clay white stools. On liver biopsy giant cells are seen. Most likely diagnosis is
a. Physiological jaundice
b. Neonatal hepatitis with extrabiliary atresia
c. Neonatal hepatitis with physiological jaundice
d. Extrabiliary atresia


7q: Most common cause of cholestatic jaundice of newborn is
a. Hypoplasia of biliary tract
b. Neonatal hepatitis
c. Choledochal cyst
d. Physiological jaundice


8q: A newborn has drooling after feeds. He has respiratory distress and froth at mouth. Diagnosis is
a. Tracheo-oesophageal fistula
b. TOF
c. Respiratory distress syndrome
d. None of the above


9q: Full term small for date babies are at high risk for
a. Hypoglycemia
b. IVH
c. Bronchopulmonary dysplasia
d. Hyperthermia


10q: True statement regarding IUGR babies is
a. Hepatomegaly is due to fatty infiltration
b. Head circumference is 3 cm greater than chest circumference
c. HMD is common
d. Hypothermia does not occur due to good shivering mechanism



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