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Test 12: Infection

  1. What is the risk of infection in the newborn infant?
    • The same as in a older child
    • The same as in an adult
    • More than in an older child or adult
    • Less than in an older child or adult
  2. Which immunoglobulin does the fetus receive from its mother?
    • IgA
    • IgG
    • IgM
    • IgE
  3. Vernix should be washed off:
    • Immediately after delivery
    • Between 6 and 12 hours after delivery
    • Only if the infant is soiled with meconium or stool
    • The face only to prevent it burning the eyes
  4. Chlamydia trachomatis is a common cause of:
    • Conjunctivitis
    • Cord infection
    • Skin infection
    • Septicaemia
  5. Severe gonococcal conjunctivitis should be treated with:
    • Parenteral cefotaxime or ceftriaxone plus irrigation of the eye
    • Parenteral penicillin only
    • Penicillin eye drops only
    • Chloromycetin ointment only
  6. Prevention of umbilical cord infection is best achieved by:
    • Covering the cord with a bandage
    • Cleaning the cord with surgical spirits or 4% chlorhexidine
    • Applying antibiotic powder to the cord
    • Applying antibiotic ointment to the cord
  7. Tetanus presents with:
    • Paralysis
    • Purpura
    • Muscle spasms (convulsions)
    • A distended abdomen
  8. Bullous impetigo is usually caused by:
    • Gonococcus
    • E. coli
    • Group B Streptococcus
    • Staphylococcus
  9. A monilial nappy rash due to Candida should be treated by:
    • Applying ‘baby powder’
    • Keeping the area covered
    • Applying mycostatin cream
    • Giving an antibiotic
  10. If a bottle-fed infant has oral thrush, the bottles should be:
    • Boiled
    • Soaked in Milton or Jik
    • Thrown away after each feed
    • Washed with tap water
  11. Septicaemia commonly presents with:
    • Lethargy and hypothermia
    • Jitteriness and fever
    • Respiratory distress
    • Convulsions
  12. Meningitis in a newborn infant usually presents with:
    • Neck stiffness
    • Irritability
    • A full fontanelle
    • Jaundice
  13. Necrotising enterocolitis presents with:
    • Grunting and recession
    • Abdominal distension
    • Convulsions
    • Constipation
  14. Chorioamnionitis:
    • Only occurs when the membranes have been ruptured for at least 24 hours.
    • Only occurs after repeated vaginal examination.
    • May occur with intact membranes.
    • Is rare.
  15. Chorioamnionitis is a common cause of:
    • Necrotising enterocolitis
    • Jaundice
    • A skin rash at birth
    • Preterm labour
  16. Congenital syphilis may present at birth with:
    • Blisters on the hands and feet
    • Deafness and blindness
    • Congenital malformations
    • Conjunctivitis
  17. Infants born with clinical signs of congenital syphilis usually have:
    • A small placenta
    • An infarcted placenta
    • A heavy placenta
    • A healthy placenta
  18. Which of the following tests in a low birth weight infant with hepatosplenomegaly will confirm a clinical diagnosis of congenital syphilis?
    • High white cell count in the peripheral blood
    • Positive blood culture
    • Positive VDRL test
    • Pus cells in the gastric aspirate at birth
  19. An infant presenting with signs of congenital syphilis should be treated with:
    • Oral penicillin
    • Benzathine penicillin weekly for 3 weeks
    • Benzyl penicillin 6 hourly for 5 days
    • Procaine penicillin daily for 10 days
  20. How can medical and nursing staff avoid becoming infected with HIV virus?
    • Wash their hands after handling infants.
    • Always place needles and lancets in a sharps container immediately after use.
    • Take a 10 day course of penicillin if they prick themselves while taking blood.
    • Get immunised against the hepatitis B virus.