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Test 13: Trauma and bleeding

  1. What is a caput succedaneum?
    • A fracture of the skull
    • Scalp oedema
    • A bleed into the brain
    • A bleed into the abdomen
  2. What is a cephalhaematoma?
    • A bleed into the subaponeurotic space of the scalp
    • A bleed into the subdural space
    • A bleed under the periosteum of the parietal bone
    • A bleed into the brain
  3. What is the management of a cephalhaematoma?
    • Aspiration (removing the blood)
    • Application of a compression bandage
    • Antibiotics
    • Reassurance of the parents
  4. A subaponeurotic haemorrhage:
    • May cross the midline.
    • Never crosses the midline.
    • Does not cause pallor and shock.
    • Is common.
  5. A traumatic forceps delivery may cause:
    • A periventricular haemorrhage
    • Haemorrhagic disease of the newborn
    • Brachial palsy
    • Subaponeurotic haemorrhage
  6. A facial palsy:
    • Usually recovers spontaneously after a few days.
    • Usually only recovers after a few months.
    • Usually requires surgical decompression of the facial nerve.
    • Usually does not recover.
  7. In an infant with a facial palsy:
    • The infant is able to close the eye tightly on the side of the palsy.
    • The mouth pulls to the side of the palsy.
    • The mouth pulls away from the side of the palsy.
    • The infant is unable to suck.
  8. A brachial palsy is most commonly seen in:
    • Preterm infants born by vaginal delivery
    • Large infants with impacted shoulders
    • Infants born by elective Caesarean section
    • Infants delivered by vacuum extraction
  9. What is the treatment of a brachial palsy?
    • Keep the arm above the head.
    • Passively move the arm a few times each day.
    • Strap the arm to the chest.
    • Treat pain with an analgesic (paracetamol).
  10. Bruising of the face after delivery:
    • Is an important sign of brain haemorrhage.
    • Is an indication for urgent transferral to a hospital.
    • Is usually caused by haemorrhagic disease.
    • Is commonly caused by an umbilical cord wound tightly around the neck.
  11. Thrombocytopaenia means:
    • Too few platelets in the blood
    • Too many platelets in the blood
    • A normal number but abnormal function of platelets in the blood
    • A decreased amount of clotting factors in the blood
  12. A decreased number of platelets in the blood may be caused by:
    • Hypoglycaemia
    • Preterm delivery
    • Septicaemia
    • Jaundice
  13. Antibodies can cross the placenta from the mother to the fetus and result in:
    • A low platelet count
    • An increased platelet count
    • A decreased level of clotting factors
    • An increased level of clotting factors
  14. Which drug can cross the placenta and cause bleeding in the infant at birth by decreasing the clotting factors?
    • Paracetamol (Panado)
    • Heparin
    • Warfarin
    • Penicillin
  15. Disseminated intravascular coagulo­pathy (DIC) causes bleeding due to:
    • A decreased production of clotting factors
    • An increased consumption (using up) of clotting factors
    • A decreased production of platelets
    • Leaking blood vessels
  16. Haemorrhagic disease of the newborn is caused by lack of:
    • Vitamin A
    • Vitamin C
    • Vitamin E
    • Vitamin K
  17. Konakion should be given at birth:
    • Only to infants at high risk of bleeding
    • Only to preterm infants
    • Only to infants born in hospital
    • To all infants
  18. Konakion should be injected into the infant’s:
    • Buttock
    • Lateral thigh
    • Upper arm
    • Scalp
  19. Haemorrhagic disease of the newborn usually presents with:
    • Blood in the stool and vomitus
    • Purpura
    • Jaundice
    • Cephalhaematoma
  20. Bleeding in haemophilia is due to:
    • Decreased platelets
    • Lack of clotting factor 8
    • Fragile blood vessels
    • Lack of vitamin K