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Test 5: Management of important problems

  1. What is the definition of jaundice?
    • An increase in the concentration of bilirubin in the serum
    • The yellow discolouration of the skin due to deposits of bilirubin
    • A general feeling of nausea and lethargy
    • Yellow skin due to eating carrots
  2. Jaundice between day 2 and 7 is:
    • Always abnormal
    • Usually a sign of haemolytic disease
    • Always treated with phototherapy
    • Common in normal, healthy infants
  3. Jaundice is commonest in:
    • Preterm infants
    • Term infants
    • Post-term infants
    • Underweight-for-gestational-age infants
  4. What is the cause of haemolytic disease of the newborn?
    • Lack of vitamin K
    • Bacteria crossing the placenta from the mother to the fetus
    • A cephalhaematoma or bruising
    • Damage to fetal red blood cells caused by maternal antibodies
  5. ABO haemolytic disease is likely in the following combination of blood groups:
    • The mother is A and the infant is B
    • The mother is A and the infant is O
    • The mother is O and the infant is A
    • The mother is O and the infant is O
  6. Anti-D immunoglobulin should be given after delivery, miscarriage or placental abruption to:
    • All women
    • All women who have had a previous infant with Rhesus haemolytic disease
    • All Rhesus-positive women
    • All Rhesus-negative women
  7. Phototherapy acts by:
    • Making bilirubin water soluble
    • Conjugating bilirubin
    • Stimulating the liver
    • Changing bilirubin to stercobilin
  8. Severe Gonococcal conjunctivitis should be treated with:
    • Parenteral penicillin and irrigation of the eye
    • Parenteral penicillin only
    • Penicillin eye drops only
    • Chloromycetin ointment only
  9. Tetanus presents with:
    • Paralysis
    • Purpura
    • Muscle spasms
    • A distended abdomen
  10. How should a monilial nappy rash caused by Candida be treated?
    • Apply ‘baby powder’
    • Keep the area covered
    • Apply mycostatin cream
    • Give an antibiotic
  11. Septicaemia in the newborn infant commonly presents with:
    • Lethargy and hypothermia
    • Jitteriness and fever
    • Respiratory distress
    • Convulsions
  12. How may congenital syphilis present at birth?
    • Blisters on the hands and feet
    • Deafness and blindness
    • Congenital abnormalities
    • Conjunctivitis
  13. Infants born with clinical signs of congenital syphilis usually have:
    • A small placenta
    • An infarcted placenta
    • A heavy placenta
    • A healthy placenta
  14. An infant presenting with clinical 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
  15. What is the risk of an infant being infected with HIV if the mother is HIV positive and no antiretroviral prophylaxis is used?
    • 25%
    • 50%
    • 75%
    • 100%
  16. 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
  17. A brachial plexus injury (Erb’s 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
  18. Haemorrhagic disease of the newborn is caused by lack of:
    • Vitamin A
    • Vitamin C
    • Vitamin E
    • Vitamin K
  19. 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
  20. What is a common cause of convulsions in newborn infant?
    • Fetal hypoxia
    • Hypothermia
    • Haemorrhagic disease
    • Haemolytic disease