Multiple Choice Questions (MCQ)

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Category: Emergency Medicine--->Paediatric Emergencies
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Question 1# Print Question

Regarding normal physiological changes in the neonate, which ONE of the following is INCORRECT?

A. A neonate will lose approximately 10% of its birth weight in the first week of life
B. Newborns gain approximately 30 g of weight per day for the first 3 months of life
C. If exclusively breastfed, a normal stooling pattern would range from one stool per day to one per week
D. A neonatal heart rate of 200 bpm is indicative of serious pathology

Question 2# Print Question

Regarding jaundice in the newborn period, which ONE of the following is TRUE?

A. Breastmilk jaundice is a common complication in the first 24–48 hours of neonatal life
B. Criggler-Najjaar syndrome carries a good prognosis
C. Jaundice can occur in the setting of pyloric stenosis
D. Glucose-6-phosphate dehydrogenase deficiency is likely if conjugated bilirubin is elevated

Question 3# Print Question

Regarding neonatal sepsis and meningitis, which ONE of the following is INCORRECT?

A. Neonatal meningitis is commonly caused by GBS, Escherichia coli, Listeria monocytogenes, Streptococcus pneumoniae, other streptococci and non-typable Haemophilus influenzae
B. Neonatal meningoencephalitis may be part of the spectrum of cytomegalovirus (CMV) intrauterine infections
C. ‘Redness around umbilicus extending to the skin’ and ‘not able to feed’ are regarded as criteria used in the diagnosis of potential neonatal sepsis
D. Neonatal cerebrospinal fluid (CSF) examination with elevated protein, leukocyte or glucose levels is always indicative of infection

Question 4# Print Question

A 10-day-old neonate presents to the emergency department (ED) with cardiorespiratory collapse.

Which ONE of the following conditions is unlikely to be the underlying aetiology?

A. Urea cycle disorder
B. Gut malrotation
C. Neonatal withdrawal syndrome
D. Anaemia

Question 5# Print Question

Which ONE of the following criteria is included in the definition of systemic inflammatory response syndrome (SIRS) in neonates and children?

A. A white cell count (WCC) >12,000/µL or <4,000/µL, or >10% bands
B. A heart rate of more than 90 beats per minute
C. A systolic blood pressure (BP) that is lower than two standard deviations for age
D. In children <1 year old: bradycardia, defined as a mean heart rate

Category: Emergency Medicine--->Paediatric Emergencies
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