General Pediatrics Neonatology
A newborn with HR of 90/min, crying, body pink, limb blue, limp & grimace
respiration on stimulation. The Apgar score is (Oct 2015) (Dec 2015) (2018)
A- 3 B- 5
C- 7 D- 9
A neonate with heart rate of 90/min, crying, body pink limbs blue, grimace with
stimulation. What is degree of Apgar? (Oct 2016) (Dec 2016)
A- 3 B- 5
C- 7 D- 9
A newborn present with HR < 100, No respiratory effort, Non response to nasal
catheter, central cyanosis. Apgar score is (2014)
A- 1 B- 2
C- 3 D- 4
Considering drugs used in neonatal resuscitation, which of the following is false
(2013)
A- NaHCO3 B- Naloxone
C- KCl D- Adrenaline
Apgar score is done at birth (Oct 2018)
A- After 1 min B- At 5 min
C- After 10 min D- A & B
A neonate with Apgar score 4 at birth you advice ambu bag but it is a great
mistake because the diagnosis is: (Dec 2015)
A- RDS B- Suction is not sufficient
C- Diaphragmatic hernia D- Asphyxia
A term infant is warmed, dried, and suctioned. After tactile stimulation, there is
minimal respiratory effort, and a heart rate of 86 / minute. Bag & mask ventilation
is performed for 30 seconds, the heart rate increases to 100 /min, the next step is:
A- Administer sodium bicarbonate B- Continue bag/mask ventilation
C- Begin chest compressions D- Observes for spontaneous respiration
At 43 weeks gestation, a long, thin infant is delivered. The infant is apneic, limp,
pale and covered with pea soup amniotic fluid. The first step in the resuscitation of
this infant at delivery room should be:
A- Suction of the trachea under direct vision
B- Artificial ventilation with bag & mask
C- Artificial ventilation with endotracheal tube
D- Administration of 100% oxygen by mask
E- Catheterization of the umbilical vein
Apgar score
A- Heart rate > 100 scored 1
B- Grimace scored zero
C- Cyanosis scored 2
D- None of the above
( 131 )
,General Pediatrics Neonatology
In a normal 6 months old infant, the following reflexes are present (Oct 2015)
A- Palmar grasp reflex B- Ankle reflex
C- Startle reflex D- Suckling reflex
E- Rooting reflex
The 1st neonatal reflex that disappears after birth is (Oct 2019)
A- Stepping & Placing B- Palmar grasp
C- Suckling & Rooting D- Tonic neck reflex
Neonatal reflexes
A- CP is associated with absent reflexes at their usual time
B- Asymmetrical reflex indicates mental retardation
C- Moro reflex can't be elicited beyond the neonatal period
D- Placing reflex usually disappear after the 6th week
Following a difficult labor, unilateral Moro reflex is a sign of (2013)
A- Prematurity B- Cephalohematoma
C- Fracture clavicle D- Facial palsy
The following reflex or reaction may be demonstrated in a normal 9 month old
infant (2014)
A- Moro reflex B- Stepping reflex
C- Parachute reflex D- Palmar grasp reflex
Moro reflex can be elicited beyond the neonatal period ( T ) (Oct 2018)
A symmetric neonatal reflex indicates mental retardation ( F ) (Dec 2018)
Placing reflex usually disappears after 6th week ( T ) (Dec 2019)
( 132 - 133 )
, General Pediatrics Neonatology
The following statements apply to a cephalohematoma in the newborn
(2014) (Dec 2016)
A- It usually manifested immediately after birth
B- The hematoma is formed beneath the periosteum
C- A common site is over the frontal bone
D- The treatment of choice is aspiration
E- Usually disappears by the age of four weeks
Considering cephalohematoma which statement is false (Dec 2018)
A- Swelling crosses the suture lines B- Not present at birth
C- Needs weeks to disappear D- May need treatment if there is anemia
A newborn is noted to have a right parietal cephalhematoma. Which suture lines
does the swelling obliterate? (Oct 2014)
A- Right occipital B- Right parietal
C- All of the above D- None of the above
The characteristic of the cephalohematoma, except (Oct 2018)
A- Subperiosteal B- Bounded by margin of bone
C- Resolve by 48 hours D- Soft tissue swelling
A full term newborn baby was delivered by normal vaginal delivery. On
examination; he had diffuse edematous swelling of the head that was extending
across the suture lines. The most likely diagnosis is:
A- Moulding B- Cephalohematoma
C- Subdural hematoma D- Caput succedaneum
---------------------------------------------------------------------------------------------------------------------
The commonest intracranial hemorrhage in a preterm is
A- Extradural hge B- Periventicular/Intraventricular hge
C- Subdural hge D- Intracerebral hge
( 134 - 135 )
A newborn with HR of 90/min, crying, body pink, limb blue, limp & grimace
respiration on stimulation. The Apgar score is (Oct 2015) (Dec 2015) (2018)
A- 3 B- 5
C- 7 D- 9
A neonate with heart rate of 90/min, crying, body pink limbs blue, grimace with
stimulation. What is degree of Apgar? (Oct 2016) (Dec 2016)
A- 3 B- 5
C- 7 D- 9
A newborn present with HR < 100, No respiratory effort, Non response to nasal
catheter, central cyanosis. Apgar score is (2014)
A- 1 B- 2
C- 3 D- 4
Considering drugs used in neonatal resuscitation, which of the following is false
(2013)
A- NaHCO3 B- Naloxone
C- KCl D- Adrenaline
Apgar score is done at birth (Oct 2018)
A- After 1 min B- At 5 min
C- After 10 min D- A & B
A neonate with Apgar score 4 at birth you advice ambu bag but it is a great
mistake because the diagnosis is: (Dec 2015)
A- RDS B- Suction is not sufficient
C- Diaphragmatic hernia D- Asphyxia
A term infant is warmed, dried, and suctioned. After tactile stimulation, there is
minimal respiratory effort, and a heart rate of 86 / minute. Bag & mask ventilation
is performed for 30 seconds, the heart rate increases to 100 /min, the next step is:
A- Administer sodium bicarbonate B- Continue bag/mask ventilation
C- Begin chest compressions D- Observes for spontaneous respiration
At 43 weeks gestation, a long, thin infant is delivered. The infant is apneic, limp,
pale and covered with pea soup amniotic fluid. The first step in the resuscitation of
this infant at delivery room should be:
A- Suction of the trachea under direct vision
B- Artificial ventilation with bag & mask
C- Artificial ventilation with endotracheal tube
D- Administration of 100% oxygen by mask
E- Catheterization of the umbilical vein
Apgar score
A- Heart rate > 100 scored 1
B- Grimace scored zero
C- Cyanosis scored 2
D- None of the above
( 131 )
,General Pediatrics Neonatology
In a normal 6 months old infant, the following reflexes are present (Oct 2015)
A- Palmar grasp reflex B- Ankle reflex
C- Startle reflex D- Suckling reflex
E- Rooting reflex
The 1st neonatal reflex that disappears after birth is (Oct 2019)
A- Stepping & Placing B- Palmar grasp
C- Suckling & Rooting D- Tonic neck reflex
Neonatal reflexes
A- CP is associated with absent reflexes at their usual time
B- Asymmetrical reflex indicates mental retardation
C- Moro reflex can't be elicited beyond the neonatal period
D- Placing reflex usually disappear after the 6th week
Following a difficult labor, unilateral Moro reflex is a sign of (2013)
A- Prematurity B- Cephalohematoma
C- Fracture clavicle D- Facial palsy
The following reflex or reaction may be demonstrated in a normal 9 month old
infant (2014)
A- Moro reflex B- Stepping reflex
C- Parachute reflex D- Palmar grasp reflex
Moro reflex can be elicited beyond the neonatal period ( T ) (Oct 2018)
A symmetric neonatal reflex indicates mental retardation ( F ) (Dec 2018)
Placing reflex usually disappears after 6th week ( T ) (Dec 2019)
( 132 - 133 )
, General Pediatrics Neonatology
The following statements apply to a cephalohematoma in the newborn
(2014) (Dec 2016)
A- It usually manifested immediately after birth
B- The hematoma is formed beneath the periosteum
C- A common site is over the frontal bone
D- The treatment of choice is aspiration
E- Usually disappears by the age of four weeks
Considering cephalohematoma which statement is false (Dec 2018)
A- Swelling crosses the suture lines B- Not present at birth
C- Needs weeks to disappear D- May need treatment if there is anemia
A newborn is noted to have a right parietal cephalhematoma. Which suture lines
does the swelling obliterate? (Oct 2014)
A- Right occipital B- Right parietal
C- All of the above D- None of the above
The characteristic of the cephalohematoma, except (Oct 2018)
A- Subperiosteal B- Bounded by margin of bone
C- Resolve by 48 hours D- Soft tissue swelling
A full term newborn baby was delivered by normal vaginal delivery. On
examination; he had diffuse edematous swelling of the head that was extending
across the suture lines. The most likely diagnosis is:
A- Moulding B- Cephalohematoma
C- Subdural hematoma D- Caput succedaneum
---------------------------------------------------------------------------------------------------------------------
The commonest intracranial hemorrhage in a preterm is
A- Extradural hge B- Periventicular/Intraventricular hge
C- Subdural hge D- Intracerebral hge
( 134 - 135 )
