NCC Exam Practice Questions and Correct Answers With Complete Verified Solution, Over 500 Q&A

NCC Exam Practice Questions and Correct Answers With Complete Verified Solution, Over 500 Q&A Which of the following is a gram negative rod? E. Coli Which if the following could have a tentative identification of "cocci in chains"? Streptococcus Which antibiotic best treats Chlamydia? Erythromycin Dark blue or magenta colored papules or nodules (blue berry muffin sign) sometimes seen with congenital CMV are a result of what? Extramedullary dermal erythropoiesis Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the? Left Alkalosis shifts the oxy-hemoglobin dissociation curve to the? Left Which of the following is NOT a problem that can occur with chronic lasix therapy? Metabolic acidosis When performing a needle aspiration for a pneumothorax, the needle should be places where? Above the rib Which of the following is NOT a reason to use flucytosine in conjunction with amphotericin B? The incidence of adverse effects is decreased A 33 week gestation infant displays the following characteristics at one minute of age: HR 90 No respiratory effort Some flexion of extremities Weak reflex irritability Blue and pale 3 A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many meq/kg/day of Na+ is the infant receiving from flushes? 1 meq/kg/day An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a 1500 gram infant receving? 8 mg/kg/minutes When doing an LP, what is the most appropriate interspace? L4-5 Low umbilical artery catheters should be places where? L3-4 Soft tissue on an overpenetrated CXR will look? dark In utero blood going through the patent ductus arteriosus travels which direction? right to left A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2 requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting through the PDA is most likely being shunted which direction? left to right A full term infant presents with cyanosis that does not respond to O2 in the delivery room and a single S2 is also noted. Which of the following defects does the infant most likely have? Pulmonary atresia S1 is best heard where? apex The CXR of an infant with hypoplastic left heart syndrome will most likely have? increased pulmonary vascular markings When does the fastest myelination occur? 2nd trimester Evidence suggests that maternal valproic acid may be related to? Fetal neural tube defects What % of infants with congenital CMV are asymptomatic at birth? 90% The best time to obtain a herpes culture in the neonate with suspected herpes is? 24-48 hours of age Which of the following is most likely to present with congenital cataracts? Rubella Periventricular calcifications are most often seen in the which of the following congenital infections? CMV Digestion of which of the following is LEAST dependent on bile salts? medium chain triglycerides (MCT) An infant has several nodules that are diagnosed as subcutaneous fat necrosis. Which of the following should the infant be monitored for? Hypercalcemia Which is the correct I:T ratio of the following CBC: WBC 3200 Segs 40% Bands 21% Lymphs 35% metas 2% Eos 2% 0.36 What is the cause of pneumotosis in NEC? gas forming bacteria within submucosa Testing the biceps reflex best tests? Phasic tone Which of the following drugs may cause improvement in the infant with transient neonatal myasthenia gravis? Neostigmine methylsulfate The best definition of beneficence is: The moral obligation to "do good". When evaluating for early digitalis toxicity on an EKG the most reliable sign is: Prolongation of the PR interval Which type of brachial plexus injury typically presents with the "waiter's tip position". Erb's Palsy A defect affecting the lower motor neuron will generally present with: Absent deep tendon reflex Which of the following syndromes will most likely be associated with macrocephaly? Achondroplasia An infant has craniosynostosis of the sagittal suture. His head shape would most likely be described as: Scaphocephaly How does surfactant work? By decreasing surface tension Low alpha-fetoprotein may be associated with what? Trisomy disorders Eisenmenger's complex is typically seen with what? Left-to-right shunt defects Cor pulmonale is most often associated with what? Right ventricular hypertrophy Which of the following labs most represents an infant with congenital hypothyroidism? Low T4 & elevated TSH Diabetes insipidus is most often associated with what? Increased plasma osmolality What will be increased in rickets of prematurity? Alkaline phosphatase levels Scalded skin syndrome is seen with: Staphylococcus aureus infection The Ladd procedure is done for infants with what? Malrotation Two homozygous parents will pass on a trait to what % of their offspring? 100% of the offspring ROP in which of the following Zones is most severe? Zone 1 Which of the following is the best definition on Plus Disease in ROP? A significant level of vascular dilatation & tortuosity observed at the posterior retinal vessels Treponema pallidum is most frequently transferred how? transplacentally The drug of choice for an infant with congenital syphilis is what? aqueous crystalline penicillin G Which of the following infants should definitely be treated for congenital syphilis? a reactive result on VDRL of CSF The most common route of HIV transmission postnatally is Breastfeeding The best method for diagnosing HIV postnatally is? HIV DNA PCR Where is the apical impulse on the first few hours of life? 5th intercostals space at the lower left sternal border Which of the following cells are responsible for the production and secretion of surfactant? Type II pneumocytes Which of the following surfactant proteins functions as the major innate host defense protein? SP-A Which of the following newborn infants should receive Varicella-Zoster Immune Globulin? Mother with varicella 5 days or less prior to delivery Giving Vitamin D to a premature infant with osteopenia assists how? Increases Calcium absorption by intestines & kidneys Aminoglycoside elimination in newborns occurs primarily how? unaltered by glomerular filtration A baby presents with thrombocytopenia related to maternal isoimmune thrombocytopenia. Which of the following is true about the thrombocytopenia found in these infants? the treatment of choice is washed irradiated maternal platelets The best antibiotic treatment for an infant with with a Klebsiella infection would be what? an aminoglycoside The best antibiotic to treat a staphylococcus aureus infection would be what? oxacillin The initiation of protein digestion in the neonate is dependent on what? enteropeptidase Aspiration of the vesicles in pustular melanosis will yield what? numerous neutrophils The anterior vascular capsule of the lens will usually be gone by what gestation? 34 weeks Where does a cephlahematoma occur? between the periosteum and skull bone Most cerebral myelinization occurs when? after birth Which of the following IV fluids will deliver 8 mg/kg/minutes of glucose at 80 mL/kg/day? D15W A biophysical profile score of 6 is considered what? equivocal How does carbon monoxide (CO) relate to bilirubin production? CO binds tightly to hemoglobin & forms carboxyhemoglobin. It is liberated by the mass effect of O2 & expelled in expired breath. The tetrad of clinical signs of kernicterus are? abnormal motor control oculomotor impairments sensorineural deafness dental enamel dysplasia In the presence of hyperammonia, which of the following signifies urea cycle defect? elevated citrulline An infant presents with oomphalocele, macroglossia & hypoglycemia. The most likely diagnosis for the infant is? Beckwith-Wiedemann Syndrome To perform a Bruckner test, the ophthalmoscope should be how many inches away from the infant's face? 18-20 inches The bell of the stethoscope is best at detecting sounds that are: low frequency In sequencing a newborn exam, the preferred order is: observation, auscultation, palpation In a newborn, the otoscopic exam is omitted because the ear canals are: often filled with vernix Maternal ingestion of high doses of aspirin during pregnancy places the infant at risk for: pulmonary hypertension An infant born to a mother taking large doses of vitamin D should be monitored for: Hypercalcemia Fetal effects of maternal valproic acid treatment include: cardiac defects Maternal obesity predisposes the newborn to: macrosomia Hypoglycemia in the newborn is more common with a history of maternal: diabetes Compared to conceptional age, gestational age is how many weeks longer? 2 weeks According to data from Pediatrix Medical Group, the % of 24 week gestational age infants who survive without severe IVH or ROP is: 41.6% A very low birth weight infant infant is described as one weighing less than? 1500g It is generally advised that the gestational age exam be done within how many hours of birth? 48 hours An infant is considered polycythemic when the central hematocrit exceeds what %? 65 Persistent cutis marmorata is seen in which of the following conditions? Trisomy 18 The Latin term for prickly heat rash is: miliaria rubra When a sebaceous nevus is present on the scalp: hair will be absent over the lesion Which of the following statements is true of neonatal pustular melanosis? It is a benign condition The majority of patients with neurofibromatosis have: Café au lait patches Auscultation of the fontanel should be performed on infants with: congestive heart failure The diameter of the posterior fontanel in Caucasian infants is approx: 0.5 cm Scaphocephaly results from premature fusion of which sutures: Sagittal Craniotabes is a finding in: Vitamin D deficiency Excessive ear hair is seen in infants of: diabetic mothers How many pairs of false ribs does a human have? 5 In newborns, bradypnea is defined as a respiratory rate less than what? 40 bpm Seesaw respirations in newborns are suggestive of: loss of lung volume In extremely premature infants, periodic breathing may persist until how many weeks gestational age? 44 weeks A barrel-shaped chest is a finding commonly seen infants with: transient tachypnea Maternal lithium use is associated with which of the following heart defects? Ebstein malformation Which of the following extra-cardiac anomalies is associated with an increased risk of congenital heart disease? diaphragmatic hernia In newborns with a normal hemoglobin level, central cyanosis is not usually visible until the arterial saturation falls below: 80-85% Lesions that result in bounding pulses incluse: