Neonatology MCQ 72+

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• Haemorrhagic disease of newborn
  ক

  It is preventable

  খ

  Fresh frozen plasma sometimes needed

  গ

  Can present with intraventricular haemorrhage

  ঘ

  Occurs due to factor III

  ঙ

  IV

  চ

  VIII deficiency

  ছ

  More in formula fed babies
• Screening at birth has helped early identification of following diseases:
  ক

  Hypothyroidism

  খ

  Phenylketonuria

  গ

  Thalassaemia

  ঘ

  Cystic fibrosis

  ঙ

  Diabetes mellitus
• Following conditions are included in a neonatal screening program
  ক

  Hyperthyroidism

  খ

  Phenylketonuria

  গ

  Diabetes mellitus

  ঘ

  Cystic fibrosis

  ঙ

  Galactosaemia
• Ophthalmia neonatarum is usually caused by
  ক

  Staphylococcus aureus

  খ

  Stretococcus haemolytics

  গ

  Chlamydia trachomatis

  ঘ

  N. gonorrheae

  ঙ

  B. Fragilis
• Common risk factors of birth injury are
  ক

  Macrosomia

  খ

  Instrumental delivery

  গ

  Breech presentation

  ঘ

  Elective caesarian delivery

  ঙ

  Female gender
• Congenital birth defects due to folic acid deficiency are
  ক

  Anencephaly

  খ

  Spina bifida

  গ

  Caudal regression syndrome

  ঘ

  Cleft palate

  ঙ

  Down’s syndrome
• Causes of vomiting in neonates are
  ক

  Intestinal atresia

  খ

  Congenital hypertrophic pyloric stenosis

  গ

  Biliary atresia

  ঘ

  Metabolic acidosis

  ঙ

  Ano-rectal malformation without fistula
• Causes of neonatal convulsion are
  ক

  Pyridoxine dependency

  খ

  Hypocalcemia

  গ

  Intracranial haemorrhage

  ঘ

  Cerebral tumour

  ঙ

  Epilepsy
• Common causes of neonatal convulsion are
  ক

  Hypoglycemia

  খ

  Pyridoxine deficiency

  গ

  Epilepsy

  ঘ

  Brain tumor

  ঙ

  Septicemia
• Following are the causes of seizure at 4 hours of age
  ক

  Pyridoxine dependent seizure

  খ

  Perinatal asphyxia

  গ

  Phenylketonuria

  ঘ

  Hypocalcaemia

  ঙ

  Neonatal dural sinus thrombosis
• Complications of phototherapy are
  ক

  Dehydration

  খ

  Bronze baby syndrome

  গ

  Loose stool

  ঘ

  Vomiting

  ঙ

  Hyperglycaemia
• The common indications of exchange transfusion in newborn are
  ক

  Hemolytic disease of newborn

  খ

  Polycythemia

  গ

  Disseminated intravascular coagulation

  ঘ

  Hemorrhagic disease of newborn

  ঙ

  Severe respiratory acidosis
• Indication of exchange transfusion are
  ক

  Haemolytic disease of newborn

  খ

  Neonatal sepsis

  গ

  Polycythaemia

  ঘ

  Congenital rubella syndrome

  ঙ

  Respiratory distress syndrome
• Increase risk of hemolysis in Rh incompatibility are
  ক

  Feto maternal hemorrhage

  খ

  First born infant with previous sensitization

  গ

  Concomitant ABO incompatibility

  ঘ

  Babies born by mother with autoimmune thyroiditis

  ঙ

  Vaginally delivered newborn
• In neonatal hyperbilirubinemia risk of kernicterus increases with
  ক

  Hypoxia

  খ

  Acidosis

  গ

  Hypoalbuminemia

  ঘ

  Increased gestational age

  ঙ

  Warm weather
• Common causes of obstructive jaundice in a newborn include
  ক

  Hypoplasia of biliary tract

  খ

  Neonatal hepatitis

  গ

  Breast milk jaundice

  ঘ

  Physiological jaundice

  ঙ

  Galactosaemia
• Surgical causes of jaundice in children are
  ক

  Biliary atresia

  খ

  Choledochal cyst

  গ

  Infantile hypertrophic pyloric stenosis

  ঘ

  Frantz tumour

  ঙ

  Alpha-1 antitrypsin deficiency
• Cholestatic jaundice is associated with
  ক

  Direct hyperbilirubinemia

  খ

  Pruritus

  গ

  Indirect hyperbilirubinemia

  ঘ

  Hepatitis C infection

  ঙ

  Hepatitis A infection
• Cholestatic jaundice in children is associated with
  ক

  Pale stool

  খ

  Increased gamma glutamyl transpeptidase

  গ

  Choledochal cyst

  ঘ

  Indirect hyperbilirubinaemia

  ঙ

  Decreased alkaline phosphatase
• Physiological jaundice of infancy:
  ক

  Is more likely in premature infants

  খ

  Occurs in 1 in 3 normal infants

  গ

  Is first noticeable a week after birth

  ঘ

  Lasts 3-4 days

  ঙ

  Shows clay colored stools
• Physiological jaundice
  ক

  Is more common in premature baby

  খ

  Is due to short life span of RBC

  গ

  May cause anaemia in newborn

  ঘ

  Needs hospitalization

  ঙ

  Needs exchange transfusion
• Criteria of physiological jaundice
  ক

  Baby is healthy

  খ

  Indirect hyperbilirubinemia

  গ

  Subsides spontaneously

  ঘ

  Appears within 24 hours of birth

  ঙ

  Associated with hepatomegally
• Criteria of physiological jaundice are
  ক

  Indirect hyperbiIirubinaemia

  খ

  Appears on the 1st day of life

  গ

  Peak level at 3rd to 4th day of life

  ঘ

  Serum bilirubin is rising >5mg/kg/day

  ঙ

  Direct bilirubin fraction is > 2mg/dl
• Jaundice in a 3- day- old baby is due to
  ক

  Physiological jaundice

  খ

  Septicemia

  গ

  Rh incompatibilty

  ঘ

  Congenital hypothyroidiosm

  ঙ

  Biliary atresia
• Neonatal jaundice within 24 hours of birth is caused by
  ক

  ABO incompatibility

  খ

  Rh-incompatibility

  গ

  Congenital hypothyroidism

  ঘ

  Breast milk jaundice

  ঙ

  Prematurity
• Causes of conjugated hyperbilirubinaemia in neonate are
  ক

  Biliary atresia

  খ

  Neonatal sepsis

  গ

  Neonatal hepatitis

  ঘ

  ABO- incompatibility

  ঙ

  Breast milk jaundice
• Causes of unconjugated hyperbilirubinemia in newborn are:
  ক

  Hemolytic disease of newborn

  খ

  Prematurity

  গ

  Galactosemia

  ঘ

  Biliary atresia

  ঙ

  Congenital infection
• Neonatal jaundice is associated with:
  ক

  Galactosaemia

  খ

  Breast feeding

  গ

  Hypothyroidism

  ঘ

  Sickle-cell disease

  ঙ

  Achondroplasia
• Causes of unconjugated hyperbilirubianaemia are
  ক

  Breast milk jaundice

  খ

  Rh-incompatibility

  গ

  Neonatal hepatitis

  ঘ

  Rotor syndrome

  ঙ

  Biliary atresia
• The following conditions lead to conjugated hyperbilirubinaemia of infancy
  ক

  Intrauterine infection

  খ

  Septicemia

  গ

  Hemolytic disease of the newborn

  ঘ

  Breast milk jaundice

  ঙ

  Hereditary spherocytosis