11695054
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
over 6 years ago
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| Question | Answer |
| TRUE/FALSE? 1A. In neonatal examination, most abnormalities detected are important and require further intervention. | False. Not all abnormalities detected require immediate intervention. It is important to ensure appropriate follow-up, educate and reassure parents as appropriate. |
| TRUE/FALSE? 1B. In neonatal examination, early discharge may result in neonates being discharged before abnormalities are detected. | True. This is especially true for cardiac lesions such as ductus dependent lesions. |
| TRUE/FALSE? 1C. In neonatal examination, history is not important in the neonatal period. | False |
| TRUE/FALSE? 1D. In neonatal examination, procedures that distress the neonate should be left to the end. | True |
| TRUE/FALSE? 1E. In neonatal examination, length, weight, and head circumference should be measured. | True. Always measure length, weight and head circumference and plot on appropriate growth charts. |
| TRUE/FALSE? 2A. In neonatal skin examination, Mongolian spots are only found on the back and buttocks. | False. Mongolian spots may occur in locations other than the back or buttocks. |
| TRUE/FALSE? 2B. In neonatal skin examination, most vesicular and pustular rashes will require flucloxacillin – neonatal pustular melanosis and erythema toxicum. | False. Neonatal pustular melanosis and erythema toxicum are benign conditions presenting in well babies with a vesicular/pustular rash which do not require antibiotics. DDx includes bacterial skin infection. |
| TRUE/FALSE? 2C. In neonatal skin examination, deep sacral pits where the base cannot be seen requires an x-ray to look for evidence of spina bifida. | False. Ultrasound is the preferred investigation to look for spina bifida in cases of deep sacral pits where the base cannot be seen. |
| TRUE/FALSE? 3A. A pinkish stain in the nappy in the first 2 days of life should prompt immediate investigation with urine sent for culture. | False. A pinkish /orange stain in the nappy in the first 2 days of life may occur due to uric acid in the urine which is a normal phenomenon and does not necessarily imply haematuria or urinary tract infection. |
| TRUE/FALSE? 3B. Cephalohaematoma may take some time to resolve and may calcify before complete resolution. | True. It is important to reassure parents and also ensure follow up to assess for evolving jaundice and/or anaemia. |
| TRUE/FALSE? 3C. Talipes and torticollis are rarely seen together. | False |
| TRUE/FALSE? 3D. Tongue-tie requires immediate surgical referral. | False. Tongue tie does not always need immediate surgical referral unless it interferes with feeding or later in life with speech. |
| TRUE/FALSE? 3E. Cleft of the soft palate is frequently missed. | True. Submucous cleft of the soft palate is frequently missed as there is no visible defect, it is obvious on palpation. |
| TRUE/FALSE? 3F. Neonates should pass meconium within 48 hours. | True |
| TRUE/FALSE? 4A. In developmental dysplasia of the hip (DDH), family history of DDH is an important risk factor. | True |
| TRUE/FALSE? 4B. In developmental dysplasia of the hip (DDH), breech presentation is an important risk factor. | True. Breech presentation is an important risk factor for DDH, babies born breech should have hip ultrasound to rule out DDH. |
| TRUE/FALSE? 4C. In developmental dysplasia of the hip (DDH), early treatment improves outcome of DDH. | True |
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