Neonatology – Set 2

What this deck covers

Neonatology – Set 2 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Boggy head after a long labour
2. Size band of a 1450 g newborn
3. First worry in a jittery large baby
4. Red, sleepy newborn at 20 hours
5. Why a late preterm girl is at risk
6. Staring and chewing on day 3
7. Unsettled baby at 52 hours
8. A swelling held in by its edges
9. Day 4 and still on IV dextrose
10. Ongoing jerking with a normal sugar
11. Advice for a puffy newborn scalp
12. Big head on a thin body
13. Blood count of a plethoric newborn
14. Still right arm after dystocia
15. Timing the first glucose check
16. Proving what the events are
17. Grading an exposed baby’s signs
18. Day-2 swelling over one bone
19. Sizing the planned procedure
20. What to add to normal first tests
21. Scalp bleed that can cause shock
22. Early risks after slowed growth
23. Grunting at 36 weeks
24. Infusion after a low-sugar seizure
25. Still fitting after a full load
26. Low reading at 3 hours
27. Telltale signs of the lowest roots
28. Settling a methadone-exposed girl
29. Signs that point to the pituitary
30. Jittery with a confirmed high count
31. Correcting the cause of her fits
32. Lopsided face when she cries
33. Mother asks about two labels
34. Jittery on day 2
35. Tonic seizure at 7 hours
36. What a parietal lump needs
37. Finding the cause once fits settle
38. Scores stay high despite comfort
39. Fits that defy the usual medicines
40. Reading a sample taken when low
41. When a weak arm needs a surgeon
42. Antidepressant late in pregnancy
43. Ruddy girl after a late cord clamp
44. Broken collarbone in a big baby
45. The face after early drinking
46. Plotting growth after early birth
47. Parents ask about lasting effects
48. Seizure-free since day 2
49. Parents ask about later childhood
50. Day 8 and still needing an infusion

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Depressed skull fracture, Blood film and reticulocyte count, Early-onset bacterial sepsis, Diazepam 0.5 mg/kg rectally, Amplitude-integrated EEG, About 22 mL, Hyperglycaemia, hyperkalaemia and anaemia, Sodium valproate 20 mg/kg IV, Separate quiet cot, formula feeds, Calcium gluconate 10% infusion, Vitamin D deficiency passed on from his mother, Non-contrast CT of the head, Fatty acid oxidation defect, Double-volume exchange transfusion with donor blood.

Clinical pearls from this deck

• Present at birth, pits, crosses sutures: caput.
• 2500, 1500, 1000 g: low, very low, extremely low, whatever the gestation.
• Diabetic mother’s baby: check the sugar first, because insulin outlasts the placenta.
• Heel-prick haematocrits read high: confirm on a venous sample.
• Born before the glycogen is laid down: small stores, fast fall.
• In a newborn, staring, chewing, pedalling and unexplained apnoea are seizures until proved otherwise.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all neonatology case decks · pediatric reference values.