Neonatology – Set 7

What this deck covers

Neonatology – Set 7 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. Screening and the planned red cells
2. Green vomit at 18 hours
3. Raised screening TSH, first move
4. Umbilical defect at birth
5. Meaning of a left thigh clunk
6. Week-2 vomiting with unusual genitalia
7. Which hearing test for a NICU baby
8. When to sample a preterm card
9. Floppy baby with a weak suck
10. Origin of an antenatal abdominal cyst
11. Skull sign in a low-thyroxine baby
12. Extra liquor on the 31-week scan
13. Hip scan indication in her history
14. Umbilical sac, what else to look for
15. Spot test for a lung and gut disorder
16. Confirming why a baby is losing salt
17. Hearing risk after his illness
18. Central or peripheral floppiness?
19. Neonatal thyroid starting dose
20. Plan for a cyst found before birth
21. Collapsed baby on day 9, first steps
22. Why a tube was passed at birth
23. Green vomit on a district ward
24. Further screening for a 30-weeker
25. Scan timing for an abnormal hip
26. Care of the sac before surgeons arrive
27. Abnormal left eye at the first check
28. Choking at the breast on day 2
29. Why one screening test is repeated
30. Why liquor volume was checked
31. Next bloods for a treated thyroid baby
32. Boy or girl, the urgent test
33. What goes back in for tube losses
34. White pupil at the 6-week check
35. Managing a reducible newborn hip
36. Large sac and a small abdomen
37. Parents ask how long it will last
38. What a normal screen means
39. Right cardiophrenic lucency on X-ray
40. Cyst at 4 months, now partly solid
41. Long-term outlook from thyroid clinic
42. Sex of rearing with unusual genitalia
43. When to feed a baby with a large sac
44. Surgical timing for a dense lens
45. Hip still out after 3 weeks
46. Sign of anterior horn cell disease
47. Home medicines after an adrenal crisis
48. Danger of a large pelvic cyst
49. A sac that tore at delivery
50. Head crossing centiles at 6 weeks

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Postpone the transfusion until after day 5, Bladder exstrophy, AOAE alone, repeated if no clear response, Upper pole of a duplex left kidney, Breech lie at or after 36 weeks, Low plasma renin activity, 10 to 15 micrograms/kg once daily, About 4%, At 4 to 6 months of age, Tube feeds with neostigmine before each feed, Only if she develops symptoms, Retinoblastoma, Lifelong weakness that needs daily treatment, Urinary catecholamine metabolites.

Clinical pearls from this deck

• Blood spot before blood: the sickle cell spot is taken before the first transfusion.
• Green vomit in a newborn is volvulus until proven otherwise.
• High screening TSH: bleed, then treat the same day.
• A sac with the cord in it is exomphalos; bare bowel beside the cord is gastroschisis.
• Ortolani brings it in; Barlow pushes it out.
• Ambiguous genitalia, no gonads and salt loss in week 2: think 21-hydroxylase first.

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.