Neonatology – Set 8

What this deck covers

Neonatology – Set 8 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. Trisomy 21 and a quiet chest
2. Pre-dose level above target
3. Separated after a general anaesthetic
4. Carbon dioxide rising at 9 days
5. When breast milk must stop
6. Leaving hospital on her first day
7. Epilepsy tablets while breastfeeding
8. Quiet voices missed at 10 months
9. What lies ahead after 30 weeks
10. Alert, sucking, sodium of 152
11. Double bubble and an extra chromosome
12. A 590 g girl at 23+2 weeks
13. Dreading every feed on day 3
14. Desaturating when laid supine
15. Twice-daily heel pricks at 30 weeks
16. What breast milk protects against
17. After a normal blood spot result
18. Stopping versus never starting
19. After the jab in the left upper arm
20. Plethoric first-born at 30 weeks
21. Sticky eyes on day 11
22. Factors shaping his outlook
23. Night-time sleeping advice
24. Mother with eye and joint history
25. What unnoticed dehydration risks
26. A mother asks to hold her on CPAP
27. Long feeds with nasal regurgitation
28. Surface antigen negative mother
29. Wound pain while breastfeeding
30. Floppy newborn with a flat profile
31. Parents declined the birth injection
32. Streaked milk after a feed on day 3
33. Counselling after a trisomy 18 result
34. Choosing a cephalosporin for newborns
35. Held by her parents at extubation
36. Small jaw and noisy breathing
37. If seen at 20 weeks instead of 27
38. Unequal air entry before the ambulance
39. Parents ask for operation dates
40. Down from 3.50 kg on day 5
41. Two clocks for a 30-week baby
42. A 14;21 translocation report
43. Tenfold error, heart rate of 212
44. Whose blood is on the cloth
45. Sleepy feeder with low tone
46. Supplement for a breastfed girl
47. The hours after a baby has died
48. Recipient twin with a harsh murmur
49. What the amniocentesis looked for
50. Sleepy on day 6 with orange nappies

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Echocardiogram within the first 6 weeks, Tongue-lip adhesion surgery, Stop her milk and give preterm formula, Continue breastfeeding alone and review in a week, Rest the breasts and give formula for a week, Iron deficiency at 12 months, No visible change at the site at any stage, Birth in a tertiary centre, Cerebral venous thrombosis, Within 24 hours of birth, Late bleeding that is often intracranial, Only cefotaxime reaches the CSF, Serial drainage of the excess fluid, More than 10 per cent of birth weight.

Clinical pearls from this deck

• In Down syndrome, a quiet chest is not a normal heart.
• High gentamicin trough: same dose, longer gap.
• Before the ambulance leaves, let the mother see and touch her baby.
• Robin airway failing prone: pass a tube past the tongue, not a knife.
• Galactosaemia is the one condition in the baby that stops breastfeeding completely.
• Home before 48 hours means a professional review within 48 hours.

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.