Neonatology – Set 5

What this deck covers

Neonatology – Set 5 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. Jaundiced late-preterm at clinic
2. Family and birth history in jaundice
3. Deeply yellow, arching newborn
4. Yellow at 18 hours on the ward
5. Mother asks about prevention
6. Home-born infant with bruises and fits
7. Anti-D after an RhD-positive birth
8. Well baby, very few platelets
9. Faint antiglobulin reaction on day 1
10. Sleepy breastfed boy, dry at 80 hours
11. Thriving breastfed girl, still yellow
12. Top line on the term graph
13. Why fluid collects in a hydropic boy
14. Pale newborn without jaundice
15. Bruised breastfed baby at 4 weeks
16. Necrotic purpura without infection
17. Yellow at 6 hours, anaemic girl
18. Formula-fed girl readmitted yellow
19. Late rise in yellow and liver enzymes
20. Proving the cause from maternal blood
21. Ear check before going home
22. Donor blood for a jaundiced girl
23. Petechiae at 12 hours, well baby
24. Drowsy infant with a brain bleed
25. When a yellow newborn is urgent
26. Still yellow at 17 days, thriving
27. Cold, mottled and yellow at 90 hours
28. Blood film for a group O mother’s son
29. Bilirubin climbing on multiple lights
30. Pale girl who tires at each feed
31. What parents hear after the bleed
32. New petechiae while tests are pending
33. Lasting brain injury from bilirubin
34. Dozing at the breast under the lights
35. Confirming why a pale boy is yellow
36. Is milk to blame at 4 weeks?
37. Plan after a day-one transfusion
38. Deciding on lights for a group B girl
39. Why the bleed came at 5 weeks
40. Streaked vomit and a colour change
41. Midwife’s home visit to a yellow girl
42. Stiff, shrieking girl at 100 hours
43. Counselling after day-one jaundice
44. Oedematous preterm girl, very pale
45. How the bleed could have been avoided
46. Registrar’s theory for a pale girl
47. Feared complication of a low count
48. Blistering black patches at 18 hours
49. Lights off and the next blood test
50. What this means for a later baby

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Screen if she is still yellow at 21 days, ABO haemolytic disease, The number of pregnancies she has had, Breast-milk jaundice, Obstructed lymph drainage in the chest, Neonatal lupus from maternal antibodies, Stop breastfeeding for 48 hours and recheck, Group O red cells in group AB plasma, Jaundice first seen at 40 hours of age, Bite cells and blister cells, Future bleeds are likely despite supplements, Extra water or dextrose between her breastfeeds, No further checks once his Hb is normal, Fetal haemoglobin, so bleeding from her nose.

Clinical pearls from this deck

• Prolonged jaundice: 14 days at term, 21 days if born before 37 weeks.
• Ask about the siblings: a brother or sister who needed the lights is a warning.
• A yellow baby who arches and shrieks has crossed from a number into an emergency.
• Jaundice in the first 24 hours is haemolysis until proved otherwise.
• Anti-D prevents sensitisation; it never treats it.
• Home birth, no injection, breastfed, bleeding at 2 to 12 weeks: vitamin K deficiency 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.