When screening for intraventricular hemorrhage IVH

Question 1 of 5

When screening for intraventricular hemorrhage (IVH), the best time to perform an ultrasound is

A. First day of life B. Second day of life C. Third day of life D. Fourth day of life

Correct Answer: C

Rationale: The third day of life is the optimal time for screening IVH, as this allows sufficient time for hemorrhage to develop while still being early enough for timely intervention.

Question 2 of 5

A high index of suspicion of which of the following conditions is to be undertaken in a patient with atopic dermatitis and failure to thrive

A. Wiskott-Aldrich syndrome B. severe combined immune deficiency C. Histiocytosis D. hyper IgE syndrome

Correct Answer: A

Rationale: Wiskott-Aldrich syndrome is associated with eczema thrombocytopenia and immune dysfunction.

Question 3 of 5

Late complications of Rhesus sensitization hyperbilirubinemia and its treatment include all of the following EXCEPT

A. Transient aregenerative anemia B. Direct-reacting hyperbilirubinemia C. Hypoglycemia D. Graft-versus-host disease

Correct Answer: D

Rationale: Graft-versus-host disease is unrelated to Rh sensitization or its treatment

Question 4 of 5

Intranasal corticosteroids are less helpful for symptoms of

A. nasal congestion B. rhinorrhea C. conjunctival injection D. sneezing

Correct Answer: C

Rationale: Intranasal corticosteroids have limited efficacy in treating conjunctival injection (eye redness) compared to oral antihistamines.

Question 5 of 5

A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she â€œfought the mask and cried a lotâ€ on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more â€œclingyâ€ and wants her parents to cuddle her frequently. She reports that in her dreams, she canâ€™t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT

A. this is an extreme reaction and suggests a severe underlying tendency toward psychiatric illness B. traumatic induction of anesthesia can commonly produce behavioral changes for several weeksâ€”in the majority of cases, these resolve within 4-6 weeks C. parental presence for mask induction of anesthesia may reduce the distress of induction for some children and may reduce the incidence of some postoperative behavioral changes D. intraoperative awareness can occur during general anesthesia and could possibly account for the content of her dreams and some of the severity of these behavioral changes

Correct Answer: A

Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.