You are ventilating a full-term baby with meconium aspiration syndrome, who was fine on the machine but suddenly shows severe drop in O2 saturation. What is the most likely cause?

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Question 1 of 5

You are ventilating a full-term baby with meconium aspiration syndrome, who was fine on the machine but suddenly shows severe drop in O2 saturation. What is the most likely cause?

Correct Answer: B

Rationale: A sudden drop in oxygen saturation in a patient with meconium aspiration syndrome is most likely due to an endotracheal tube blockage, often caused by accumulated secretions.

Question 2 of 5

A 4-year-old boy ingests a large dose of aspirin. What is the most appropriate therapy to maximize urinary excretion?

Correct Answer: D

Rationale: Urinary alkalinization with sodium bicarbonate increases aspirin elimination by ion trapping, reducing toxicity.

Question 3 of 5

Familial Mediterranean fever (FMF) is a recessively inherited autoinflammatory disease characterized by self-limited episodes of fever, serositis, and rash. The hallmark cutaneous finding of this disease is

Correct Answer: A

Rationale: Erysipelas-like rash is characteristic of FMF.

Question 4 of 5

Which of the following is an early manifestation of hypoxemia in young infants?

Correct Answer: D

Rationale: Irritability is an early sign of hypoxemia, while cyanosis and bradycardia are late findings.

Question 5 of 5

Of the following, the condition which is associated with polyhydramnios is

Correct Answer: D

Rationale: Intestinal pseudo-obstruction can lead to polyhydramnios due to impaired fetal swallowing and gastrointestinal motility. The other conditions are not typically associated with excess amniotic fluid.

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