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Q-80. Why is a child able to breathe and suckle at the same time?
a) Short soft palate
b) Short tongue
c) High placed larynx
d) Small pharynx
Answer: Micro-spherocytes
Explanation:
Peripheral blood picture in ABO incompatibility:
Micro-spherocytes
Reticulocytosis
Polychromasia
Q-82. A new born child developed respiratory depression in neonatal ward. Which of the following drug is the cause?
a) Opioids
b) Barbiturates
c) Diazepam
d) Propofol
Answer: Opioids
Explanation:
Opioids (Fentanyl) and newer alternatives such as nalbuphine have been associated with newborn respiratory depression
at birth.
Important point:
Epidural opioid (Fentanyl) analgesia is commonly employed as a therapeutic modality in management of pain during
labour.
Q-84. How will a staff nurse prepare normal saline from 10 % dextrose (per 100ml):
a) 1
b) 2
c) 3
d) 4
Answer: 4
Explanation:
Q-86. A neonate is seen crying with eyes closed and moving all his limbs. What is the neonatal Behavioral response
scale?
a) Scale 1
b) Scale 3
c) Scale 5
d) Scale 6
Answer: Scale 6
Explanation:
The Newborn Behavioral Observations (NBO) system:
Score 1: Deep sleep
Score 2: Light sleep
Score 3: Drowsy
Score 4: Quiescent alert
Score 5: Active alert
Score 6: Crying (Motor activity is high and eye may be tightly closed)
Q-87. A 30 weeks gestation mother delivered 1.2 kg baby with moderate respiratory distress. RR= 70/min with grunting
and chest retraction. Most logical next step is
a) Warm humidified oxygen via hood
b) Nasal CPAP
c) Surfactant and mechanical ventilation
d) Mechanical ventilation
Q-88. 8 yr old child with BP 180/100 mm Hg, urea 90, creatinine 5.3, urinalysis shows 15-20 pus cells, 1-2 RBC,
protein 1+ and has no significant past h/o of similar complaint. Most likely diagnosis is
a) Post infective glomerulonephritis
Q-89. A male child with Fanconi syndrome with nephro-Calcinosis has a variant of Dent disease. All are true except
a) Hyper-calciuria
b) Proteinuria
c) Similar presentation in father
d) Rickets
Important point:
Initial airways colonization: Staph aureus
Most common organism and rapid declination in pulmonary function: Pseudomonas aeruginosa