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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment |
| Topic 2: Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions |
| Topic 3: Professional Issues | 3% | - Quality improvement and patient safety - Interprofessional collaboration - Scope and standards of practice - Ethics and legal aspects |
| Topic 4: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Neurological system - Respiratory system - Genetics and congenital anomalies - Renal and genitourinary system - Cardiovascular system - Musculoskeletal and integumentary system - Gastrointestinal system - Metabolic and endocrine system - Hematopoietic and immune system - Infectious diseases - Eyes, ears, nose and throat |
| Topic 5: General Management | 19% | - Pain management and sedation - Thermoregulation - Resuscitation and stabilization - Nutrition and growth support - Care coordination and family education - Fluids, electrolytes and acid-base balance |
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21. Frage
The syndrome affecting almost half of the infants of diabetic mothers is
Antwort: A
Begründung:
Fetal macrosomia occurs in up to 45% of infants of diabetic mothers. They are large babies that weigh more than 4000 g at term birth. These infants are puffy, fat, ruddy, and often hypotonic.
These infants are also more likely to have periods of hypoglycemia shortly after birth and during the first few days of life.
22. Frage
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
Antwort: C
Begründung:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.
23. Frage
What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?
Antwort: B
Begründung:
Surfactant should be given as soon as the diagnosis of respiratory distress syndrome is made, preferably within 1 hour of birth. A repeat dose is then given 4-12 hours after birth as long as the infant is still intubated and requiring 30-40% oxygen. Surfactant is administered through the endotracheal tube over the course of a few minutes.
24. Frage
Early onset group B strep infection in the newborn is most likely to cause
Antwort: B
Begründung:
Early onset group B strep infection in the newborn is most likely to cause sepsis. It can also cause pneumonia. Meningitis can occur with early onset group B strep, but it is not as common as sepsis. Meningitis is more likely to occur with late onset of the infection. Group B strep infection is passed from the mother to the fetus. Screening pregnant women for group B strep is routine so that it can be treated with antibiotics to prevent transmission during pregnancy and birth.
25. Frage
The genetic condition that results in a bluish tinge to the sclera of the eyes and multiple bone fractures is
Antwort: C
Begründung:
Osteogenesis imperfecta is a genetic disorder that causes bones to be weak and fracture easily. It can also cause a bluish tone to the sclera of the eyes, scoliosis, short stature, and hearing loss. The condition occurs due to a genetic defect that results in problems with the body producing collagen, which strengthens bones. There is no cure for osteogenesis imperfecta, but bone strengthening medications and splinting/casting may help to protect the strength of the bones.
26. Frage
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