Pediatrics - Newborn 1



Part 1

Part 2

Part 3


1) A 3 –day-old girl presents with enlargement of both breast, there's no tenderness or hotness. the most common cause:  

A) mastitis

B) excess fetal estradiol

C) placental hormones

D) ovarian hormones

2) the best ttt of the previous case is:

A) antibiotic

B) ointment

C) surgery

D) nothing

3) APGAR score contains all of the following EXCEPT

A) color of skin 

B) muscle tone

C) heart rate

D) respiratory rate               

E) respiratory effort

4) all are true about moro reflex, except

A) Absence at birth may be due to birth asphyxia

B) disappear by 5th month

C) its persistence suggests CP

D) unilateral moro reflex may indicate erb's palsy

e) the reflex is mediated in the basal ganglia 

5) the most common cause of neonatal jaundice in the 1st week of life 

A) breast milk jaundice

B) physiology jaundice

C) thalasemia

d) neonatal hepatitis

6) regarding kernicterus

A) it occurs due to passage of conjugated bilirubin to brain cells

B) CRITICAL level of bilirubin in full term is 16mg\dl

C) blindness is a common complication of kernicterus

D) rigidity and opisthotonus occur in stage 1 kernicterus

e) acidosis is a risk factor for kernicterus

7 )you are called to check a 45days old baby who is jaundiced, you ordered total and direct bilirubin and the result was; total 20mg/dl, direct 12mg/dl Which the diagnosis you will role it out

A) bile duct atresia

B) alpha one antitrypsin deficiency

C) tyrosinemia

D) hemolytic anemia

E) galactosemia

8) milia is by

A) maculopapular or vesicles with erythema around

B) large bluish discoloration over buttocks and back

C) are retention sebaceous cysts

d) papules that are large in size

e) need antibiotic for ttt

9) neonate with vaginal bleeding on 4th day of life appropriate therapy for her is 

A) administration of vit k

B) investigation the case for bleeding disorder

C) use fresh frozen plasma

d) no specific therapy 

e) platelet transfusion

10) a newborn infant needs one of the  following immediately after birth 

A) vit A

B) vit D

C) Vit C

D) Vit K

11) a newborn who is presented with cyanosis, hyperoxia test is done and po2 is markedly increased, the cause of cyanosis may be 

A) methmoglobinemia

B) single ventricle

C) transposition of great vessels

D) sever fallot tetralogy

e) hyaline membran disease


12) a 2 kg baby, 32weeks gestational age was born by CS DUE TO maternal antepartum hge, the child develop respiratory distress about 4hrs after delivery. DOWN score 7; What is the most propable diagnosis



C) cong cyanotic heart dis

d) tension pneumothorax

e) cong diaphragmatic hernia

13) WHICH of the following x-ray finding of this infant

A) ground glass appearance and air bronchogram

B) lobar atelectasis and interstial oedema

C) bilateral patchy densities and pnuemothorax

d) cardiomegaly and interstial oedema

e) intestinal loops in the thorax

14) what specific ttt for this case

A) surgical correction

B) surfactant therapy

C) antibiotic

d) insertion of intercostal tube

e) prostaglandin

15) phototherapy is contraindicated in


B) HEMOLYTIC dis of newborn

C) severly brusied baby

d) neonatal cholestasis


16) IN THE NEWBORN NURSERY, you identify a scalp swelling as a cephalhematoma which of the following is NOT true;

A) is a subperiosteal hge

B) may extend across the midline and across suture lines

C) resolves after 2-3weeks

d) may be complicated with jaundice

e) appear 2-3hr after birth

17) during neonatal resuscitation, APGAR score is done, which of the following is NOT true;

A) it is done at 1 minute and 5 minute

B) it predicts long term outcome

C) APGAR score 3 means sever asphyxia

d) APGAR score 9 means no asphyxia

e) heart rate is the most useful sign during resuscitation

18) the following is less risky for RES DISTRESS SYNDROM



C) prematurity

d) infant to diabetic

e) CS

19) which of the following is NOT a primitive neonatal reflex,

A) moro reflex

B) suckling reflex

C) gastrocolic reflex

d) stepping reflex

e) rooting reflex

20) Erbs palsy is by 

A) is due to injury to 7th, 8th cervical nerves roots

B) diaphragmatic paralysis may associated

C) cause hand and wrist drop

d) horner syndrome may occur with it

e )no need for physiotherapy


1)C           6)E           11)E           16)B

2)D          7)D            12)B           17)B

3)D           8)C            13)A            18)A

4)E            9)D            14)B             19)C

5)B            10)D          15)D              20)B