Neonatal Neurology

Q 01:

A female infant in the Newborn Nursery has weakness of her upper and lower left-sided facial muscles with an asymmetric cry, and inability to close her left eye completely.

Of the following, the most likely clinical course of this infant’s facial nerve palsy is:

A. Complete recovery in 1-3 weeks

B. Complete recovery in 2-3 months

C. Complete recovery in 6-9 months

D. Complete recovery in 1 year

E. Incomplete recovery

Q 02:

A female infant born at 39 weeks’ gestation has perinatal depression and requires resuscitation in the Delivery Room. Upon admission to the Neonatal Intensive Care Unit, she has apnea and respiratory failure requiring intubation. Her neurological examination demonstrates an intact papillary and oculomotor response, hypotonia, minimal movement, and a decreased level of consciousness. At 12 hours of age, she has clinical seizures.

Suspecting focal or multifocal cerebral ischemia, the MOST likely affected vessel is the:

A. Left and right middle cerebral arteries

B. Left middle cerebral artery

C. Right middle cerebral artery

D. Superior sagittal sinus

E. Vein of Galen

Q 03:

In evaluating a term newborn, the neonatologist observes bilateral leukocoria. There is no evidence of hepatosplenomegaly, microcephaly, intrauterine growth restriction, or congenital heart disease. Audiologic evaluation reveals a severe hearing impairment.

Of the following, the congenital infection that is MOST likely responsible for the findings in this infant is:

A.Cytomegalovirus

B.Rubella

C.Syphilis

D.Toxoplasmosis

E.Varicella

Q 04:

A 650 gram newborn with an estimated gestational age of 24 weeks will need an ophthalmologic examination to screen for retinopathy of prematurity.

Of the following, the MOST appropriate age for the first ophthalmologic examination in this infant is:

A. Birth

B. 1 week of age

C. 2 weeks of age

D. 4 weeks of age

E. 8 weeks of age

Q 05:

Retinopathy of prematurity (ROP) is the leading neonatal cause of blindness in many countires.

Of the following, the population at GREATEST risk for severe ROP consists of infants:

A. Born extremely prematurely

B. Requiring prolonged assisted ventilation

C. Treated with prolonged period of parenteral nutrition

D. With a family history of myopia

E. With a history of severe intraventricular hemorrhage

CHECK ANSWERS ON MONDAY 05/08/2019 PLZ.