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This phenomenon is a result of fertilization of an ovum by insemination that took place after one ovum has
already been fertilized.
A. Conjoined twins C. Superfetation
B. Superfecundation D. Super insemination
A 20 year G2P2 mother gave birth to a 34 weeks male patient who is small for gestational age. Since the child is
stable and feeding well, the mother desired to be her son. The following technique may be done to foster early
infant and maternal bonding despite of prematurity.
A. Use incubator and ask the mother to stay on the side
B. Make shift incubators that can be brought at home
C. Direct skin to skin contact with proper clothing to the infant
D. Daily exposure to early morning sunlight
A 32 week old male patient was born via emergency caesarian section due to premature rupture of
membranes and breech presentation. The clinician anticipated that the patient can experience RDS or Hyaline
Membrane Disease. What is the most predominant lung surfactant in a newborn?
A. Phophatidylcholine C. Phosphatidylinositol
B. Phosphatidylglycerol D. Phosphatidylethanolamine
A 36 week old female patient was delivered via caesarian section due to premature rupture of membranes
leading to oligohydramnions. Upon delivery she was noted to have tachypnea with scaphoid abdomen. What is
the most plausible diagnosis?
A. Hyaline membrane disease C. Meconium aspiration syndrome
B. Transient tachypnea of the newborn D. Diaphragmatic hernia
A male 41 weeker was transferred in the hospital due to difficulty of breathing. On further PE there were
greenish stains on his fingernails and umbilical cord. The most likely cause of his respiratory distress is
A. Hyaline membrane disease C. Transient tachypnea of the newborn
B. Meconium aspiration syndrome D. Diaphragmatic hernia
The most common complication of this disease is a lung injury secondary to high oxygenation and
mechanicalventilation. This complication increases as the maturity decreases.
A. Hyaline membrane disease C. Transient tachypnea of the newborn
B. Meconium aspiration syndrome D. Diaphragmatic hernia
An infant was delivered via emergency caesarian section due to meconium stained amniotic fluid and fetal
tachycardia. In infants with meconium aspiration the direct cause of lung hyperinflation is
A. Peripheral airway obstruction C. Ball valve effect
B. Chemical pneumonitis D. Metabolic acidosis
The type of diaphragmatic hernia taht is located retrosternally. It is said to occur on a later part of pregnancy
thus less incidence of impaired lung growth.
A. Bochdaleck C. Hiatal
B. Morgagni D. Paracsophageal
In the pathophysiology of jaundice, the clinician should know that the direct hyperbilirubinemia is due to
increase in conjugation at the hepatic level. The enzyme responsible for this is
A. Heme oxygenase C. UDP glucoronyl transferase
B. Heme reductase D. UDP glucoronylconjugase
In an infant with indirect type of hyperbilirubinemia, the initial management is phototherapy. How does
photoisomerization help in this case?
A. Toxic native unconjugated I4Z, 5Z‐bilirubin is converted to I4Z, 5E‐bilirubin
B. Toxic native unconjugated 4Z, I5E‐bilirubin is converted to 4Z, I5Z‐bilirubin
C. Toxic native unconjugated 4E, I5Z‐bilirubin is converted to 4Z, I5E‐bilirubin
D. Toxic native unconjugated 4Z, I5Z‐bilirubin is converted to 4Z, I5E‐bilirubin
A 41 year old came to the clinic for evaluation of his 2 month old child. On physical examination the clinician
noted: low set ears, small and flat nasal bridge, upward slanted palpebral fissures and protruding tongue. What
could be the clinician's impression?
A. Trisomy 13 C. Trisomy 18
B. Trisomy 21 D. Trisomy 22
A 35 year old G2P2 mother delivered a neonate with the following physical examination: cleft lip and palate,
micropthalmia and overlapping of fingers and toes. What is the most likely diagnosis?
A. Trisomy 13 C. Trisomy 18
B. Trisomy 21 D. Trisomy 22
A 25 year old G1P1 mother sought consult because she noted dimpling on the spinal area of her 2 month old
baby. What is the most common nutrient deficiency that could lead to such complication?
A. Iron C. Pyridoxine
B. FolateD.Cyanocobalamine
2 weeks old male with fever, poor suck and activity. Breastfed. What is the gold standard in diagnosis sepsis?
Ans: Blood CS
2 month old male with jaundice, fever and poor suck. Breastfed. What is the major factor for sepsis?
a. Fetalinfection
b. Maternal infection
c. Environmental
d. ?
Microdeletion occurs on the maternal chromosome… laughter? ANS: ANGELMAN’s syndrome
Abdominal distention, buccal mucosa, drying of lips, biliary atresia was considered what type of….?
a. ?
b. Syndrome
c. Disruption
d. Deformation
Type of chromosome abnormality in turner’s syndrome
a. Couple / p monosomy x chromosome
b. Deletion of C
c. Translocation
d. Inversion of 1c at 2 point
Mother used retinoid facial wash. What abnormality?
a. Craniofacial defect
b. Bowel atresia
c. Limb amputation
d. Down’s syndrome
34 week old was admitted to NICU due to respiratory distress hypoglyheyperkal. Pedia placed him under CPAP.
What is assoc with the renal problem?
a. Tachypnea
b. Hyperkalemia
c. Hypoglycemia
d. Apnea