Neonatal Jaundice: Final-Year MCQs

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Jaundice in newborns: key points

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meena kumari

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Neonatal Jaundice: Final-Year MCQs


Neonatal Jaundice: Final-Year MCQsVersion en ligne Jaundice in newborns: key points par meena kumari 1 What type of jaundice is most common in term newborns in the first days of life: unconjugated or conjugated? a Unconjugated jaundice b Conjugated jaundice c Post-hepatic jaundice d Mixed jaundice 2 Which condition is suggested by conjugated bilirubin in a neonate? a Conjugated (direct) hyperbilirubinemia b Physiological jaundice c Breast milk jaundice d Unconjugated hyperbilirubinemia 3 Which is a common red flag for pathological jaundice in the first 24 hours? a Jaundice within 24 hours of birth b Physiological peak at day 5 c Jaundice after 14 days d Breastfeeding jaundice after day 3 4 Most reliable screening test to assess severity of neonatal jaundice? a Serum albumin b Coombs test c Total serum bilirubin (TSB) d ALT/AST 5 Which condition increases risk for severe unconjugated hyperbilirubinemia in neonates? a ABO or Rh incompatibility b Delayed cord clamping c Neonatal hypothyroidism d Vitamin K deficiency 6 First-line treatment for significant unconjugated jaundice in term infants? a Corticosteroids b Antibiotics c Phototherapy d Exchange transfusion 7 Indication for exchange transfusion in neonatal jaundice? a Breastfeeding initiation b Mild physiological jaundice c Indirect bilirubin only d Severe hyperbilirubinemia with signs or non-responsiveness 8 Kernicterus is most closely associated with which bilirubin form? a Direct bilirubin b Total protein-bound bilirubin c Conjugated bilirubin d Unconjugated bilirubin crossing the blood-brain barrier 9 Breast milk jaundice is typically characterized by which pattern? a Conjugated hyperbilirubinemia b Persistent unconjugated hyperbilirubinemia after day 3-5 c Immediate postnatal jaundice d Direct hyperbilirubinemia from birth 10 Which investigation helps distinguish immune-mediated hemolysis from other causes? a Direct Coombs (DAT) test b Serum bile acids c Ultrasound abdomen d Urine bilirubin Feedback 1 Most physiological jaundice is unconjugated due to immature liver conjugation. 2 Direct hyperbilirubinemia indicates a pathologic cholestatic process. 3 Early onset (within 24 hours) often implies hemolysis or infection. 4 TSB correlates with risk of kernicterus and guides treatment. 5 Hemolytic disease can elevate unconjugated bilirubin. 6 Blue light phototherapy converts bilirubin for excretion. 7 Used when bilirubin levels are dangerously high or rising despite therapy. 8 Free unconjugated bilirubin can deposit in brain tissue in neonates. 9 Breast milk factors can delay clearance; usually benign. 10 DAT detects antibodies on red cells suggesting hemolysis.

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Neonatal Jaundice: Final-Year MCQs

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Créé par

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Neonatal Jaundice: Final-Year MCQsVersion en ligne

par meena kumari

What type of jaundice is most common in term newborns in the first days of life: unconjugated or conjugated?

Which condition is suggested by conjugated bilirubin in a neonate?

Which is a common red flag for pathological jaundice in the first 24 hours?

Most reliable screening test to assess severity of neonatal jaundice?

Which condition increases risk for severe unconjugated hyperbilirubinemia in neonates?

First-line treatment for significant unconjugated jaundice in term infants?

Indication for exchange transfusion in neonatal jaundice?

Kernicterus is most closely associated with which bilirubin form?

Breast milk jaundice is typically characterized by which pattern?

Which investigation helps distinguish immune-mediated hemolysis from other causes?

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