Cert Cardiology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate In Cardiology Cert Cardiology(SA) Paed Exam

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A 28-week premature infant weighing 950 grams develops bounding peripheral pulses, a hyperdynamic precordium, and a continuous machinery murmur at the left infraclavicular area on day 4 of life. Chest radiography shows cardiomegaly and pulmonary plethora. Before initiating intravenous ibuprofen for ductal closure, which clinical condition represents an absolute contraindication?

Mild respiratory distress syndrome requiring nasal CPAP Serum bilirubin of 120 micromol/L Active necrotizing enterocolitis (NEC) or intestinal perforation Platelet count of 180,000 /microliter

Correct Answer:

Active necrotizing enterocolitis (NEC) or intestinal perforation

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