FCPaed(SA) Part II Practice Questions - Fellowship Of The College Of Paediatricians Of South Africa Part II FCPaed(SA) Part II Exam

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A 28-week gestation neonate born by emergency caesarean section for placental abruption develops grunting, nasal flaring, and subcostal recession within 2 hours of birth. Chest radiograph shows diffuse ground-glass opacification with air bronchograms. According to South African neonatal practice, what is the most appropriate initial management for presumed surfactant-deficient respiratory distress syndrome (RDS)?

Withhold oxygen to avoid retinopathy of prematurity Nasal CPAP with consideration of early surfactant if FiO2 requirements remain high Immediate high-frequency oscillatory ventilation without surfactant Oral sildenafil as first-line therapy for all preterm RDS

Correct Answer:

Nasal CPAP with consideration of early surfactant if FiO2 requirements remain high

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