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Question 1
A full-term male newborn delivered via emergency cesarean section is apneic and limp. After 30 seconds of initial warming, drying, and tactile stimulation, his heart rate is 70 beats/min. Effective positive-pressure ventilation (PPV) with room air is initiated for 30 seconds, but his heart rate drops to 50 beats/min despite confirmed adequate bilateral chest rise. What is the most appropriate next step in resuscitation?
Correct Answer:
Begin chest compressions coordinated with positive-pressure ventilation using 100% oxygen
Question 2
A preterm male infant born at 29 weeks of gestation develops expiratory grunting, nasal flaring, and prominent intercostal retractions within 30 minutes of birth. Arterial blood gas shows pH 7.22, PaCO2 58 mmHg, PaO2 48 mmHg, and HCO3 22 mmol/L on continuous positive airway pressure (CPAP) of 6 cmH2O and FiO2 0.45. Chest radiography reveals diffuse reticulogranular ground-glass opacities with air bronchograms and low lung volumes. What is the definitive initial therapy?
Correct Answer:
Exogenous surfactant administration via minimally invasive or endotracheal technique
Question 3
A post-term infant born at 42 weeks of gestation through thick meconium-stained amniotic fluid exhibits profound cyanosis and severe respiratory distress shortly after birth. Echocardiography demonstrates suprasystemic right ventricular systolic pressure with right-to-left shunting across the ductus arteriosus and foramen ovale, with structurally normal intracardiac anatomy. Pre-ductal SpO2 is 93% on mechanical ventilation, while post-ductal SpO2 is 78%. What is the most targeted pharmacological intervention?
Correct Answer:
Inhaled nitric oxide (iNO)
Question 4
A 12-hour-old term infant born to an Rh-negative mother (blood group O negative) presents with rapidly worsening jaundice. Laboratory evaluation reveals infant blood group A positive, total serum bilirubin 240 umol/L (14 mg/dL), hemoglobin 105 g/L, reticulocyte count 12%, and a strongly positive direct antiglobulin (Coombs) test. Despite 4 hours of intensive phototherapy, total bilirubin increases to 350 umol/L (20.5 mg/dL), crossing the exchange transfusion threshold. In addition to preparing for double-volume exchange transfusion, which pharmacological therapy is indicated to reduce the need for exchange?
Correct Answer:
Intravenous immune globulin (IVIG)
Question 5
A 4-week-old full-term infant is evaluated for persistent jaundice that began on day 10 of life. The parents note that the infant's stools are persistently clay-colored (acholic) and urine stains the diaper dark yellow. Physical examination reveals firm hepatomegaly without splenomegaly. Laboratory studies show total bilirubin 145 umol/L, direct (conjugated) bilirubin 112 umol/L, AST 180 U/L, ALT 165 U/L, and GGT 680 U/L. Abdominal ultrasonography reveals an absent gallbladder and a triangular cord sign at the porta hepatis. What is the definitive management step?
Correct Answer:
Urgent intraoperative cholangiogram and Kasai portoenterostomy (hepatoportoenterostomy)
Question 1
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Prepare with the Arab Board Pediatrics Final Written Practice Questions - Arab Board Pediatrics Final Written Examination (ABHS) Exam practice quiz. This question bank includes 100 questions covering reveals, year-old, examination, infant, and demonstrates. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board Pediatrics Final Written Practice Questions - Arab Board Pediatrics Final Written Examination (ABHS) Exam

This practice set contains 100 questions from the matching question bank and focuses on reveals, year-old, examination, infant, and demonstrates. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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