DCH(SA) Practice Questions - Diploma in Child Health of the College of Paediatricians of South Africa Exam - DCH(SA) Practice Questions - Diploma in Child Health of the College of Paediatricians of South Africa Exam

Question 1

According to the Helping Babies Breathe (HBB) and Neonatal Resuscitation Program (NRP) guidelines adopted in South Africa, what is the initial primary action within the 'Golden Minute' for a newborn who is apneic or gasping at birth?

Provide chest compressions at a 3:1 ratio with continuous high-flow oxygen via nasal prongs Immediately perform endotracheal intubation and suction the trachea before providing any positive pressure ventilation Administer IV Adrenaline 0.02 mg/kg via the umbilical vein while continuing tactile stimulation for 60 seconds Thoroughly dry the baby, remove wet linen, position the head, clear the airway if obstructed, and initiate bag-mask ventilation if still not breathing

Correct Answer:

Thoroughly dry the baby, remove wet linen, position the head, clear the airway if obstructed, and initiate bag-mask ventilation if still not breathing

Question 2

In a asymptomatic term neonate (38 weeks gestation) in a South African district hospital, what is the capillary/blood glucose threshold below which intervention for neonatal hypoglycemia is required within the first 24 hours of life?

3.5 mmol/L 4.0 mmol/L 1.8 mmol/L 2.6 mmol/L

Correct Answer:

2.6 mmol/L

Question 3

Which set of clinical criteria must be met before initiating Continuous Kangaroo Mother Care (KMC) in a low birth weight (

The infant must weigh at least 1800g and be completely off all tube feedings The infant must be phototherapy-free for at least 48 hours and have a normal cranial ultrasound The mother must have completed 14 days of inpatient stay post-cesarean delivery The infant must be hemodynamically stable, breathing spontaneously without oxygen/CPAP dependence, and tolerating enteral feeds

Correct Answer:

The infant must be hemodynamically stable, breathing spontaneously without oxygen/CPAP dependence, and tolerating enteral feeds

Question 4

A preterm infant born at 29 weeks gestation develops grunting, intercostal recessions, and cyanosis shortly after birth. Chest radiography reveals a diffuse ground-glass appearance with air bronchograms. What is the initial respiratory management strategy according to SA neonatal guidelines?

Immediate mechanical ventilation with high-frequency oscillatory ventilation (HFOV) Elective endotracheal intubation followed by prophylactic surfactant administration within 10 minutes High-flow nasal cannula at 1 L/min with empiric IV Dexamethasone Nasal CPAP (5-6 cmH2O) with targeted oxygen therapy, reserving exogenous surfactant for persistent FiO2 requirement >0.30

Correct Answer:

Nasal CPAP (5-6 cmH2O) with targeted oxygen therapy, reserving exogenous surfactant for persistent FiO2 requirement >0.30

Question 5

What is the recommended empirical intravenous antibiotic regimen for early-onset neonatal sepsis (

Oral Amoxicillin and Co-trimoxazole Intravenous Ceftriaxone and Vancomycin Intravenous Meropenem and Amikacin Intravenous Ampicillin and Gentamicin

Correct Answer:

Intravenous Ampicillin and Gentamicin

Question 1

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Prepare with the DCH(SA) Practice Questions - Diploma in Child Health of the College of Paediatricians of South Africa Exam practice quiz. This question bank includes 100 questions covering child, infant, presents, year-old, and severe. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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DCH(SA) Practice Questions - Diploma in Child Health of the College of Paediatricians of South Africa Exam

This practice set contains 100 questions from the matching question bank and focuses on child, infant, presents, year-old, and severe. 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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DCH(SA) Practice Questions - Diploma in Child Health of the College of Paediatricians of South Africa Exam

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