FCPaed(SA) Part II Practice Questions - Fellowship of the College of Paediatricians of South Africa Part II FCPaed(SA) Part II Exam - FCPaed(SA) Part II Practice Questions - Fellowship of the College of Paediatricians of South Africa Part II FCPaed(SA) Part II Exam

Question 1

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

Question 2

A term neonate develops persistent central cyanosis that does not improve with 100% oxygen (hyperoxia test). Pulse oximetry shows pre-ductal SpO2 82% and post-ductal SpO2 80%. What does a failed hyperoxia test most strongly suggest?

Transient tachypnoea of the newborn Congenital cardiac lesion with right-to-left shunting Physiological jaundice Neonatal sepsis without cardiopulmonary disease

Correct Answer:

Congenital cardiac lesion with right-to-left shunting

Question 3

A 3-day-old preterm infant meets criteria for therapeutic hypothermia for moderate hypoxic-ischaemic encephalopathy (HIE). According to standard protocols used in South African tertiary NICUs, what target core temperature should be maintained during the cooling phase?

35.0°C for 24 hours 33.5°C for 72 hours 37.5°C for 48 hours 30.0°C until seizures stop

Correct Answer:

33.5°C for 72 hours

Question 4

A 10-day-old preterm infant on full enteral feeds develops abdominal distension, bloody stools, and pneumatosis intestinalis on abdominal radiograph. What Bell stage best describes necrotising enterocolitis (NEC) with pneumatosis without perforation?

Stage IA — suspected NEC, medically managed Stage IIA — definite NEC without perforation Stage IIIA — advanced NEC with perforation Stage IIIB — advanced NEC with pan-necrosis

Correct Answer:

Stage IIA — definite NEC without perforation

Question 5

According to the South African Road to Health Booklet (RTHB), at what age should the first immunisations (BCG and OPV0) routinely be given?

At birth before hospital discharge At 6 weeks only At 9 months At 12 years

Correct Answer:

At birth before hospital discharge

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Prepare with the FCPaed(SA) Part II Practice Questions - Fellowship of the College of Paediatricians of South Africa Part II FCPaed(SA) Part II Exam practice quiz. This question bank includes 100 questions covering year-old, presents, south, african, and develops. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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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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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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