TEP Pediatria Practice Questions - TEP - Título de Especialista em Pediatria (Sociedade Brasileira de Pediatria AMB) Exam - TEP Pediatria Practice Questions - TEP - Título de Especialista em Pediatria (Sociedade Brasileira de Pediatria AMB) Exam

Question 1

According to the Sociedade Brasileira de Pediatria (SBP) Neonatal Resuscitation Program (PRN-SBP) for infants born at >=34 weeks of gestational age, what are the three initial questions evaluated immediately after birth to determine if routine care with the mother is indicated?

Is the infant term? Is the amniotic fluid clear? Is the infant crying or breathing? Is the infant term? Is the infant breathing or crying? Is the muscle tone good? Is the infant breathing? Is the heart rate above 100 bpm? Is the color pink? Is the birth weight over 2500 g? Is the infant crying? Is the muscle tone active?

Correct Answer:

Is the infant term? Is the infant breathing or crying? Is the muscle tone good?

Question 2

A newborn born at 39 weeks of gestation presents with apnea and hypotonia at birth. The clinician provides initial steps under a radiant warmer (warm, dry, position head, clear secretions if needed) within 30 seconds. At the 30-second assessment, the infant remains in gasping respiration with a heart rate of 70 bpm. According to PRN-SBP guidelines, what is the immediate next step?

Initiate positive pressure ventilation (PPV) with room air (21% O2) using a T-piece resuscitator or self-inflating bag with mask and connect a pulse oximeter Initiate chest compressions synchronized with ventilation at a 3:1 ratio using 100% oxygen Provide free-flow supplemental oxygen at 10 L/min via mask held close to the face Administer intravenous epinephrine 0.02 mg/kg via emergency umbilical venous catheter

Correct Answer:

Initiate positive pressure ventilation (PPV) with room air (21% O2) using a T-piece resuscitator or self-inflating bag with mask and connect a pulse oximeter

Question 3

During resuscitation of a preterm infant born at 29 weeks of gestational age, positive pressure ventilation is required. According to SBP guidelines for premature infants

Initial FiO2 21%; target pre-ductal SpO2 60–65% Initial FiO2 30%; target pre-ductal SpO2 70–80% Initial FiO2 60%; target pre-ductal SpO2 85–95% Initial FiO2 100%; target pre-ductal SpO2 95–100%

Correct Answer:

Initial FiO2 30%; target pre-ductal SpO2 70–80%

Question 4

A 36-hour-old full-term infant born to a mother with blood type O Rh-positive presents with jaundice down to the abdomen (Kramer Zone 2-3). The infant's blood type is A Rh-positive, direct Coombs test is positive, and total serum bilirubin (TSB) is 14.5 mg/dL. What is the most likely pathophysiological mechanism?

Immune-mediated ABO hemolytic disease of the newborn with anti-A IgG antibodies crossing the placenta Physiological jaundice of the newborn secondary to hepatic glucuronyl transferase immaturity Breast milk jaundice (Síndrome da icterícia pelo leite materno) due to beta-glucuronidase Biliary atresia causing early conjugated hyperbilirubinemia

Correct Answer:

Immune-mediated ABO hemolytic disease of the newborn with anti-A IgG antibodies crossing the placenta

Question 5

Which of the following conditions is tested in Phase 1 of the Brazilian National Newborn Screening Program (Programa Nacional de Triagem Neonatal - PNTN / Teste do Pezinho) across all Brazilian public health units (SUS)?

Phenylketonuria, Congenital Hypothyroidism, Sickle Cell Anemia/Hemoglobinopathies, Cystic Fibrosis, Congenital Adrenal Hyperplasia, and Biotinidase Deficiency Gaucher Disease, Fabry Disease, Pompe Disease, Mucopolysaccharidosis Type I, and Spinal Muscular Atrophy Galactosemia, Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency, and Toxoplasmosis only Severe Combined Immunodeficiency (SCID), Spinal Muscular Atrophy (SMA), and Pompe Disease only

Correct Answer:

Phenylketonuria, Congenital Hypothyroidism, Sickle Cell Anemia/Hemoglobinopathies, Cystic Fibrosis, Congenital Adrenal Hyperplasia, and Biotinidase Deficiency

Question 1

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Prepare with the TEP Pediatria Practice Questions - TEP - Título de Especialista em Pediatria (Sociedade Brasileira de Pediatria AMB) Exam practice quiz. This question bank includes 100 questions covering presents, reveals, infant, year-old, and child. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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TEP Pediatria Practice Questions - TEP - Título de Especialista em Pediatria (Sociedade Brasileira de Pediatria AMB) Exam

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

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TEP Pediatria Practice Questions - TEP - Título de Especialista em Pediatria (Sociedade Brasileira de Pediatria AMB) Exam

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