Question 1
A term newborn delivered by scheduled cesarean section has tachypnea and mild retractions 1 hour after birth. Oxygen saturation is 93% on room air. Chest radiograph shows hyperinflation with fluid in the interlobar fissures. The mother was afebrile and membranes ruptured at delivery. What is the most appropriate management?
Correct Answer:
Supportive care with oxygen as needed
Question 2
A male infant born at 29 weeks gestation develops grunting, nasal flaring, and increasing oxygen requirement shortly after birth. Chest radiograph shows diffuse reticulogranular opacities and low lung volumes. Which intervention directly treats the underlying pathophysiology?
Correct Answer:
Exogenous surfactant with positive airway pressure
Question 3
A 12-hour-old newborn has temperature instability, poor feeding, lethargy, and respiratory distress. The mother had intrapartum fever and unknown group B Streptococcus status. What is the best next step?
Correct Answer:
Blood culture and empiric ampicillin plus gentamicin
Question 4
A 36-hour-old newborn has jaundice. The mother is blood type O positive and the infant is A positive. Total bilirubin is above the phototherapy threshold, direct bilirubin is normal, and direct antiglobulin testing is positive. What is the most likely cause of the jaundice?
Correct Answer:
ABO hemolytic disease of the newborn
Question 5
A premature infant who recently started enteral feeds develops abdominal distention, temperature instability, and bloody stools. Abdominal radiograph shows pneumatosis intestinalis. What is the best initial management?
Correct Answer:
Stop feeds, decompress the stomach, and start broad-spectrum IV antibiotics
Question 1
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Prepare with the Pediatrics Shelf Practice Questions - NBME Clinical Science Subject Examination in Pediatrics Exam practice quiz. This question bank includes 100 questions covering year-old, month-old, shows, newborn, and treatment. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Pediatrics Shelf Practice Questions - NBME Clinical Science Subject Examination in Pediatrics Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, month-old, shows, newborn, and treatment. 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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