A mom has active Hepatitis B. The management for the baby.
What is Hepatitis B Immunoglobulin and Hepatitis B vaccine?
100
The temperature required to be considered "fever" in a neonate.
What is 100.4F or 38C?
100
These 2 TORCH infections cause intracranial calcifications.
What is Toxoplasmosis (generally located cerebral) and CMV (periventricular)?
200
A pregnant mother comes to your office concerned because her 2 year old son came home from daycare with fever, rhinorrhea and red cheeks. The fetus is at risk for this complication.
What is hydrops fetalis? (from Parvovirus B19)
200
A women in her 2nd trimester is found to be positive for syphilis. She has a PCN allergy. Treatment is this.
What is PCN sensitization?
200
The treatment for a baby with seizures, hepatitis and vesicular rash.
What is IV Acyclovir?
200
The calculation for IT ratio in a neonate (and this value is considered critical).
What is immature cells (bands, metamyelocytes, myelocytes) over total neutrophils (segmented neutrophils plus immature cells)?
200
Excessive sniffles can be seen in this congenital infection.
What is syphilis?
300
The likely diagnosis in a SGA baby found to have seizures, microcephaly, thrombocytopenia, hepatosplenomegaly and jaundice.
What is CMV?
(same symptoms can be seen with congenital Toxo, but thrombocytopenia is not associated with Toxo)
300
Two symptoms seen with congenital Zika infection.
What is microcephaly, clubfoot, hypertonia/reflexia/spasticity, seizures, SGA?
300
Zika belongs to this group of viruses.
What is flavivirus?
300
Places to culture/consider infection in a neonate.
What is blood, urine, and CSF?
300
A child with profound developmental delay is noted to have anterior bowing of the tibia. The name of the diagnostic test (BOTH of them!) for this infection in pregnancy.
What is RPR (initial screen) and confirmed by FTA-ABS?
400
Three ways to decrease HIV transmission from infected mom to baby.
What is:
1. Zidovudine (in pregnancy, during labor, and postpartum for baby)
2. C-section
3. No breastfeeding (if formula is readily available)
400
Two TORCH infections with hearing loss.
What is CMV and Rubella?
400
The treatment for fever in the first 2 months of life (including newborns).
What is Ampicillin and Gentamycin?
(also consider Acyclovir)
**What organism is each medication specifically used for?**
400
Under this age, a neonate is admitted for IV antibiotics with fever.
What is 8 weeks?
*this number is debated in clinical practice and depending on where you practice can be 4-6 weeks
400
The "blueberry muffin rash" is actually what hematologic phenomenon?
What is extramedullary hematopoeisis?
500
A GBS positive mom is in labor at term. She received PCN x 3 hours and was ruptured for 19 hours. This is the management for baby.
What is blood culture at birth and CBC at 12 and 24 hours?
500
Intrauterine death from Parvovirus is due to this complication (the cause of hydrops).
What is anemia?
500
The 3 most common bacterial organisms to cause neonatal infection.
What is Group B Strep, E Coli, and Listeria?
500
The age at which a baby can receive their first flu vaccine.
What is 6 months?
*Children require 2 flu vaccines one month apart their first year
500
The infectious cause of a baby born with scarring in dermatomal distribution on a hypoplastic limb, cataracts (or chorioretinitis/microphthalmos), and seizures?