MCQ Bank Access the MCQ Bank The Tiny Taught MCQ bank is free to use. Welcome to your All categories General A healthy term newborn requires a heel lance for routine metabolic screening. His mother is at the cot side, is comfortable feeding him and would like to be involved during the procedure. Which is the single most appropriate non-pharmacological measure to reduce pain during the heel lance? Administer paracetamol before the procedure Breastfeeding during the procedure Facilitated tucking performed by the nurse Massage immediately before the procedure Swaddling without parental involvement None 1 out of 10 Respiratory and Resuscitation A term male infant of 39 weeks gestation has profound cyanosis at 4 hours of age which has not responded to 100% supplemental oxygen and conventional mechanical ventilation. The chest radiograph is largely clear. There is a 12% difference between pre- and post-ductal oxygen saturations. Which investigation is the single most appropriate to confirm a diagnosis of PPHN? Cardiac catheterisation Computed tomography pulmonary angiography Echocardiography Electrocardiography Hyperoxia test with arterial blood gas None 2 out of 10 Nutrition, GI and Metabolic A 28-week preterm infant on full enteral feeds is found to have a green nasogastric aspirate. The abdomen is soft and non-distended, the baby has just opened bowels, and observations are normal. The NG tube tip is noted to be beyond the pylorus on the most recent x-ray. What is the single most appropriate next step? Continue current feeds and observe Make the baby nil by mouth and start antibiotics Refer for an urgent upper GI contrast study Transfer to a surgical NICU as a time-critical case Withdraw the nasogastric tube to the correct position None 3 out of 10 Loading questions... 4 out of 10 Loading questions... 5 out of 10 Loading questions... 6 out of 10 Loading questions... 7 out of 10 Loading questions... 8 out of 10 Loading questions... 9 out of 10 Loading questions... 10 out of 10 Previous Start Quiz Next Time's up