Author: Anonymous

You are called to an emergent cesarean section of a full-term neonate due to cord prolapse.  Apgars were 0 at 1 minute of life, 1 at 5 minutes of life, and 4 at 10 minutes of life. The neonate required intubation/ventilation, chest compressions, two 10 ml/kg normal saline boluses, and several doses of epinephrine. The admission neurological exam is compatible with severe hypoxic ischemic encephalopathy. At 24 hours of age, the Na+ level is 125,  the creatinine is 1.5, and the urine output is 0.2 ml/kg/hr. What is the best management approach in this clinical context?

A 3 week old infant is being admitted due to persistent hypotonia with diminished tendon reflexes. He has had poor feeding with poor weight gain. On exam, he has dolichocephaly, narrow bifrontal diameter, almond-shaped eyes, a small mouth with thin upper lip, downturned corners of mouth, undescended testes, scrotal hypoplasia, a weak cry, and intermittently sounds squeaky. What disorder do you suspect?

You are called to evaluate a term infant in the newborn nursery who is actively seizing. The pregnancy, labor, and delivery were uncomplicated. Apgars were 8 and 9. Which order is the highest priority?

An infant presents to the emergency department (ED) at a week of life due to hypotonia affecting the limbs, trunk, and face with decreased oral intake. On exam, the infant has hypotonia, a poor suck, and hepatomegaly. Initial labs show a significant lactic acidosis. What disorder do you suspect?

A well-appearing term infant presents with left sided weakness and focal clonic seizures. You anticipate the brain MRI will show:

The most definitive diagnostic procedure for a neuromuscular disorder is:

What is a positive consequence of the self-esteem threat?

Believing that a man can’t be sexually assaulted is an example of a rape myth.

When children were prompted to think of reasons why it was bad to imitate TV violence, psychologists were attempting what strategy to reduce aggression?

Extra credit question Ted had a rough day at work. On his way home, he encountered a homeless person, and thought to himself, “Well, at least I have a steady income and a place to live, so maybe things aren’t so bad.” Ted engaged in what technique to make himself feel better.