KUIZ NNJ PKD KINTA 2021

Jaundice is apparent clinically, when the level of bilirubin in the serum rises above 85μmol/L (5mg/ dL).

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Below are the features of pathological jaundice, EXCEPT :

• Clinical jaundice appear in the first 24 hours of age

• G6PD Deficiency

• Rapid rise in the level of total bilirubin more than 103 μmol/L/24 hours

• Conjugated (Direct) hyperbilirubinaemia more than 15% of total bilirubin.

Below are the risk factors of SNNJ, EXCEPT :

• Mothers with blood group O/ Rhesus negative

• Prematurity (< 37 completed weeks)

• Baby of Covid-19 mother

• Inadequate breastfeeding/ dehydration (>10% weight loss)

When the mother is Rh-negative, the below tests are required from cord blood, EXCEPT :

• ABO blood type and Rh(D) type

• Direct Coombs’test

• TSH

• Bilirubin level

In case of G6PD deficiency, the baby must be admitted in hospital for observation for at least .........

• 3 days

• 7 days

• 5 days

• 24 hours

If the jaundice is detected but not indicated for admission or phototherapy , daily visits should be conducted to monitor the severity of jaundice.

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Rapid rise of serum bilirubin more than 8.5 μmol/L/hour (> 0.5mg/dL/hour) is indication for

• discharge

• phototherapy

• exchange transfusion

Percentage of weight loss (% weight loss) can be calculated by using this formula:

(W) / birth weight x 100%

What is W?

• current weight

• birth weight + current weight

• birth weight - current weight

In what condition TcB (transcutaneous Bilirubinometer) should not be use to measure bilirubin level?

• premature baby

• If TcB level exceed 200 umol/L

• > 24hours after stopping phototherapy

• macrosomic baby

Below are the causes of Conjugated Hyperbilirubinemia, EXCEPT :

• Hypothyroidism

• Urinary tract Infection

• Biliary Atresia

• TORCHES infection