Question
13. On the first day of life a full-term girl ( 2nd labour ) weighting 3500 g, with Apgar score of 8 points, presented with
13. On the first day of life a full-term girl ( 2nd labour ) weighting 3500 g, with Apgar score of 8 points, presented with jaundice. Indirect bilirubin of blood – was 80 micromole/l, 6 hours later – 160 micromole/l. What is the optimal method of treatment?
A. Enterosorbents
B. Exchange blood transfusion
C. Phototherapy
D. Infusion therapy
E. Phenobarbital treatment
14. A neonate was born from the 1st gestation on term. The jaundice was revealed on the 2nd day of life, then it became more acute. The adynamia, vomiting and hepatomegaly were observed. Indirect bilirubin level was 275 mmol/l, direct bilirubin level – 5 mmol/l, Hb- 150 g/l. Mothers blood group- O(I),Rh+, childs blood group- A(II),Rh+. What is the most probable diagnosis?
A. Hepatitis
B. Physiological jaundice
C. Hemolytic disease of the neonate ( ABO incompatibility), icteric type
D. Hemolytic disease of the neonate ( Rh- incompatibility )
E. Jaundice due to conjugation disorder
15. A child from the first non-complicated pregnancy but complicated labor had cephalhematoma. On the second day there developed jaundice. On the 3th day appeared changes of neurologic status: nystagmus, Graefes sign. Urea is yellow, feces- golden-yellow. Mothers blood group is A(II)Rh-, child – A(II)Rh+. On the third day childs Hb-200 g/l, RBC-6,1 x 1012/l, bilirubin in blood- 58 mkmol/l due to unconjugated bilirubin, Ht- 0,57. What is the childs jaundice explanation?
A. Bile ducts atresia
B. Physiologic jaundice
C. Brain delivery trauma
D. Fetal hepatitis
E. Hemolytic disease of newborn
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