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Pediatric Rounds Review Questions

A Newborn with Intermittent Posturing

Sirisha Durbhakula, MD, and Irene N. Sills, MD

Dr. Durbhakula is an Instructor of Pediatrics at Albany Medical College and a Pediatric Resident at Albany Medical Center, Albany, NY. Dr. Sills is an Associate Professor of Pediatrics at Albany Medical College and the Director of the Pediatric Residency Program at Albany Medical Center.

The questions below are based on the August 2003 Pediatric Rounds article, “A Newborn with Intermittent Posturing.”

Choose the single best answer for each question.

1. All of the following statements regarding the epidemiology of neonatal stroke are correct EXCEPT:
  1. Neonatal stroke is one of the top 10 causes of death in the neonatal period
  2. Neonatal stroke is recognized in 1/4000 births annually
  3. The incidence of neonatal stroke has not changed over time
  4. Neonatal stroke is a commonly recognized entity in the neonatal period
  5. Neonatal stroke is the second most common cause of seizures in the neonatal period
Click here to compare your answer.

2. Which is the best imaging study for defining the extent of neonatal stroke?

  1. Computed tomographic (CT) scan with contrast
  2. Head ultrasound
  3. Magnetic resonance angiography (MRA)
  4. Magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI)
Click here to compare your answer.

3. Which of the following has been shown to be a necessary medication in the management of stroke in neonates?
  1. Anticoagulants
  2. Anticonvulsants
  3. Corticosteroids
  4. Thrombolytics
Click here to compare your answer.


4. Which of the following statements regarding outcomes of neonatal stroke is correct?

  1. Mortality rate from neonatal stroke is 20%
  2. Neurologic sequelae are present in 80% of patients with neonatal stroke
  3. Neonates with abnormal background electroencephalogram (EEG) activity within the first week following stroke are more likely to develop hemiplegia
  4. The recurrence rate in children with neonatal stroke is 25%
Click here to compare your answer.

 

Click here to read “A Newborn with Intermittent Posturing” (Requires Adobe Acrobat Reader)


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