Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Pediatric Rounds Review Questions

An Infant with Methemoglobinemia

Mark A. Hostetler, MD, MPH

Dr. Hostetler is an Assistant Professor; Chief of the Section of Emergency Medicine, Department of Pediatrics; and Medical Director of the Pediatric Emergency Department, University of Chicago Children’s Hospital, Chicago, IL.

The questions below are based on the February 2003 Pediatric Rounds article, “An Infant with Methemoglobinemia.”

Choose the single best answer for each question.

1. Which of the following signs suggests methemoglobinemia?
  1. Cherry red spot on funduscopic exam
  2. Dark “chocolate brown” appearance of venous blood
  3. High fever
  4. Pale nailbeds
  5. Rotary nystagmus
Click here to compare your answer.

2. Which of the following is the most common cause of lethargy in a neonate?

  1. Child abuse
  2. Hyperbilirubinemia
  3. Inborn error of metabolism
  4. Methemoglobinemia
  5. Sepsis
Click here to compare your answer.

3. Which of the following is the treatment of choice for severe symptomatic methemoglobinemia?
  1. Amyl nitrite administration
  2. Hemodialysis
  3. Methylene blue administration
  4. Naloxone hydrochloride
  5. Sodium thiosulfate administration
Click here to compare your answer.

4. Which of the following is the most reliable way to measure methemoglobinemia?

  1. Co-oximetry
  2. Pulse oximetry
  3. Simple visual analysis of a venous blood spot on filter paper
  4. Standard arterial blood gas analysis
  5. Thin-layer gas chromatography
Click here to compare your answer.


Click here to read “An Infant with Methemoglobinemia” (Requires Adobe Acrobat Reader)


Check our archive to test your knowledge in other pediatric cases:

Pediatric Rounds Review Questions Archives

If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2008, Turner White Communications
Updated 1/04/08 • kkj