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Short Answer Questions for ED Fellowship Study

Case: Collapsed neonate with hypoglycaemia

A 5-day old male baby is brought in by his mother for decreased breast-feeding. On examination the child is flat and hypoactive with HR 162, RR 66 and temperature 38.5°C. There is no skin rash.

1. List five causes for a collapsed neonate. 5 marks

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Bloods tests are taken and the following results are available : WCC 21 Platelets 155 CRP 50 pH 7.21 pCO2 20 HCO3 15 Lact 4.0 BGL 1.6

2. Outline your next immediate management step. 1 mark

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3. List three additional investigations that must be performed. 3 marks

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4. List three most common pathogens involved in early-onset neonatal sepsis. 3 marks

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5. What is your antibiotic regimen of choice in this neonate, including doses? 2 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.