Karnataka PGET Pediatrics MCQ Answer 06

The correct answer is D


Presence of any of the following signs denotes that the jaundice is pathological.
Treatment is required in the form of phototherapy or exchange blood transfusion.
One should investigate to find the cause of pathological jaundice.

• Clinical jaundice detected before 24 hours of age
• Rise in serum bilirubin by more than 5 mg/ dl/ day
• Serum bilirubin more than 15 mg/ dl
• Clinical jaundice persisting beyond 14 days of life
• Clay/white colored stool and/or dark urine staining the clothes yellow
• Direct bilirubin >2 mg/ dl at any time

Erythema toxicum neonatorum (ETN) is a benign, self-limited, asymptomatic skin condition that only occurs during the neonatal period. The eruption is characterized by small, erythematous papules, vesicles, and, occasionally, pustules.Individual lesions are transitory, often disappearing within hours and then appearing elsewhere on the body.

Mongolian spot refers to a macular blue-gray pigmentation usually on the sacral area of healthy infants. It is usually present at birth or appears within the first weeks of life. It typically disappears spontaneously within 4 years but can persist for life.

Caput succedaneum is a serosanguineous, subcutaneous, extraperiosteal fluid collection with poorly defined margins; it is caused by the pressure of the presenting part against the dilating cervix. Caput succedaneum extends across the midline and over suture lines and is associated with head moulding. Caput succedaneum does not usually cause complications and usually resolves over the first few days.

Category: Karnataka PGET 2007 MCQs