Hypoxic Ischaemic Encephalopathy

10 Questions | Total Attempts: 254

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Hypoxic Ischaemic Encephalopathy

Overview of causes, management of neonatal hypoxic ischaemic encephalopathy.


Questions and Answers
  • 1. 
    HIE is the main cause of cerebral palsy.
    • A. 

      True

    • B. 

      False

  • 2. 
    Figure: a CTGFetal distress can be detected by: (multiple correct answers possible)
    • A. 

      CTG

    • B. 

      Scalp pH

    • C. 

      Fibronectin

    • D. 

      Cord gas

    • E. 

      Cord doppler

  • 3. 
    Figure: Virginia Apgar5 minute APGAR is a good predictor of HIE
    • A. 

      True

    • B. 

      False

  • 4. 
    Grades of HIE were described by: (1 correct answer only)
    • A. 

      Sarnat

    • B. 

      Sarlat

    • C. 

      Scarlatti

    • D. 

      Azzopardi

  • 5. 
    Mechanism of injury is: (multiple correct answers possible)
    • A. 

      ATP depletion

    • B. 

      Reperfusion injury

    • C. 

      Programmed cell death

    • D. 

      Calcium influx

    • E. 

      Shearing

  • 6. 
    The following are signs of moderately severe HIE (multiple correct answers possible)
    • A. 

      Irritability

    • B. 

      Seizures

    • C. 

      Absent primitive reflexes

    • D. 

      Small or poorly reacting pupils

    • E. 

      Hypertonia

  • 7. 
    Electrolyte abnormalities in HIE can be due to: (multiple correct answers possible)
    • A. 

      Fluid overload

    • B. 

      Acute tubular necrosis

    • C. 

      Cerebral salt wasting

    • D. 

      Syndrome of inappropriate ADH

  • 8. 
    Figure: KernicterusAssociations of HIE are: (multiple correct answers possible)
    • A. 

      Dilated cardiomyopathy

    • B. 

      Kernicterus

    • C. 

      Pulmonary hypertension

    • D. 

      Meconium aspiration

    • E. 

      Necrotizing enterocolitis

  • 9. 
    Features of HIE on early CT brain include: (multiple correct answers possible)
    • A. 

      Asymmetry

    • B. 

      Haemorrhage

    • C. 

      Calcified lesions

    • D. 

      Hypoechoic lesions

    • E. 

      Slit like ventricles

  • 10. 
    A poor prognosis is associated with: (multiple correct answers possible)
    • A. 

      Lack of spontaneous respiration at 20 minutes after birth

    • B. 

      Seizures

    • C. 

      White matter changes on MRI

    • D. 

      Abnormal tone at 7 days

    • E. 

      High resistivity index on cranial Ultrasound doppler at 24 hours