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Pediatrics · Neonatology
Sample itemWhich sign suggests pathological neonatal jaundice requiring assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Jaundice appearing within the first 24 hours
Jaundice in the first 24 hours may reflect haemolysis, infection, or other pathology and requires prompt bilirubin measurement and evaluation.
Option by option
A. A single transient sneeze
A sneeze alone does not indicate hyperbilirubinaemia.
B. Temporary acrocyanosis after birth
Acrocyanosis can be normal early transition.
C. Jaundice appearing within the first 24 hours (correct)
Correct: first-day jaundice is not assumed physiological.
D. Mild jaundice after day three in a thriving infant
Later mild jaundice may be physiological but still needs context.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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