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Pediatrics · Neurology
Sample itemWhich finding may suggest raised intracranial pressure in an infant?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Bulging tense fontanelle with vomiting
A bulging tense fontanelle with vomiting or altered behaviour can indicate raised intracranial pressure and requires urgent clinical evaluation.
Option by option
A. A soft flat fontanelle in a calm infant
A soft flat fontanelle is often normal.
B. Bulging tense fontanelle with vomiting (correct)
Correct: tense bulging fontanelle can reflect raised pressure.
C. Normal Moro reflex at birth
Moro reflex is a neonatal primitive reflex.
D. Brief crying before feeds
Crying before feeds is nonspecific.
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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