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Pediatrics · Neonatology: jaundice
Sample itemA newborn becomes visibly jaundiced at 12 hours of life. How should this be interpreted?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. As pathologic jaundice requiring prompt evaluation
Jaundice in the first 24 hours is considered pathologic until evaluated because it may reflect hemolysis, infection, or other serious disease. Bilirubin measurement and clinical assessment are required promptly.
Option by option
A. As pathologic jaundice requiring prompt evaluation (correct)
Correct. Very early jaundice is not assumed to be physiologic.
B. As proof of biliary atresia
Biliary atresia usually causes prolonged conjugated jaundice rather than isolated early onset.
C. As normal physiologic jaundice only
Physiologic jaundice typically appears after the first day.
D. As a harmless finding needing no follow-up
No-follow-up management is unsafe for early jaundice.
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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