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Pediatrics · Neurology: hydrocephalus
Sample itemAn infant has rapidly increasing head circumference, bulging fontanelle, sunset eyes, and vomiting. What condition should be suspected?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Hydrocephalus with raised intracranial pressure
Hydrocephalus can increase intracranial pressure in infants, producing rapid head growth, bulging fontanelle, downward gaze, and vomiting. Urgent neuroimaging and neurosurgical assessment are needed.
Option by option
A. Hydrocephalus with raised intracranial pressure (correct)
Correct. These signs indicate raised intracranial pressure in infancy.
B. Primary hypothyroidism only
Hypothyroidism has different systemic features.
C. Simple colic
Colic does not cause macrocephaly and bulging fontanelle.
D. Otitis externa
Otitis externa affects the ear canal.
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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