Wednesday, 5 December 2012

Usmle Step 1 MCQ’s # 27

Title: Usmle Step 1 MCQ’s # 27
Subject:
Behavioral Science

Q NO 28: A newborn has a heart rate of 130/min, irregular respirations. and active muscle movements with good tone. He coughs and grimaces in response to stimulation; he is pink in color, except for his hands and feet, which are slightly bluish. This neonate’s APGAR score is?

A. 6
B. 7
C. 8
D. 9
E. 10

Explanation:
The correct answer is C. APGARI named alter Virginia Apgar, can be remembered using the mnemonic: appearance, pulse, grimace, activity, and respiration. The APGAR score is taken at 1 minute and 5 minutes alter birth. On each parameter, a maximum score of 2 is possible. In this case, one point was taken off for cyanosis of the hands and feet; one point was taken off for irregular respirations. The neonate received the maximum score of 2 for all of the other parameters leading to an APGAR of 8.

Source: http://usmleworldwide.com/blog/?p=381

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  9. always wondered what this means... especially when our son was born. thanks for the info!

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  10. Its true each parameter, a maximum score of 2 is possible. In this case, one point was taken off for cyanosis of the hands and feet

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  14. I never understood why new borns have a high heart rate. Does anyone know why this is? My sister thought something was wrong with her first new born because she knew nothing about children. lol, she actually asked what was wrong with her child's heart. I know it's a normal thing but sometimes it scares new parents.

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  18. Interesting article however a lot of room for expansion. Maybe you should give the parameter required for the perfect ten score. and how much variance cost 1 point and how much cost 2. good Stuff!

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