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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