Tuesday 27 June 2017

Physiological jaundice in neonate | PGI Nov 2017 Preparations MCQ

NIME Next Batch PGI Quest in Delhi from 10 August to 20 August


True about physiological jaundice in neonate 

A. Occurs in first 6 hrs. of delivery 
B. Unconjugated hyperbilirubinemia 
C. Neurological sequele are common 
D. Best treated by phototherapy 
E. Starts on 2nd day of life



Ans. (B) Unconjugated hyperbilirubinemia ; (E) Statrs on 2nd day of life :
Characterisitcs of physiological jaundice in newborn
— Jaundice appears on 2nd or 3rd day.
— Peak level of bilirubin (maximum 12 mg/dl) on 4th/5th day.
--- Icterus disappears by 7-14 days.
— In premature babies, level becomesmaximumto 15 mg/dl on 5-7th day and disappears by 14 days to a month.
--- Usually unconjugated fraction of bilirubin is raised.
— Level of declining bilirubin 2 mg/day occurs in phase-II

---- It resolves spontaneously.