determine
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A newborn infant requires repeated resuscitations in the delivery room because of failure to breathe and cyanosis. During spells of crying, which appear to alleviate the cyanosis, his breath and heart sounds are normal, as is direct laryngoscopy. Vigorous respiratory movements appear ineffectual. Immediate management of this infant consists of which of the following?
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1) obtaining a chest x-ray
2) obtaining an ECG
3) arterial blood gas determinations
4) inserting an oropharyngeal airway
5) administration of naloxone
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| srf
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4
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| msyamp
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1
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| Reddoc
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Baby has choanal atresia - I guess put in the oropharyngeal airway - 4.
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| AAAAA
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5 is the correct answer. Why? Mom=given narcotic med during labour=depressed respiration
also 5 is easy to do, to do=do something
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| Rasul
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agree with reddoc, choanal atresia, 4.clue-cyanosis alleviated by cry. Drugs given to mother are not mentioned in the question
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| srf
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this is a case of choanal atresia, child with narcotic hardly cry. aslo putting oropharngeal air way is easy 6 economical .
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| achilles
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its 4-insert an oropharyngeal airway.
interesting thought AAAAA !!!! and one has to do something that's right and not try something else because its easier to do.
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| coppisv
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insertion of oropharyngeal airway is easier and quicker
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| juanma0
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The answer is undoubtebly 4. As has already been stated this is choanal atresia. This is very typical and a likely Q on the boards. The other way this is asked is a baby who gets cyanotic while feeding (eg. sucking and swallowing).
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| robin082006
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| sandra
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again..i amused by AAAAA .....man whoever u are , thank u.. u give me some good laughs on a lousy day like this
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| neuroblastoma
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4) inserting an oropharyngeal airway
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| xthine
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I think 4 would be the most appropriate intervention. ABCs.
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| drraj_99
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it's 4
after airway is established
go for surgery
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| histop
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inserting an oropharyngeal airway
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| drjust
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