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#1
09-01-2012
 USMLE Forums Master Steps History: 1+CK+CS+3 Posts: 1,186 Threads: 119 Thanked 821 Times in 434 Posts Reputation: 831
Calculate this baby's APGAR score

A newborn has a heart rate 0f 126/min with irregular respirations, and active muscle movements and good muscle tone. he does not coughs and grimaces in response to stimulation, he is pink in color except for hands and feet, which are slightly bluish in color....this neonate's APGAR is..?

a) 5
b) 6
c) 7
d) 8
e) 9

explanation is needed too.....

#2
09-01-2012
 USMLE Forums Veteran Steps History: Not yet Posts: 218 Threads: 4 Thanked 74 Times in 55 Posts Reputation: 84

B......6
HR>100=2
irregular resp =1
active mvt=2
pink trunk but cyanosis in extremities=1
#3
09-01-2012
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Quote:
 Originally Posted by imgchuchu B......6 HR>100=2 irregular resp =1 active mvt=2 pink trunk but cyanosis in extremities=1
You forgot the grimace response (reflex irritability)
The correct score is 8

#4
09-01-2012
 USMLE Forums Veteran Steps History: Not yet Posts: 218 Threads: 4 Thanked 74 Times in 55 Posts Reputation: 84

Quote:
 Originally Posted by imgchuchu B......6 HR>100=2 irregular resp =1 active mvt=2 pink trunk but cyanosis in extremities=1
Thank you RocketMD but
Grimace without cough =1
total Apgar score=7
cc
 The above post was thanked by: chux (09-01-2012)
#5
09-01-2012
 USMLE Forums Master Steps History: Step 1 Only Posts: 864 Threads: 62 Thanked 374 Times in 225 Posts Reputation: 384
C. 7

Appearance: blue at extremities, body pink- 1
Pulse: 126- 2
Grimace- grimace when stimulated- 1
Activity- good muscle tone- 2
Respiration- irregular- 1

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 The above post was thanked by: Doc4Step1 (09-01-2012), sruthi (09-02-2012)
#6
09-01-2012
 USMLE Forums Master Steps History: 1+CK+CS+3 Posts: 1,186 Threads: 119 Thanked 821 Times in 434 Posts Reputation: 831

yes, the correct answer is C) 7

APGAR score is to assess the newborn condition immediately after birth....it is assessed in 1-minute and 5-minute asessments.....score greater or equal to 8 indicates fetal well being...score less than 4 indicate severe neurological damage....

it includes 5 parameters....each one scores 2 points

Appearance-------body is pink,but hands and feet bluish-------score..1
Pulse rate---------126 beats/min-----------------------------score..2
Grimace------------baby grimace and do not cough------------score..1
Activity-----------baby has good muscle tone and movement---score..2
Respiration----------irregular respirations----------------------score..1
TOTAL---7

score 7 can be taken as fetal well being.....(score_>7 is good)
score 4-6.....need assist
if <4-----need resuscitate
 The above post was thanked by: chux (09-01-2012), gusvill81 (09-24-2012)
#7
09-01-2012
 USMLE Forums Master Steps History: Step 1 Only Posts: 864 Threads: 62 Thanked 374 Times in 225 Posts Reputation: 384

Quote:
 Originally Posted by venky2600 yes, the correct answer is C) 7 APGAR score is to assess the newborn condition immediately after birth....it is assessed in 1-minute and 5-minute asessments.....score greater or equal to 8 indicates fetal well being...score less than 4 indicate severe neurological damage.... it includes 5 parameters....each one scores 2 points Appearance-------body is pink,but hands and feet bluish-------score..1 Pulse rate---------126 beats/min-----------------------------score..2 Grimace------------baby grimace and do not cough------------score..1 Activity-----------baby has good muscle tone and movement---score..2 Respiration----------irregular respirations----------------------score..1 TOTAL---7 score 7 can be taken as fetal well being.....(score_>7 is good) score 4-6.....need assist if <4-----need resuscitate
Just out of curiosity. Isn't its a step 2 stuff?? Because i didn't remember about that grimace condition. So i have to look over in internet as its not in rapid review. Thanks.
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#8
09-01-2012
 USMLE Forums Addict Steps History: --- Posts: 110 Threads: 4 Thanked 32 Times in 28 Posts Reputation: 42

Quote:
 Originally Posted by koolkiller88 Just out of curiosity. Isn't its a step 2 stuff?? Because i didn't remember about that grimace condition. So i have to look over in internet as its not in rapid review. Thanks.
It's actually in FA
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focus
#9
09-01-2012
 USMLE Forums Master Steps History: 1+CK+CS+3 Posts: 1,186 Threads: 119 Thanked 821 Times in 434 Posts Reputation: 831

Quote:
 Originally Posted by koolkiller88 Just out of curiosity. Isn't its a step 2 stuff?? Because i didn't remember about that grimace condition. So i have to look over in internet as its not in rapid review. Thanks.
i don't know whether the stuff is step 2's.......actually, i did the same format question from kaplan Q bank(behavioral science)......i personaly thought it as very easy question,but lot may do mistakes in hurry(as it is too basical)..i posted it,so that everyone can know....
it's mentioned in F.A 2012 pg.62...but not descriptively as you said...
#10
09-01-2012
 USMLE Forums Master Steps History: Step 1 Only Posts: 864 Threads: 62 Thanked 374 Times in 225 Posts Reputation: 384

Quote:
 Originally Posted by venky2600 i don't know whether the stuff is step 2's.......actually, i did the same format question from kaplan Q bank(behavioral science)......i personaly thought it as very easy question,but lot may do mistakes in hurry(as it is too basical)..i posted it,so that everyone can know.... it's mentioned in F.A 2012 pg.62...but not descriptively as you said...
Xie Xie nin
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#11
09-01-2012
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yup more of a step 2 question.anyways thanks for the review

 Tags Clinical-Signs, Pediatrics-, Step-1-Questions

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