Paeds Vivas · preventive-and-community-paediatrics
Newborn bloodspot screening for inherited metabolic disease and follow-up — branching viva
Branching viva from incomplete bloodspot cards through critical CH result, galactosaemia feed safety, MCADD education and parental refusal.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the postnatal and community paediatric registrar. Newborn bloodspot issues are released in stages by the examiner.
Station opening
Examiner: "The baby looks perfect. Why are you delaying discharge for a blood test card?" [17]
Strong candidate (must-hit)
- Bloodspot is a closed-loop programme, not optional paperwork. [17]
- Distinguishes clear, positive, unsatisfactory and incomplete states. [17]
- Names an owner for incomplete items. [17]
Weak candidate
References4ShowHide
- [3]van Trotsenburg P, Stoupa A, Léger J, et al. Congenital Hypothyroidism consensus guidelines update. Thyroid, 2021.PMID 33272083
- [7]Mason E, Hindmarch CCT, Dunham-Snary KJ Medium-chain Acyl-COA dehydrogenase deficiency. Endocrinology, diabetes & metabolism, 2023.PMID 36300606
- [10]Berry GT Galactosemia: when is it a newborn screening emergency? Molecular genetics and metabolism, 2012.PMID 22483615
- [17]O'Leary P, Maxwell S Newborn bloodspot screening policy framework for Australia. Australasian medical journal, 2015.PMID 26464586