SDMS CME Credit – The Accuracy of Various Lung Ultrasonography Findings in Predicting the Necessity for Surfactant Treatment in Neonates With Respiratory Distress Syndrome

SDMS members can earn SDMS CME credit by successfully completing the complimentary online CME test in the SDMS Learning Center at learn.sdms.org. Non-members may access the online CME test for a fee. Note: questions may appear in random order online.

Authors: Seyed Mohammadsadegh Ghadiri Asli, MD, Ameneh khalilzadeh Sabetmasouleh, MD, Neda Akhoundi, MD, and Alireza Siami, MSc

Category: Pediatric Sonography [PS]

Credit: 0.75 SDMS CME Credit

Objectives: After studying the article, you should be able to:

• Describe the accuracy of the neonatal lung scanning (LUS) protocol to determine respiratory distress syndrome (RDS).

• Discuss neonatal cohort statistical results for both chest radiography (CXR) and LUS imaging to accurately diagnose RDS.

• Compare neonates diagnosed with RDS based on LUS and clinical findings with the need for surfactant treatment.

1. The study demographics documented what percent of 28 to 30-week gestational age (GA) fetuses were vaginal births?

2. B. 56%

3. C. 44%

4. D. 57%

What clinical finding was revealed in the Figure 3 CXR of the 29-week GA neonate?

A. A-Lines

B. B-Lines

C. Reticular opacities

D. White lung

This neonatal cohort study found that sensitivity and specificity percentages for LUS imaging, demonstrating abnormal B-Lines, was_______.

A. 95.4% and 76.7%

B. 91.7% and 71.6%

C. 90.9% and 88.3%

D. 98% and 96%

A comparison of chest radiography clinical findings, in neonates that were 28–32 weeks GA, found ____ cases that were diagnosed with the “white lung” artifact.

A. 7

B. 9

C. 11

D. 8

In Figure 5, how many neonates in the group with pleural effusion received surfactant therapy?

A. 3

B. 22

C. 6

D. 13