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Sarnat II — RACP Paediatrics MCQ

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ModerateNeonatalSarnat IIRACP Paediatrics

A term neonate post asphyxia (cord pH 6.95, Apgar 2/4/6) at 3 hours is lethargic, reduced tone, exaggerated reflexes, seizures. Pupils constricted. Breathing spontaneously. What Sarnat stage?

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Correct answer: A — Sarnat II

Lethargy, reduced tone, hyperreflexia, seizures, constricted pupils, spontaneous respiration = Sarnat II (moderate HIE). Meets cooling criteria.

Reference: RCH Melbourne – 2023 – HIE CPG; ANZCOR – 2024