Morning Rounds \u00b7 Neonatology<\/title>\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Playfair+Display:ital,wght@0,400;0,600;0,700;1,400;1,600&family=Source+Serif+4:ital,wght@0,300;0,400;0,600;1,400&display=swap\" rel=\"stylesheet\">\n<style>\n\/* \u2500\u2500 All styles are namespaced to #mrq01 so they don't\n bleed into the WordPress theme around this HTML block \u2500\u2500 *\/\n#mrq01 *,#mrq01 *::before,#mrq01 *::after{box-sizing:border-box;margin:0;padding:0}\n#mrq01{\n \/* \u2500\u2500 Colour palette \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n Soothing teal-blue (identical to paeds series).\n To change the accent colour, replace #2A6E8A (steel teal)\n in these four lines and the conic-gradient in showScore() JS *\/\n --ter:#2A6E8A;\n --ter-light:#3A8EAA;\n --ter-pale:#E6F3F8;\n --ter-dark:#1A4E6A;\n \/* \u2500\u2500 Leave these alone \u2500\u2500 *\/\n --correct:#2D6B47;--correct-bg:#EAF6EF;--correct-border:#3A9960;\n --wrong:#B83232;--wrong-bg:#FDF0F0;--wrong-border:#E53935;\n --ink:#1A2C38;--ink-mid:#3A5468;--ink-soft:#7A9AAA;\n --line:#D8E8EE;--cream:#F4F9FB;--warm:#FAFEFF;\n font-family:'Source Serif 4',Georgia,serif;\n font-size:16px;color:var(--ink);background:var(--cream);\n line-height:1.7;padding:0 0 64px;\n}\n#mrq01 .mr-header{background:var(--ter);color:#FAFEFF;padding:34px 24px 28px;text-align:center}\n#mrq01 .mr-eyebrow{font-size:0.68rem;letter-spacing:0.18em;text-transform:uppercase;font-weight:600;opacity:0.65;margin-bottom:10px}\n#mrq01 .mr-title{font-family:'Playfair Display',serif;font-size:1.75rem;font-weight:700;line-height:1.2;margin-bottom:4px}\n#mrq01 .mr-title em{font-style:italic;font-weight:400;opacity:0.88}\n#mrq01 .mr-subtitle{font-size:0.82rem;opacity:0.7;margin-top:8px;font-style:italic}\n#mrq01 .mr-chips{display:flex;justify-content:center;gap:10px;margin-top:18px;flex-wrap:wrap}\n#mrq01 .mr-chip{background:rgba(255,255,255,0.13);border:1px solid rgba(255,255,255,0.22);border-radius:20px;padding:4px 13px;font-size:0.73rem}\n#mrq01 .mr-sentinel{height:1px}\n\/* \u2500\u2500 Fixed progress bar \u2014 hidden until sentinel leaves viewport \u2500\u2500 *\/\n#mrq01 .mr-progress{position:fixed;top:0;left:0;right:0;z-index:9999;background:var(--warm);border-bottom:1px solid var(--line);box-shadow:0 2px 12px rgba(26,44,56,0.08);padding:9px 16px;display:none}\n#mrq01 .mr-progress.visible{display:block}\n#mrq01 .mr-prog-inner{max-width:720px;margin:0 auto;display:flex;align-items:center;justify-content:center}\n\/* \u2500\u2500 Pip row: flex container holding alternating pip-wraps and line-wraps \u2500\u2500 *\/\n#mrq01 .mr-pips{display:flex;align-items:center;justify-content:center}\n#mrq01 .mr-pip-wrap{display:flex;align-items:center}\n\/* \u2500\u2500 Connector line between two pips \u2014 turns teal (.done) when the pip\n it LEADS TO is answered (see pick() in JS) \u2500\u2500 *\/\n#mrq01 .mr-pip-line{width:28px;height:2px;background:var(--line);transition:background 0.35s}\n#mrq01 .mr-pip-line.done{background:var(--ter)}\n\/* \u2500\u2500 Pip circle \u2014 three states:\n default : grey border, warm bg, soft numbered label\n .correct : green fill, white number\n .wrong : red fill, white number\n The full className is replaced (not appended) in pick() \u2500\u2500 *\/\n#mrq01 .mr-pip{width:28px;height:28px;border-radius:50%;border:2px solid var(--line);background:var(--warm);display:flex;align-items:center;justify-content:center;font-size:0.63rem;font-weight:700;color:var(--ink-soft);transition:all 0.3s;flex-shrink:0}\n#mrq01 .mr-pip.correct{background:var(--correct-border);border-color:var(--correct-border);color:#fff}\n#mrq01 .mr-pip.wrong{background:var(--wrong-border);border-color:var(--wrong-border);color:#fff}\n#mrq01 .mr-body{max-width:720px;margin:0 auto;padding:0 16px}\n#mrq01 .mr-case{background:var(--warm);border:1px solid var(--line);border-left:4px solid var(--ter);border-radius:10px;margin:28px 0;overflow:hidden;box-shadow:0 1px 6px rgba(26,44,56,0.05)}\n#mrq01 .mr-case-top{padding:16px 20px 14px;display:flex;gap:14px;align-items:flex-start}\n#mrq01 .mr-num{font-family:'Playfair Display',serif;font-size:2.2rem;font-weight:700;color:var(--ter);opacity:0.16;line-height:1;margin-top:-2px;flex-shrink:0}\n#mrq01 .mr-meta{flex:1}\n#mrq01 .mr-tag{font-size:0.61rem;font-weight:700;letter-spacing:0.14em;text-transform:uppercase;color:var(--ter);opacity:0.75;margin-bottom:5px}\n#mrq01 .mr-stem{font-size:0.94rem;color:var(--ink);line-height:1.72}\n#mrq01 .mr-stem strong{font-weight:600}\n#mrq01 .mr-stem em{font-style:italic}\n#mrq01 .mr-rule{height:1px;background:var(--line);margin:0 20px}\n#mrq01 .mr-opts{padding:12px 20px 16px;display:flex;flex-direction:column;gap:8px}\n#mrq01 .mr-opt{display:flex;align-items:flex-start;gap:11px;padding:10px 14px;border:1.5px solid var(--line);border-radius:8px;cursor:pointer;background:var(--warm);transition:border-color 0.15s,background 0.15s;-webkit-tap-highlight-color:transparent}\n#mrq01 .mr-opt:hover{border-color:var(--ter);background:var(--ter-pale)}\n#mrq01 .mr-opt.locked{cursor:default}\n#mrq01 .mr-opt.locked:hover{border-color:var(--line);background:var(--warm)}\n#mrq01 .mr-opt.correct{border-color:var(--correct-border);background:var(--correct-bg);cursor:default}\n#mrq01 .mr-opt.correct:hover{border-color:var(--correct-border);background:var(--correct-bg)}\n#mrq01 .mr-opt.wrong{border-color:var(--wrong-border);background:var(--wrong-bg);cursor:default}\n#mrq01 .mr-opt.wrong:hover{border-color:var(--wrong-border);background:var(--wrong-bg)}\n#mrq01 .mr-opt.dimmed{opacity:0.35;cursor:default}\n#mrq01 .mr-opt.dimmed:hover{border-color:var(--line);background:var(--warm)}\n#mrq01 .mr-ltr{flex-shrink:0;width:20px;height:20px;border-radius:50%;border:1.5px solid var(--line);display:flex;align-items:center;justify-content:center;font-size:0.62rem;font-weight:700;color:var(--ink-soft);margin-top:2px;transition:all 0.15s}\n#mrq01 .mr-opt.correct .mr-ltr{background:var(--correct-border);border-color:var(--correct-border);color:#fff}\n#mrq01 .mr-opt.wrong .mr-ltr{background:var(--wrong-border);border-color:var(--wrong-border);color:#fff}\n#mrq01 .mr-opt-text{font-size:0.9rem;color:var(--ink-mid);line-height:1.58}\n#mrq01 .mr-opt.correct .mr-opt-text{color:var(--correct);font-weight:600}\n#mrq01 .mr-opt.wrong .mr-opt-text{color:var(--wrong)}\n#mrq01 .mr-exp{display:none;border-top:1px solid #c8e0d8;background:linear-gradient(180deg,#edf7f4 0%,#f4faf8 100%);padding:13px 20px 15px}\n#mrq01 .mr-exp-lbl{font-size:0.61rem;font-weight:700;letter-spacing:0.12em;text-transform:uppercase;color:var(--correct);margin-bottom:6px}\n#mrq01 .mr-exp-text{font-size:0.86rem;color:#1c4a3a;line-height:1.68}\n#mrq01 .mr-exp-text strong{font-weight:600}\n#mrq01 .mr-exp-text em{font-style:italic}\n#mrq01 .mr-img-wrap{margin-top:14px;background:var(--warm);border:1px solid var(--line);border-radius:8px;padding:14px;text-align:center}\n#mrq01 .mr-img-wrap figcaption{font-size:0.73rem;color:var(--ink-soft);font-style:italic;margin-top:8px;line-height:1.4}\n#mrq01 .mr-submit-wrap{text-align:center;padding:28px 16px 8px}\n#mrq01 .mr-btn{background:var(--ter);color:#FAFEFF;border:none;border-radius:8px;padding:13px 44px;font-family:'Playfair Display',serif;font-size:1rem;font-weight:700;cursor:pointer;box-shadow:0 2px 8px rgba(42,110,138,0.28)}\n#mrq01 .mr-btn:hover{background:var(--ter-dark)}\n#mrq01 .mr-score{display:none;background:var(--warm);border:1px solid var(--line);border-top:4px solid var(--ter);border-radius:10px;margin:24px 0 0;box-shadow:0 2px 12px rgba(26,44,56,0.08);overflow:hidden}\n#mrq01 .mr-score-in{padding:28px 24px;text-align:center}\n#mrq01 .mr-score-ey{font-size:0.66rem;letter-spacing:0.14em;text-transform:uppercase;color:var(--ink-soft);margin-bottom:12px;font-weight:600}\n#mrq01 .mr-ring{width:98px;height:98px;border-radius:50%;background:conic-gradient(var(--ter) 0%, var(--line) 0%);display:flex;align-items:center;justify-content:center;margin:0 auto 16px;position:relative}\n#mrq01 .mr-ring::before{content:'';position:absolute;width:76px;height:76px;border-radius:50%;background:var(--warm)}\n#mrq01 .mr-ring-in{position:relative;display:flex;flex-direction:column;align-items:center;line-height:1.2}\n#mrq01 .mr-ring-pct{font-family:'Playfair Display',serif;font-size:1.3rem;font-weight:700;color:var(--ter)}\n#mrq01 .mr-ring-sub{font-size:0.54rem;color:var(--ink-soft);text-transform:uppercase;letter-spacing:0.06em}\n#mrq01 .mr-score-title{font-family:'Playfair Display',serif;font-size:1.15rem;font-weight:700;color:var(--ink);margin-bottom:4px}\n#mrq01 .mr-score-net{font-size:0.9rem;color:var(--ter);font-weight:600;margin-bottom:4px}\n#mrq01 .mr-verdict{font-size:0.83rem;color:var(--ink-soft);font-style:italic;margin-bottom:18px;padding:0 12px}\n#mrq01 .mr-bands{display:flex;justify-content:center;gap:10px;flex-wrap:wrap}\n#mrq01 .mr-band{padding:5px 13px;border-radius:16px;font-size:0.78rem;font-weight:600}\n#mrq01 .mr-band-c{background:var(--correct-bg);color:var(--correct)}\n#mrq01 .mr-band-w{background:var(--wrong-bg);color:var(--wrong)}\n#mrq01 .mr-band-s{background:var(--ter-pale);color:var(--ter)}\n#mrq01 .mr-retry{display:block;margin:18px auto 4px;background:transparent;border:2px solid var(--ter);color:var(--ter);border-radius:8px;padding:9px 28px;font-family:'Playfair Display',serif;font-size:0.92rem;font-weight:700;cursor:pointer}\n#mrq01 .mr-retry:hover{background:var(--ter);color:#FAFEFF}\n@media(max-width:480px){#mrq01 .mr-title{font-size:1.4rem}#mrq01 .mr-num{font-size:1.7rem}#mrq01 .mr-stem{font-size:0.9rem}#mrq01 .mr-opt-text{font-size:0.86rem}}\n<\/style>\n<\/head>\n<body>\n\n\n<div id=\"mrq01-img1\" style=\"display:none\">\n <figure class=\"mr-img-wrap\">\n \n <svg viewBox=\"0 0 540 240\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n style=\"width:100%;max-width:540px;display:block;margin:0 auto\">\n\n \n <rect x=\"0\" y=\"0\" width=\"540\" height=\"240\" rx=\"8\" fill=\"#F4F9FB\"\/>\n\n \n \n \n \n\n \n\n \n \n <polygon\n points=\"55,200 132.5,110.7 520,66.1 520,200\"\n fill=\"#EAF6EF\" opacity=\"0.8\"\/>\n\n \n \n <polygon\n points=\"132.5,110.7 520,66.1 520,14.0 132.5,51.2\"\n fill=\"#FFF8E0\" opacity=\"0.85\"\/>\n\n \n <polygon\n points=\"55,14 132.5,14 132.5,51.2 520,14.0 520,14 55,14\"\n fill=\"#FDF0F0\" opacity=\"0.7\"\/>\n\n \n \n \n \n \n \n <line x1=\"55\" y1=\"162.8\" x2=\"520\" y2=\"162.8\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"55\" y1=\"125.6\" x2=\"520\" y2=\"125.6\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"55\" y1=\"88.4\" x2=\"520\" y2=\"88.4\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"55\" y1=\"51.2\" x2=\"520\" y2=\"51.2\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"55\" y1=\"14.0\" x2=\"520\" y2=\"14.0\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n\n \n \n \n \n \n \n \n <line x1=\"132.5\" y1=\"14\" x2=\"132.5\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"210.0\" y1=\"14\" x2=\"210.0\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"287.5\" y1=\"14\" x2=\"287.5\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"365.0\" y1=\"14\" x2=\"365.0\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"442.5\" y1=\"14\" x2=\"442.5\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n\n \n <line x1=\"55\" y1=\"14\" x2=\"55\" y2=\"200\" stroke=\"#3A5468\" stroke-width=\"1.2\"\/>\n <line x1=\"55\" y1=\"200\" x2=\"520\" y2=\"200\" stroke=\"#3A5468\" stroke-width=\"1.2\"\/>\n\n \n <text x=\"50\" y=\"166\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">5<\/text>\n <text x=\"50\" y=\"129\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">10<\/text>\n <text x=\"50\" y=\"92\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">15<\/text>\n <text x=\"50\" y=\"54\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">20<\/text>\n <text x=\"50\" y=\"17\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">25<\/text>\n \n <text x=\"11\" y=\"130\" text-anchor=\"middle\" fill=\"#3A5468\" font-size=\"8\" font-family=\"Georgia,serif\"\n transform=\"rotate(-90,11,130)\">Total Bilirubin (mg\/dL)<\/text>\n\n \n <text x=\"55\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">0<\/text>\n <text x=\"132.5\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">24<\/text>\n <text x=\"210.0\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">48<\/text>\n <text x=\"287.5\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">72<\/text>\n <text x=\"365.0\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">96<\/text>\n <text x=\"442.5\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">120<\/text>\n <text x=\"520.0\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">144<\/text>\n \n <text x=\"287.5\" y=\"226\" text-anchor=\"middle\" fill=\"#3A5468\" font-size=\"8\" font-family=\"Georgia,serif\">Age (hours)<\/text>\n\n \n \n <line x1=\"55\" y1=\"155.4\" x2=\"520\" y2=\"66.1\"\n stroke=\"#E8A820\" stroke-width=\"2\" stroke-dasharray=\"6,3\"\/>\n \n <text x=\"525\" y=\"66\" fill=\"#B88010\" font-size=\"7.5\" font-family=\"Georgia,serif\" font-weight=\"bold\">Phototherapy<\/text>\n <text x=\"525\" y=\"76\" fill=\"#B88010\" font-size=\"7.5\" font-family=\"Georgia,serif\">threshold<\/text>\n\n \n \n <line x1=\"55\" y1=\"95.8\" x2=\"520\" y2=\"14.0\"\n stroke=\"#C83030\" stroke-width=\"2\" stroke-dasharray=\"6,3\"\/>\n \n <text x=\"525\" y=\"14\" fill=\"#922020\" font-size=\"7.5\" font-family=\"Georgia,serif\" font-weight=\"bold\">Exchange<\/text>\n <text x=\"525\" y=\"24\" fill=\"#922020\" font-size=\"7.5\" font-family=\"Georgia,serif\">transfusion<\/text>\n <text x=\"525\" y=\"34\" fill=\"#922020\" font-size=\"7.5\" font-family=\"Georgia,serif\">threshold<\/text>\n\n \n \n \n \n <polyline\n points=\"55,177.7 132.5,147.9 210,118.2 287.5,88.4 365,81.0 442.5,95.8 520,118.2\"\n fill=\"none\" stroke=\"#2A6E8A\" stroke-width=\"2.2\" stroke-linejoin=\"round\"\/>\n \n <circle cx=\"55\" cy=\"177.7\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"132.5\" cy=\"147.9\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"210\" cy=\"118.2\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"287.5\" cy=\"88.4\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"365\" cy=\"81.0\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"442.5\" cy=\"95.8\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"520\" cy=\"118.2\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n \n <line x1=\"287.5\" y1=\"88.4\" x2=\"287.5\" y2=\"58\" stroke=\"#2A6E8A\" stroke-width=\"1\" stroke-dasharray=\"2,2\"\/>\n <text x=\"291\" y=\"56\" fill=\"#2A6E8A\" font-size=\"7\" font-family=\"Georgia,serif\" font-style=\"italic\">Phototherapy<\/text>\n <text x=\"291\" y=\"65\" fill=\"#2A6E8A\" font-size=\"7\" font-family=\"Georgia,serif\" font-style=\"italic\">started (72 h)<\/text>\n \n <text x=\"62\" y=\"173\" fill=\"#2A6E8A\" font-size=\"7.5\" font-family=\"Georgia,serif\" font-style=\"italic\">Sample<\/text>\n <text x=\"62\" y=\"182\" fill=\"#2A6E8A\" font-size=\"7.5\" font-family=\"Georgia,serif\" font-style=\"italic\">trajectory<\/text>\n\n \n <text x=\"380\" y=\"185\" text-anchor=\"middle\" fill=\"#2D6B47\" font-size=\"8\" font-family=\"Georgia,serif\" font-weight=\"bold\">OBSERVE<\/text>\n <text x=\"380\" y=\"130\" text-anchor=\"middle\" fill=\"#B88010\" font-size=\"8\" font-family=\"Georgia,serif\" font-weight=\"bold\">PHOTOTHERAPY<\/text>\n <text x=\"380\" y=\"38\" text-anchor=\"middle\" fill=\"#922020\" font-size=\"8\" font-family=\"Georgia,serif\" font-weight=\"bold\">EXCHANGE TRANSFUSION<\/text>\n\n \n <text x=\"287\" y=\"10\" text-anchor=\"middle\" fill=\"#1A4E6A\" font-size=\"9\" font-family=\"Georgia,serif\" font-weight=\"bold\">\n Neonatal Jaundice \u2014 Term Infant (≥38 wk, no risk factors)\n <\/text>\n\n <\/svg>\n <figcaption>\n Bilirubin action thresholds for a <strong>term neonate (≥38 weeks, no risk factors)<\/strong>,\n plotted against age in hours. The <strong>phototherapy line<\/strong> starts around\n 6 mg\/dL at birth and rises to ~18 mg\/dL at day 6. The <strong>exchange transfusion line<\/strong>\n runs approximately 5 mg\/dL higher throughout. Thresholds are <em>lower<\/em> for preterm infants,\n those with haemolysis, and those with other risk factors — always use the gestational-age\n and risk-stratified nomogram in practice.\n <\/figcaption>\n <\/figure>\n<\/div>\n\n\n\n<div id=\"mrq01\">\n\n \n <div class=\"mr-header\">\n <div class=\"mr-eyebrow\">Morning Rounds · Daily Clinical Quiz<\/div>\n <div class=\"mr-title\">\n Neonatology<br><em>Clinical Reasoning<\/em>\n <\/div>\n <div class=\"mr-subtitle\">Five cases · Read carefully · Trust your instinct<\/div>\n <div class=\"mr-chips\">\n <span class=\"mr-chip\">5 Cases<\/span>\n <span class=\"mr-chip\">+4 \/ −1 scoring<\/span>\n <span class=\"mr-chip\">Options reshuffled<\/span>\n <\/div>\n <\/div>\n\n \n <div class=\"mr-sentinel\" id=\"mrq01-sentinel\"><\/div>\n\n \n <div class=\"mr-progress\" id=\"mrq01-progress\">\n <div class=\"mr-prog-inner\">\n <div class=\"mr-pips\" id=\"mrq01-pips\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"mr-body\">\n\n \n <div id=\"mrq01-cases\"><\/div>\n\n <div class=\"mr-submit-wrap\">\n <button class=\"mr-btn\" id=\"mrq01-submit\">Submit for Debrief<\/button>\n <\/div>\n\n \n <div class=\"mr-score\" id=\"mrq01-score\">\n <div class=\"mr-score-in\">\n <div class=\"mr-score-ey\">Round Complete<\/div>\n <div class=\"mr-ring\" id=\"mrq01-ring\">\n <div class=\"mr-ring-in\">\n <span class=\"mr-ring-pct\" id=\"mrq01-pct\">0%<\/span>\n <span class=\"mr-ring-sub\">net<\/span>\n <\/div>\n <\/div>\n <div class=\"mr-score-title\">Your Debrief<\/div>\n <div class=\"mr-score-net\" id=\"mrq01-net\"><\/div>\n <div class=\"mr-verdict\" id=\"mrq01-verdict\"><\/div>\n <div class=\"mr-bands\">\n <span class=\"mr-band mr-band-c\" id=\"mrq01-ct-c\"><\/span>\n <span class=\"mr-band mr-band-w\" id=\"mrq01-ct-w\"><\/span>\n <span class=\"mr-band mr-band-s\" id=\"mrq01-ct-s\"><\/span>\n <\/div>\n <button class=\"mr-retry\" id=\"mrq01-retry\">↻ New Round<\/button>\n <\/div>\n <\/div>\n\n <\/div>\n<\/div>\n\n\n<script>\n(function () {\n 'use strict';\n\n \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n NAMESPACE \u2014 one string that prefixes every element id.\n If you ever put two quizzes on the same page, change\n 'mrq01' to 'mrq02' in one of them (and update every\n id=\"mrq01-...\" in the HTML above to match).\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n var NS = 'mrq01';\n var TOTAL = 5;\n var MAX = 20; \/* TOTAL \u00d7 4 \u2014 update if you ever change TOTAL *\/\n var LTRS = ['A','B','C','D'];\n\n\n \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n \u2605 EDIT HERE \u2605 \u2014 THE QUESTION BANK\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n\n QS is an array of 5 question objects.\n Each object has six fields:\n\n id \u2014 question number 1\u20135. Keep in order. Don't skip.\n\n tag \u2014 short topic label shown above the stem in small caps.\n\n stem \u2014 the question text. HTML tags allowed inside the string.\n\n correct \u2014 EXACT text of the correct option.\n Must match one of the entries in opts, character for character.\n\n opts \u2014 array of exactly 4 answer strings (shuffled on every load).\n\n exp \u2014 explanation shown after the user answers (3\u20135 sentences).\n\n imgId \u2014 'mrq01-img1' to show the image in the debrief; null otherwise.\n Set on ONE question only.\n\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n var QS = [\n\n \/* \u2500\u2500 Question 1 \u2500\u2500 *\/\n {\n id: 1,\n tag: 'Neonatal Jaundice — Phototherapy',\n stem: 'A <strong>term male neonate (39 weeks)<\/strong> is noted to have jaundice on day 3 of life. He is breastfed, clinically well, and has no features of haemolysis. Total serum bilirubin (TSB) is <strong>16 mg\/dL<\/strong>. The Coombs test is negative and blood group is compatible with the mother. Which statement about management is MOST CORRECT?',\n correct: 'Phototherapy should be started; the threshold for a low-risk term neonate at 72 hours is approximately 15–18 mg\/dL and this TSB exceeds it',\n opts: [\n 'Phototherapy should be started; the threshold for a low-risk term neonate at 72 hours is approximately 15–18 mg\/dL and this TSB exceeds it',\n 'No intervention is needed; physiological jaundice in a term neonate never requires phototherapy before day 5',\n 'Exchange transfusion should be performed immediately as 16 mg\/dL at day 3 always indicates haemolytic disease',\n 'Intravenous immunoglobulin (IVIG) is the first-line treatment as haemolytic jaundice cannot be excluded without a reticulocyte count'\n ],\n exp: 'The decision to start <strong>phototherapy<\/strong> in neonatal jaundice is based on the <em>total serum bilirubin level plotted against age in hours<\/em> on a gestational-age- and risk-stratified nomogram. For a <strong>low-risk term neonate (≥38 weeks, no haemolysis, no risk factors)<\/strong>, the phototherapy threshold at 72 hours is approximately 15–18 mg\/dL; 16 mg\/dL at day 3 therefore meets the criterion. Physiological jaundice peaks at days 3–4 in term neonates and can still require phototherapy. The <strong>exchange transfusion threshold<\/strong> is roughly 5 mg\/dL higher than the phototherapy line. IVIG is reserved for <em>confirmed<\/em> immune haemolytic jaundice (ABO or Rh incompatibility).',\n imgId: 'mrq01-img1'\n },\n\n \/* \u2500\u2500 Question 2 \u2500\u2500 *\/\n {\n id: 2,\n tag: 'Respiratory Distress Syndrome — Pathophysiology & Treatment',\n stem: 'A neonate is born at <strong>30 weeks gestation<\/strong> by emergency caesarean section for antepartum haemorrhage. The mother received <em>no antenatal corticosteroids<\/em>. Within 30 minutes of birth the baby develops <strong>grunting, nasal flaring, intercostal recession<\/strong>, and an oxygen requirement of 50%. Chest X-ray shows bilateral ground-glass opacification with an air bronchogram. Which statement best describes the pathophysiology and management?',\n correct: 'Surfactant deficiency causes alveolar collapse and V\/Q mismatch; intratracheal surfactant plus CPAP is first-line treatment',\n opts: [\n 'Surfactant deficiency causes alveolar collapse and V\/Q mismatch; intratracheal surfactant plus CPAP is first-line treatment',\n 'Meconium aspiration causes airway obstruction and chemical pneumonitis; bronchoscopic lavage should be performed urgently',\n 'Transient tachypnoea of the newborn caused by retained lung fluid is the diagnosis; it resolves within 6 hours without surfactant',\n 'Group B streptococcal pneumonia is the most likely cause; surfactant is contraindicated until the infection is treated'\n ],\n exp: '<strong>Respiratory distress syndrome (RDS)<\/strong>, formerly hyaline membrane disease, is caused by deficiency of <strong>pulmonary surfactant<\/strong> (primarily dipalmitoyl phosphatidylcholine), resulting in high alveolar surface tension, diffuse atelectasis, and a right-to-left shunt. It is the commonest cause of respiratory distress in preterm neonates; incidence inversely correlates with gestational age. <strong>Antenatal corticosteroids<\/strong> (betamethasone or dexamethasone given ≥24 hours before delivery) accelerate surfactant synthesis and are the most effective preventive measure. Postnatal treatment is <strong>exogenous surfactant via endotracheal tube<\/strong> (e.g., poractant alfa) combined with <strong>CPAP<\/strong> to maintain functional residual capacity; this has dramatically reduced mortality from RDS.',\n imgId: null\n },\n\n \/* \u2500\u2500 Question 3 \u2500\u2500 *\/\n {\n id: 3,\n tag: 'Neonatal Sepsis — Early-Onset',\n stem: 'A neonate born at <strong>38 weeks<\/strong> by normal vaginal delivery develops <strong>temperature instability, poor feeding, and respiratory distress at 14 hours of life<\/strong>. The mother had prolonged rupture of membranes for 22 hours and untreated <em>Group B Streptococcus (GBS)<\/em> colonisation detected at 36 weeks. White cell count is 3,200\/mm³ (neutropenia), CRP is 28 mg\/L, and blood culture is pending. What is the correct immediate antibiotic regimen?',\n correct: 'Intravenous benzylpenicillin plus gentamicin; benzylpenicillin targets GBS and gentamicin provides synergistic gram-negative cover',\n opts: [\n 'Intravenous benzylpenicillin plus gentamicin; benzylpenicillin targets GBS and gentamicin provides synergistic gram-negative cover',\n 'Oral amoxicillin alone; early-onset GBS sepsis in term neonates is mild and responds to oral beta-lactams',\n 'Intravenous vancomycin plus cefotaxime; vancomycin is required because GBS has intrinsic penicillin resistance',\n 'No antibiotics until blood culture is positive; neutropenia in the first 24 hours is physiological and not diagnostic of sepsis'\n ],\n exp: '<strong>Early-onset neonatal sepsis (EOS)<\/strong> presents within <strong>72 hours<\/strong> of birth and is most commonly caused by <em>Group B Streptococcus<\/em> and gram-negative enteric organisms (<em>E. coli<\/em>, <em>Klebsiella<\/em>). Risk factors include maternal GBS colonisation, prolonged rupture of membranes (>18 hours), maternal fever, and prematurity. The empirical regimen of choice is <strong>IV benzylpenicillin<\/strong> (narrow-spectrum, highly effective against GBS) <strong>plus IV gentamicin<\/strong> (aminoglycoside providing synergistic bactericidal activity against gram-negatives). GBS is <em>not<\/em> penicillin-resistant; vancomycin is not required. Antibiotics should be started <strong>without waiting for culture results<\/strong> when clinical suspicion is high \u2014 a blood culture should be obtained first but must not delay treatment.',\n imgId: null\n },\n\n \/* \u2500\u2500 Question 4 \u2500\u2500 *\/\n {\n id: 4,\n tag: 'Hypoxic-Ischaemic Encephalopathy — Therapeutic Hypothermia',\n stem: 'A <strong>term neonate (41 weeks)<\/strong> is born after a prolonged labour complicated by a cord prolapse. Apgar scores are 2 at 1 minute and 5 at 5 minutes; cord pH is <strong>6.98<\/strong>. At 2 hours of life the infant has <strong>seizures<\/strong>, abnormal tone, and an abnormal level of consciousness. HIE is diagnosed and classified as <strong>moderate (Sarnat grade II)<\/strong>. The infant is now 3 hours old. What is the most appropriate specific neuroprotective intervention?',\n correct: 'Whole-body cooling to 33.5 °C for 72 hours, commenced within 6 hours of birth; this reduces death or major neurodisability',\n opts: [\n 'Whole-body cooling to 33.5 °C for 72 hours, commenced within 6 hours of birth; this reduces death or major neurodisability',\n 'High-dose intravenous phenobarbitone to suppress all electrical activity and prevent secondary neuronal injury',\n 'Therapeutic hypothermia is contraindicated if seizures have already occurred; magnesium sulphate should be used instead',\n 'Cooling should be deferred until MRI brain confirms injury, as unnecessary hypothermia worsens coagulopathy in term neonates'\n ],\n exp: '<strong>Therapeutic hypothermia (TH)<\/strong> is the only evidence-based neuroprotective treatment for <strong>moderate-to-severe HIE<\/strong> in term and near-term (≥36 weeks) neonates. It exploits the <em>secondary energy failure<\/em> window (6–72 hours post-asphyxia) during which excitotoxicity and apoptosis can be attenuated by reducing cerebral metabolic demand. <strong>Criteria<\/strong>: ≥36 weeks gestation, evidence of perinatal asphyxia (cord or early ABG pH ≤7.0 or base deficit ≥16 mmol\/L, or need for resuscitation) <em>plus<\/em> clinical or amplitude-integrated EEG evidence of encephalopathy. Target rectal temperature is <strong>33–34 °C for exactly 72 hours<\/strong>; cooling must begin within 6 hours of birth. Seizures are not a contraindication. Meta-analyses show a number-needed-to-treat of ~7 to prevent one death or major neurodisability.',\n imgId: null\n },\n\n \/* \u2500\u2500 Question 5 \u2500\u2500 *\/\n {\n id: 5,\n tag: 'Neonatal Hypoglycaemia — At-Risk Groups',\n stem: 'A <strong>term neonate born to a diabetic mother (GDM, poorly controlled)<\/strong> is asymptomatic at 1 hour of life. A routine blood glucose by heel-prick glucometer reads <strong>1.8 mmol\/L (32 mg\/dL)<\/strong>. The ward nurse asks whether to feed the baby or escalate. Which statement is MOST CORRECT regarding definition, risk, and management?',\n correct: 'A glucose <2.6 mmol\/L in a neonate at risk warrants intervention; breastfeed or give formula immediately, then recheck in 30 minutes',\n opts: [\n 'A glucose <2.6 mmol\/L in a neonate at risk warrants intervention; breastfeed or give formula immediately, then recheck in 30 minutes',\n 'A glucose of 1.8 mmol\/L is acceptable in the first 2 hours of life as neonatal glucose naturally nadirs before rising; no action needed until 4 hours',\n 'IV 10% dextrose bolus 2 mL\/kg should be given immediately as oral feeding is always too slow to correct hypoglycaemia in IDM neonates',\n 'The glucometer reading should be ignored; only laboratory plasma glucose <1.0 mmol\/L requires treatment in an asymptomatic term neonate'\n ],\n exp: 'The <strong>infant of a diabetic mother (IDM)<\/strong> is at high risk of neonatal hypoglycaemia due to <strong>fetal hyperinsulinism<\/strong> \u2014 chronic fetal hyperglycaemia drives pancreatic beta-cell hyperplasia, and the abrupt cessation of maternal glucose at birth leaves high circulating insulin unopposed. Other at-risk groups include preterm, SGA, and LGA neonates. The operational threshold most widely used is <strong><2.6 mmol\/L (47 mg\/dL)<\/strong> for at-risk neonates, regardless of symptoms. For an <em>asymptomatic<\/em> neonate with glucose 1.8 mmol\/L, the first step is <strong>early feeding<\/strong> (breastfeed or 10 mL\/kg formula) and recheck within 30 minutes. IV dextrose is reserved for symptomatic hypoglycaemia, severe values (<1.5 mmol\/L), or failure to respond to feeding. Glucometer values should be confirmed by laboratory plasma glucose if there is clinical concern, but treatment must not be delayed pending the result.',\n imgId: null\n }\n\n ];\n \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n END OF QUESTION BANK \u2014 do not edit below this line\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n\n\n \/* \u2500\u2500 Internal state \u2014 nothing to edit \u2500\u2500 *\/\n var answers = {};\n var answered = 0;\n var shuffled = {};\n var done = false;\n\n \/* \u2500\u2500 DOM helpers \u2500\u2500 *\/\n function byId(id) { return document.getElementById(id); }\n function gid(suffix) { return byId(NS + '-' + suffix); }\n\n \/* \u2500\u2500 Fisher-Yates shuffle (pure ES5) \u2500\u2500 *\/\n function shuffleArr(arr) {\n var a = arr.slice(), i, j, tmp;\n for (i = a.length - 1; i > 0; i--) {\n j = Math.floor(Math.random() * (i + 1));\n tmp = a[i]; a[i] = a[j]; a[j] = tmp;\n }\n return a;\n }\n\n \/* \u2500\u2500 Count answers of a given value ('c' or 'w') \u2500\u2500 *\/\n function countVal(val) {\n var k, n = 0;\n for (k in answers) {\n if (answers.hasOwnProperty(k) && answers[k] === val) n++;\n }\n return n;\n }\n\n \/* \u2500\u2500 Build the five progress pips \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n Called on every build() invocation (initial load + every Retry).\n\n Structure created (pip ids and line ids):\n\n [pip1] --pl2-- [pip2] --pl3-- [pip3] --pl4-- [pip4] --pl5-- [pip5]\n\n \u2022 pip ids : mrq01-pip1 \u2026 mrq01-pip5\n \u2022 line ids: mrq01-pl2 \u2026 mrq01-pl5\n \u2022 There is NO mrq01-pl1 \u2014 the guard if (qid > 1) in pick()\n relies on this absence. Do not add a pl1.\n\n CSS classes after a question is answered (set in pick()):\n pip \u2192 'mr-pip correct' or 'mr-pip wrong' (full replacement)\n line \u2192 class 'mr-pip-line done' (appended class)\n \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n function buildPips() {\n var cont = gid('pips'), i, q, wLine, wPip, line, pip;\n cont.innerHTML = ''; \/* wipe all existing pips on Retry *\/\n for (i = 0; i < QS.length; i++) {\n q = QS[i];\n\n \/* \u2500\u2500 connector line \u2014 inserted BEFORE pip, but NOT before pip 1 \u2500\u2500 *\/\n if (i > 0) {\n wLine = document.createElement('div');\n wLine.className = 'mr-pip-wrap';\n line = document.createElement('div');\n line.className = 'mr-pip-line';\n line.id = NS + '-pl' + q.id; \/* pl2, pl3, pl4, pl5 \u2014 never pl1 *\/\n wLine.appendChild(line);\n cont.appendChild(wLine);\n }\n\n \/* \u2500\u2500 pip circle \u2500\u2500 *\/\n wPip = document.createElement('div');\n wPip.className = 'mr-pip-wrap';\n pip = document.createElement('div');\n pip.className = 'mr-pip'; \/* default: grey, numbered *\/\n pip.id = NS + '-pip' + q.id; \/* pip1 \u2026 pip5 *\/\n pip.textContent = String(q.id);\n wPip.appendChild(pip);\n cont.appendChild(wPip);\n }\n }\n\n \/* \u2500\u2500 Build all case cards from the QS array \u2500\u2500 *\/\n function build() {\n var cont, i, q, opts, card, top, numDiv, meta, tag, stem,\n rule, optsDiv, expDiv, lbl, txt, imgDiv, imgSrc, j,\n optEl, ltrSpan, txtSpan;\n\n cont = gid('cases');\n cont.innerHTML = '';\n\n \/* reset state *\/\n answers = {}; answered = 0; shuffled = {}; done = false;\n gid('score').style.display = 'none';\n buildPips();\n\n for (i = 0; i < QS.length; i++) {\n q = QS[i];\n opts = shuffleArr(q.opts); \/* shuffle options fresh each load *\/\n shuffled[q.id] = opts; \/* store shuffled order for later use *\/\n\n \/* \u2500\u2500 outer card \u2500\u2500 *\/\n card = document.createElement('div');\n card.className = 'mr-case';\n\n \/* \u2500\u2500 top section: big number + tag + stem \u2500\u2500 *\/\n top = document.createElement('div');\n top.className = 'mr-case-top';\n\n numDiv = document.createElement('div');\n numDiv.className = 'mr-num';\n numDiv.textContent = q.id < 10 ? '0' + q.id : String(q.id);\n\n meta = document.createElement('div');\n meta.className = 'mr-meta';\n\n tag = document.createElement('div');\n tag.className = 'mr-tag';\n tag.innerHTML = q.tag; \/* innerHTML so — etc. render *\/\n\n stem = document.createElement('div');\n stem.className = 'mr-stem';\n stem.innerHTML = q.stem;\n\n meta.appendChild(tag);\n meta.appendChild(stem);\n top.appendChild(numDiv);\n top.appendChild(meta);\n card.appendChild(top);\n\n \/* \u2500\u2500 divider line \u2500\u2500 *\/\n rule = document.createElement('div');\n rule.className = 'mr-rule';\n card.appendChild(rule);\n\n \/* \u2500\u2500 answer options \u2500\u2500 *\/\n optsDiv = document.createElement('div');\n optsDiv.className = 'mr-opts';\n\n for (j = 0; j < opts.length; j++) {\n optEl = document.createElement('div');\n optEl.className = 'mr-opt';\n optEl.id = NS + '-o' + q.id + '-' + j;\n optEl.setAttribute('role', 'button');\n optEl.setAttribute('tabindex', '0');\n\n ltrSpan = document.createElement('span');\n ltrSpan.className = 'mr-ltr';\n ltrSpan.textContent = LTRS[j];\n\n txtSpan = document.createElement('span');\n txtSpan.className = 'mr-opt-text';\n txtSpan.innerHTML = opts[j];\n\n optEl.appendChild(ltrSpan);\n optEl.appendChild(txtSpan);\n optsDiv.appendChild(optEl);\n\n \/* IIFE to capture correct qid and oi for each click listener *\/\n (function (qid, oi) {\n optEl.addEventListener('click', function () { pick(qid, oi); });\n }(q.id, j));\n }\n card.appendChild(optsDiv);\n\n \/* \u2500\u2500 explanation (hidden until the user answers) \u2500\u2500 *\/\n expDiv = document.createElement('div');\n expDiv.className = 'mr-exp';\n expDiv.id = NS + '-exp' + q.id;\n\n lbl = document.createElement('div');\n lbl.className = 'mr-exp-lbl';\n lbl.textContent = 'Debrief';\n\n txt = document.createElement('div');\n txt.className = 'mr-exp-text';\n txt.innerHTML = q.exp;\n\n expDiv.appendChild(lbl);\n expDiv.appendChild(txt);\n\n \/* inject image if this question has one *\/\n if (q.imgId) {\n imgSrc = byId(q.imgId);\n if (imgSrc) {\n imgDiv = document.createElement('div');\n imgDiv.innerHTML = imgSrc.innerHTML; \/* clone HTML from hidden div *\/\n expDiv.appendChild(imgDiv);\n }\n }\n\n card.appendChild(expDiv);\n cont.appendChild(card);\n }\n }\n\n \/* \u2500\u2500 Handle a user clicking an option \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n After a pick:\n 1. All four options are locked (correct\/wrong\/dimmed styling).\n 2. The debrief panel for this question is revealed.\n 3. The pip for this question turns green or red.\n 4. The connector line LEADING TO this pip turns teal (.done),\n but ONLY if qid > 1 \u2014 because mrq01-pl1 does not exist.\n \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n function pick(qid, oi) {\n var q, opts, i, el, correct, pl;\n\n if (answers[qid] !== undefined || done) return; \/* ignore if already answered *\/\n\n \/* find the question object *\/\n q = null;\n for (i = 0; i < QS.length; i++) {\n if (QS[i].id === qid) { q = QS[i]; break; }\n }\n if (!q) return;\n\n opts = shuffled[qid];\n correct = (opts[oi] === q.correct); \/* string comparison \u2014 not index *\/\n answers[qid] = correct ? 'c' : 'w';\n answered++;\n\n \/* style all four options *\/\n for (i = 0; i < opts.length; i++) {\n el = byId(NS + '-o' + qid + '-' + i);\n if (opts[i] === q.correct) {\n el.className = 'mr-opt correct locked';\n } else if (i === oi) {\n el.className = 'mr-opt wrong locked';\n } else {\n el.className = 'mr-opt dimmed locked';\n }\n }\n\n \/* reveal explanation *\/\n byId(NS + '-exp' + qid).style.display = 'block';\n\n \/* colour the pip \u2014 full className replacement (never appended) *\/\n byId(NS + '-pip' + qid).className = 'mr-pip ' + (correct ? 'correct' : 'wrong');\n\n \/* colour the connector line that leads TO this pip.\n Guard: qid > 1 because mrq01-pl1 was never created in buildPips(). *\/\n if (qid > 1) {\n pl = gid('pl' + qid);\n if (pl) { pl.className = 'mr-pip-line done'; }\n }\n }\n\n \/* \u2500\u2500 Show the score panel after Submit is clicked \u2500\u2500 *\/\n function showScore() {\n var c, w, s, net, pct, disp, verdicts, vi, sc;\n if (done) return;\n done = true;\n\n c = countVal('c');\n w = countVal('w');\n s = TOTAL - answered;\n net = (c * 4) - w;\n pct = Math.max(0, Math.round((net \/ MAX) * 100));\n disp = Math.min(100, Math.max(0, pct));\n\n \/* fill the donut ring \u2014 hex must match --ter exactly *\/\n gid('ring').style.background =\n 'conic-gradient(#2A6E8A ' + disp + '%, #D8E8EE 0%)';\n\n gid('pct').textContent = pct + '%';\n gid('net').textContent = 'Net Score: ' + net + ' \/ ' + MAX;\n\n \/* pick verdict by correct count *\/\n verdicts = [\n [5, 'Perfect round. Exceptional clinical reasoning.'],\n [4, 'Strong \\u2014 one nuance to revisit.'],\n [3, 'Solid base \\u2014 consolidate the finer distinctions.'],\n [2, 'Halfway there \\u2014 review the missed cases carefully.'],\n [0, 'These cases repay close reading. Come back tomorrow.']\n ];\n gid('verdict').textContent = verdicts[4][1]; \/* default: lowest *\/\n for (vi = 0; vi < verdicts.length; vi++) {\n if (c >= verdicts[vi][0]) {\n gid('verdict').textContent = verdicts[vi][1];\n break;\n }\n }\n\n \/* unicode escapes \u2014 no multi-byte literals in source *\/\n gid('ct-c').textContent = '\\u2705 ' + c + ' Correct';\n gid('ct-w').textContent = '\\u274C ' + w + ' Wrong';\n gid('ct-s').textContent = '\\u23ED ' + s + ' Skipped';\n\n sc = gid('score');\n sc.style.display = 'block';\n sc.scrollIntoView({ behavior: 'smooth', block: 'center' });\n }\n\n \/* \u2500\u2500 Sticky progress bar via IntersectionObserver \u2500\u2500\n When the sentinel div (just below the header) leaves the\n viewport, the fixed progress bar appears. When the sentinel\n comes back into view (user scrolled back up), bar disappears. *\/\n function initObserver() {\n var sentinel = gid('sentinel'), bar = gid('progress');\n if (!sentinel || !bar || !window.IntersectionObserver) return;\n new IntersectionObserver(function (entries) {\n if (!entries[0].isIntersecting) {\n bar.className = 'mr-progress visible';\n } else {\n bar.className = 'mr-progress';\n }\n }, { threshold: 0 }).observe(sentinel);\n }\n\n \/* \u2500\u2500 Bootstrap \u2500\u2500 *\/\n function init() {\n gid('submit').addEventListener('click', showScore);\n gid('retry').addEventListener('click', function () {\n build();\n window.scrollTo(0, 0);\n });\n initObserver();\n build();\n }\n\n if (document.readyState === 'loading') {\n document.addEventListener('DOMContentLoaded', init);\n } else {\n init();\n }\n\n}());\n<\/script>\n<\/body>\n<\/html>\n\n\n","protected":false},"excerpt":{"rendered":"<p>5 10 15 20 25 Total Bilirubin (mg\/dL) 0 24 48 72 96 120 144 Age (hours) Phototherapy threshold Exchange transfusion threshold Phototherapy started (72 h) Sample trajectory OBSERVE PHOTOTHERAPY EXCHANGE TRANSFUSION Neonatal Jaundice \u2014 Term Infant (≥38 wk, no risk factors) Bilirubin action thresholds for a term neonate (≥38 weeks, no risk factors), plotted… <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[24],"tags":[],"class_list":["post-36709","post","type-post","status-publish","format-standard","hentry","category-neet-pg"],"yoast_head":"\n<title>Neonatology Clinical - atsixty<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neonatology Clinical - atsixty\" \/>\n<meta property=\"og:description\" content=\"5 10 15 20 25 Total Bilirubin (mg\/dL) 0 24 48 72 96 120 144 Age (hours) Phototherapy threshold Exchange transfusion threshold Phototherapy started (72 h) Sample trajectory OBSERVE PHOTOTHERAPY EXCHANGE TRANSFUSION Neonatal Jaundice \u2014 Term Infant (≥38 wk, no risk factors) Bilirubin action thresholds for a term neonate (≥38 weeks, no risk factors), plotted… \" \/>\n<meta property=\"og:url\" content=\"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/\" \/>\n<meta property=\"og:site_name\" content=\"atsixty\" \/>\n<meta property=\"article:published_time\" content=\"2026-04-28T00:36:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-28T00:36:44+00:00\" \/>\n<meta name=\"author\" content=\"Avi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Avi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\"},\"author\":{\"name\":\"Avi\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"headline\":\"Neonatology Clinical\",\"datePublished\":\"2026-04-28T00:36:07+00:00\",\"dateModified\":\"2026-04-28T00:36:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\"},\"wordCount\":132,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"articleSection\":[\"NEET PG\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\",\"url\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\",\"name\":\"Neonatology Clinical - atsixty\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#website\"},\"datePublished\":\"2026-04-28T00:36:07+00:00\",\"dateModified\":\"2026-04-28T00:36:44+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/atsixty.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Neonatology Clinical\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/#website\",\"url\":\"https:\\\/\\\/atsixty.com\\\/\",\"name\":\"At Sixty\",\"description\":\"The Option Taken\",\"publisher\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/atsixty.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\",\"name\":\"Avi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"url\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"contentUrl\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"width\":200,\"height\":200,\"caption\":\"Avi\"},\"logo\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\"},\"sameAs\":[\"https:\\\/\\\/atsixty.com\"],\"url\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/author\\\/avinaux\\\/\"}]}<\/script>\n","yoast_head_json":{"title":"Neonatology Clinical - atsixty","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","og_locale":"en_US","og_type":"article","og_title":"Neonatology Clinical - atsixty","og_description":"5 10 15 20 25 Total Bilirubin (mg\/dL) 0 24 48 72 96 120 144 Age (hours) Phototherapy threshold Exchange transfusion threshold Phototherapy started (72 h) Sample trajectory OBSERVE PHOTOTHERAPY EXCHANGE TRANSFUSION Neonatal Jaundice \u2014 Term Infant (≥38 wk, no risk factors) Bilirubin action thresholds for a term neonate (≥38 weeks, no risk factors), plotted… ","og_url":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","og_site_name":"atsixty","article_published_time":"2026-04-28T00:36:07+00:00","article_modified_time":"2026-04-28T00:36:44+00:00","author":"Avi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Avi","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/#article","isPartOf":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/"},"author":{"name":"Avi","@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"headline":"Neonatology Clinical","datePublished":"2026-04-28T00:36:07+00:00","dateModified":"2026-04-28T00:36:44+00:00","mainEntityOfPage":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/"},"wordCount":132,"commentCount":0,"publisher":{"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"articleSection":["NEET PG"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","url":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","name":"Neonatology Clinical - atsixty","isPartOf":{"@id":"https:\/\/atsixty.com\/#website"},"datePublished":"2026-04-28T00:36:07+00:00","dateModified":"2026-04-28T00:36:44+00:00","breadcrumb":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/atsixty.com\/"},{"@type":"ListItem","position":2,"name":"Neonatology Clinical"}]},{"@type":"WebSite","@id":"https:\/\/atsixty.com\/#website","url":"https:\/\/atsixty.com\/","name":"At Sixty","description":"The Option Taken","publisher":{"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/atsixty.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d","name":"Avi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","url":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","contentUrl":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","width":200,"height":200,"caption":"Avi"},"logo":{"@id":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png"},"sameAs":["https:\/\/atsixty.com"],"url":"https:\/\/atsixty.com\/index.php\/author\/avinaux\/"}]}},"_links":{"self":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36709","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/comments?post=36709"}],"version-history":[{"count":1,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36709\/revisions"}],"predecessor-version":[{"id":36710,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36709\/revisions\/36710"}],"wp:attachment":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/media?parent=36709"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/categories?post=36709"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/tags?post=36709"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

{"id":36709,"date":"2026-04-28T06:06:07","date_gmt":"2026-04-28T00:36:07","guid":{"rendered":"https:\/\/atsixty.com\/?p=36709"},"modified":"2026-04-28T06:06:44","modified_gmt":"2026-04-28T00:36:44","slug":"neonatology-clinical","status":"publish","type":"post","link":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","title":{"rendered":"Neonatology Clinical"},"content":{"rendered":"\n\n\n\n\n\n\n\n\nMorning Rounds \u00b7 Neonatology<\/title>\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Playfair+Display:ital,wght@0,400;0,600;0,700;1,400;1,600&family=Source+Serif+4:ital,wght@0,300;0,400;0,600;1,400&display=swap\" rel=\"stylesheet\">\n<style>\n\/* \u2500\u2500 All styles are namespaced to #mrq01 so they don't\n bleed into the WordPress theme around this HTML block \u2500\u2500 *\/\n#mrq01 *,#mrq01 *::before,#mrq01 *::after{box-sizing:border-box;margin:0;padding:0}\n#mrq01{\n \/* \u2500\u2500 Colour palette \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n Soothing teal-blue (identical to paeds series).\n To change the accent colour, replace #2A6E8A (steel teal)\n in these four lines and the conic-gradient in showScore() JS *\/\n --ter:#2A6E8A;\n --ter-light:#3A8EAA;\n --ter-pale:#E6F3F8;\n --ter-dark:#1A4E6A;\n \/* \u2500\u2500 Leave these alone \u2500\u2500 *\/\n --correct:#2D6B47;--correct-bg:#EAF6EF;--correct-border:#3A9960;\n --wrong:#B83232;--wrong-bg:#FDF0F0;--wrong-border:#E53935;\n --ink:#1A2C38;--ink-mid:#3A5468;--ink-soft:#7A9AAA;\n --line:#D8E8EE;--cream:#F4F9FB;--warm:#FAFEFF;\n font-family:'Source Serif 4',Georgia,serif;\n font-size:16px;color:var(--ink);background:var(--cream);\n line-height:1.7;padding:0 0 64px;\n}\n#mrq01 .mr-header{background:var(--ter);color:#FAFEFF;padding:34px 24px 28px;text-align:center}\n#mrq01 .mr-eyebrow{font-size:0.68rem;letter-spacing:0.18em;text-transform:uppercase;font-weight:600;opacity:0.65;margin-bottom:10px}\n#mrq01 .mr-title{font-family:'Playfair Display',serif;font-size:1.75rem;font-weight:700;line-height:1.2;margin-bottom:4px}\n#mrq01 .mr-title em{font-style:italic;font-weight:400;opacity:0.88}\n#mrq01 .mr-subtitle{font-size:0.82rem;opacity:0.7;margin-top:8px;font-style:italic}\n#mrq01 .mr-chips{display:flex;justify-content:center;gap:10px;margin-top:18px;flex-wrap:wrap}\n#mrq01 .mr-chip{background:rgba(255,255,255,0.13);border:1px solid rgba(255,255,255,0.22);border-radius:20px;padding:4px 13px;font-size:0.73rem}\n#mrq01 .mr-sentinel{height:1px}\n\/* \u2500\u2500 Fixed progress bar \u2014 hidden until sentinel leaves viewport \u2500\u2500 *\/\n#mrq01 .mr-progress{position:fixed;top:0;left:0;right:0;z-index:9999;background:var(--warm);border-bottom:1px solid var(--line);box-shadow:0 2px 12px rgba(26,44,56,0.08);padding:9px 16px;display:none}\n#mrq01 .mr-progress.visible{display:block}\n#mrq01 .mr-prog-inner{max-width:720px;margin:0 auto;display:flex;align-items:center;justify-content:center}\n\/* \u2500\u2500 Pip row: flex container holding alternating pip-wraps and line-wraps \u2500\u2500 *\/\n#mrq01 .mr-pips{display:flex;align-items:center;justify-content:center}\n#mrq01 .mr-pip-wrap{display:flex;align-items:center}\n\/* \u2500\u2500 Connector line between two pips \u2014 turns teal (.done) when the pip\n it LEADS TO is answered (see pick() in JS) \u2500\u2500 *\/\n#mrq01 .mr-pip-line{width:28px;height:2px;background:var(--line);transition:background 0.35s}\n#mrq01 .mr-pip-line.done{background:var(--ter)}\n\/* \u2500\u2500 Pip circle \u2014 three states:\n default : grey border, warm bg, soft numbered label\n .correct : green fill, white number\n .wrong : red fill, white number\n The full className is replaced (not appended) in pick() \u2500\u2500 *\/\n#mrq01 .mr-pip{width:28px;height:28px;border-radius:50%;border:2px solid var(--line);background:var(--warm);display:flex;align-items:center;justify-content:center;font-size:0.63rem;font-weight:700;color:var(--ink-soft);transition:all 0.3s;flex-shrink:0}\n#mrq01 .mr-pip.correct{background:var(--correct-border);border-color:var(--correct-border);color:#fff}\n#mrq01 .mr-pip.wrong{background:var(--wrong-border);border-color:var(--wrong-border);color:#fff}\n#mrq01 .mr-body{max-width:720px;margin:0 auto;padding:0 16px}\n#mrq01 .mr-case{background:var(--warm);border:1px solid var(--line);border-left:4px solid var(--ter);border-radius:10px;margin:28px 0;overflow:hidden;box-shadow:0 1px 6px rgba(26,44,56,0.05)}\n#mrq01 .mr-case-top{padding:16px 20px 14px;display:flex;gap:14px;align-items:flex-start}\n#mrq01 .mr-num{font-family:'Playfair Display',serif;font-size:2.2rem;font-weight:700;color:var(--ter);opacity:0.16;line-height:1;margin-top:-2px;flex-shrink:0}\n#mrq01 .mr-meta{flex:1}\n#mrq01 .mr-tag{font-size:0.61rem;font-weight:700;letter-spacing:0.14em;text-transform:uppercase;color:var(--ter);opacity:0.75;margin-bottom:5px}\n#mrq01 .mr-stem{font-size:0.94rem;color:var(--ink);line-height:1.72}\n#mrq01 .mr-stem strong{font-weight:600}\n#mrq01 .mr-stem em{font-style:italic}\n#mrq01 .mr-rule{height:1px;background:var(--line);margin:0 20px}\n#mrq01 .mr-opts{padding:12px 20px 16px;display:flex;flex-direction:column;gap:8px}\n#mrq01 .mr-opt{display:flex;align-items:flex-start;gap:11px;padding:10px 14px;border:1.5px solid var(--line);border-radius:8px;cursor:pointer;background:var(--warm);transition:border-color 0.15s,background 0.15s;-webkit-tap-highlight-color:transparent}\n#mrq01 .mr-opt:hover{border-color:var(--ter);background:var(--ter-pale)}\n#mrq01 .mr-opt.locked{cursor:default}\n#mrq01 .mr-opt.locked:hover{border-color:var(--line);background:var(--warm)}\n#mrq01 .mr-opt.correct{border-color:var(--correct-border);background:var(--correct-bg);cursor:default}\n#mrq01 .mr-opt.correct:hover{border-color:var(--correct-border);background:var(--correct-bg)}\n#mrq01 .mr-opt.wrong{border-color:var(--wrong-border);background:var(--wrong-bg);cursor:default}\n#mrq01 .mr-opt.wrong:hover{border-color:var(--wrong-border);background:var(--wrong-bg)}\n#mrq01 .mr-opt.dimmed{opacity:0.35;cursor:default}\n#mrq01 .mr-opt.dimmed:hover{border-color:var(--line);background:var(--warm)}\n#mrq01 .mr-ltr{flex-shrink:0;width:20px;height:20px;border-radius:50%;border:1.5px solid var(--line);display:flex;align-items:center;justify-content:center;font-size:0.62rem;font-weight:700;color:var(--ink-soft);margin-top:2px;transition:all 0.15s}\n#mrq01 .mr-opt.correct .mr-ltr{background:var(--correct-border);border-color:var(--correct-border);color:#fff}\n#mrq01 .mr-opt.wrong .mr-ltr{background:var(--wrong-border);border-color:var(--wrong-border);color:#fff}\n#mrq01 .mr-opt-text{font-size:0.9rem;color:var(--ink-mid);line-height:1.58}\n#mrq01 .mr-opt.correct .mr-opt-text{color:var(--correct);font-weight:600}\n#mrq01 .mr-opt.wrong .mr-opt-text{color:var(--wrong)}\n#mrq01 .mr-exp{display:none;border-top:1px solid #c8e0d8;background:linear-gradient(180deg,#edf7f4 0%,#f4faf8 100%);padding:13px 20px 15px}\n#mrq01 .mr-exp-lbl{font-size:0.61rem;font-weight:700;letter-spacing:0.12em;text-transform:uppercase;color:var(--correct);margin-bottom:6px}\n#mrq01 .mr-exp-text{font-size:0.86rem;color:#1c4a3a;line-height:1.68}\n#mrq01 .mr-exp-text strong{font-weight:600}\n#mrq01 .mr-exp-text em{font-style:italic}\n#mrq01 .mr-img-wrap{margin-top:14px;background:var(--warm);border:1px solid var(--line);border-radius:8px;padding:14px;text-align:center}\n#mrq01 .mr-img-wrap figcaption{font-size:0.73rem;color:var(--ink-soft);font-style:italic;margin-top:8px;line-height:1.4}\n#mrq01 .mr-submit-wrap{text-align:center;padding:28px 16px 8px}\n#mrq01 .mr-btn{background:var(--ter);color:#FAFEFF;border:none;border-radius:8px;padding:13px 44px;font-family:'Playfair Display',serif;font-size:1rem;font-weight:700;cursor:pointer;box-shadow:0 2px 8px rgba(42,110,138,0.28)}\n#mrq01 .mr-btn:hover{background:var(--ter-dark)}\n#mrq01 .mr-score{display:none;background:var(--warm);border:1px solid var(--line);border-top:4px solid var(--ter);border-radius:10px;margin:24px 0 0;box-shadow:0 2px 12px rgba(26,44,56,0.08);overflow:hidden}\n#mrq01 .mr-score-in{padding:28px 24px;text-align:center}\n#mrq01 .mr-score-ey{font-size:0.66rem;letter-spacing:0.14em;text-transform:uppercase;color:var(--ink-soft);margin-bottom:12px;font-weight:600}\n#mrq01 .mr-ring{width:98px;height:98px;border-radius:50%;background:conic-gradient(var(--ter) 0%, var(--line) 0%);display:flex;align-items:center;justify-content:center;margin:0 auto 16px;position:relative}\n#mrq01 .mr-ring::before{content:'';position:absolute;width:76px;height:76px;border-radius:50%;background:var(--warm)}\n#mrq01 .mr-ring-in{position:relative;display:flex;flex-direction:column;align-items:center;line-height:1.2}\n#mrq01 .mr-ring-pct{font-family:'Playfair Display',serif;font-size:1.3rem;font-weight:700;color:var(--ter)}\n#mrq01 .mr-ring-sub{font-size:0.54rem;color:var(--ink-soft);text-transform:uppercase;letter-spacing:0.06em}\n#mrq01 .mr-score-title{font-family:'Playfair Display',serif;font-size:1.15rem;font-weight:700;color:var(--ink);margin-bottom:4px}\n#mrq01 .mr-score-net{font-size:0.9rem;color:var(--ter);font-weight:600;margin-bottom:4px}\n#mrq01 .mr-verdict{font-size:0.83rem;color:var(--ink-soft);font-style:italic;margin-bottom:18px;padding:0 12px}\n#mrq01 .mr-bands{display:flex;justify-content:center;gap:10px;flex-wrap:wrap}\n#mrq01 .mr-band{padding:5px 13px;border-radius:16px;font-size:0.78rem;font-weight:600}\n#mrq01 .mr-band-c{background:var(--correct-bg);color:var(--correct)}\n#mrq01 .mr-band-w{background:var(--wrong-bg);color:var(--wrong)}\n#mrq01 .mr-band-s{background:var(--ter-pale);color:var(--ter)}\n#mrq01 .mr-retry{display:block;margin:18px auto 4px;background:transparent;border:2px solid var(--ter);color:var(--ter);border-radius:8px;padding:9px 28px;font-family:'Playfair Display',serif;font-size:0.92rem;font-weight:700;cursor:pointer}\n#mrq01 .mr-retry:hover{background:var(--ter);color:#FAFEFF}\n@media(max-width:480px){#mrq01 .mr-title{font-size:1.4rem}#mrq01 .mr-num{font-size:1.7rem}#mrq01 .mr-stem{font-size:0.9rem}#mrq01 .mr-opt-text{font-size:0.86rem}}\n<\/style>\n<\/head>\n<body>\n\n\n<div id=\"mrq01-img1\" style=\"display:none\">\n <figure class=\"mr-img-wrap\">\n \n <svg viewBox=\"0 0 540 240\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n style=\"width:100%;max-width:540px;display:block;margin:0 auto\">\n\n \n <rect x=\"0\" y=\"0\" width=\"540\" height=\"240\" rx=\"8\" fill=\"#F4F9FB\"\/>\n\n \n \n \n \n\n \n\n \n \n <polygon\n points=\"55,200 132.5,110.7 520,66.1 520,200\"\n fill=\"#EAF6EF\" opacity=\"0.8\"\/>\n\n \n \n <polygon\n points=\"132.5,110.7 520,66.1 520,14.0 132.5,51.2\"\n fill=\"#FFF8E0\" opacity=\"0.85\"\/>\n\n \n <polygon\n points=\"55,14 132.5,14 132.5,51.2 520,14.0 520,14 55,14\"\n fill=\"#FDF0F0\" opacity=\"0.7\"\/>\n\n \n \n \n \n \n \n <line x1=\"55\" y1=\"162.8\" x2=\"520\" y2=\"162.8\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"55\" y1=\"125.6\" x2=\"520\" y2=\"125.6\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"55\" y1=\"88.4\" x2=\"520\" y2=\"88.4\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"55\" y1=\"51.2\" x2=\"520\" y2=\"51.2\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"55\" y1=\"14.0\" x2=\"520\" y2=\"14.0\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n\n \n \n \n \n \n \n \n <line x1=\"132.5\" y1=\"14\" x2=\"132.5\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"210.0\" y1=\"14\" x2=\"210.0\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"287.5\" y1=\"14\" x2=\"287.5\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"365.0\" y1=\"14\" x2=\"365.0\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n <line x1=\"442.5\" y1=\"14\" x2=\"442.5\" y2=\"200\" stroke=\"#D8E8EE\" stroke-width=\"0.8\" stroke-dasharray=\"4,3\"\/>\n\n \n <line x1=\"55\" y1=\"14\" x2=\"55\" y2=\"200\" stroke=\"#3A5468\" stroke-width=\"1.2\"\/>\n <line x1=\"55\" y1=\"200\" x2=\"520\" y2=\"200\" stroke=\"#3A5468\" stroke-width=\"1.2\"\/>\n\n \n <text x=\"50\" y=\"166\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">5<\/text>\n <text x=\"50\" y=\"129\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">10<\/text>\n <text x=\"50\" y=\"92\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">15<\/text>\n <text x=\"50\" y=\"54\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">20<\/text>\n <text x=\"50\" y=\"17\" text-anchor=\"end\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">25<\/text>\n \n <text x=\"11\" y=\"130\" text-anchor=\"middle\" fill=\"#3A5468\" font-size=\"8\" font-family=\"Georgia,serif\"\n transform=\"rotate(-90,11,130)\">Total Bilirubin (mg\/dL)<\/text>\n\n \n <text x=\"55\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">0<\/text>\n <text x=\"132.5\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">24<\/text>\n <text x=\"210.0\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">48<\/text>\n <text x=\"287.5\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">72<\/text>\n <text x=\"365.0\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">96<\/text>\n <text x=\"442.5\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">120<\/text>\n <text x=\"520.0\" y=\"212\" text-anchor=\"middle\" fill=\"#7A9AAA\" font-size=\"8\" font-family=\"Georgia,serif\">144<\/text>\n \n <text x=\"287.5\" y=\"226\" text-anchor=\"middle\" fill=\"#3A5468\" font-size=\"8\" font-family=\"Georgia,serif\">Age (hours)<\/text>\n\n \n \n <line x1=\"55\" y1=\"155.4\" x2=\"520\" y2=\"66.1\"\n stroke=\"#E8A820\" stroke-width=\"2\" stroke-dasharray=\"6,3\"\/>\n \n <text x=\"525\" y=\"66\" fill=\"#B88010\" font-size=\"7.5\" font-family=\"Georgia,serif\" font-weight=\"bold\">Phototherapy<\/text>\n <text x=\"525\" y=\"76\" fill=\"#B88010\" font-size=\"7.5\" font-family=\"Georgia,serif\">threshold<\/text>\n\n \n \n <line x1=\"55\" y1=\"95.8\" x2=\"520\" y2=\"14.0\"\n stroke=\"#C83030\" stroke-width=\"2\" stroke-dasharray=\"6,3\"\/>\n \n <text x=\"525\" y=\"14\" fill=\"#922020\" font-size=\"7.5\" font-family=\"Georgia,serif\" font-weight=\"bold\">Exchange<\/text>\n <text x=\"525\" y=\"24\" fill=\"#922020\" font-size=\"7.5\" font-family=\"Georgia,serif\">transfusion<\/text>\n <text x=\"525\" y=\"34\" fill=\"#922020\" font-size=\"7.5\" font-family=\"Georgia,serif\">threshold<\/text>\n\n \n \n \n \n <polyline\n points=\"55,177.7 132.5,147.9 210,118.2 287.5,88.4 365,81.0 442.5,95.8 520,118.2\"\n fill=\"none\" stroke=\"#2A6E8A\" stroke-width=\"2.2\" stroke-linejoin=\"round\"\/>\n \n <circle cx=\"55\" cy=\"177.7\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"132.5\" cy=\"147.9\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"210\" cy=\"118.2\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"287.5\" cy=\"88.4\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"365\" cy=\"81.0\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"442.5\" cy=\"95.8\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n <circle cx=\"520\" cy=\"118.2\" r=\"3.2\" fill=\"#2A6E8A\"\/>\n \n <line x1=\"287.5\" y1=\"88.4\" x2=\"287.5\" y2=\"58\" stroke=\"#2A6E8A\" stroke-width=\"1\" stroke-dasharray=\"2,2\"\/>\n <text x=\"291\" y=\"56\" fill=\"#2A6E8A\" font-size=\"7\" font-family=\"Georgia,serif\" font-style=\"italic\">Phototherapy<\/text>\n <text x=\"291\" y=\"65\" fill=\"#2A6E8A\" font-size=\"7\" font-family=\"Georgia,serif\" font-style=\"italic\">started (72 h)<\/text>\n \n <text x=\"62\" y=\"173\" fill=\"#2A6E8A\" font-size=\"7.5\" font-family=\"Georgia,serif\" font-style=\"italic\">Sample<\/text>\n <text x=\"62\" y=\"182\" fill=\"#2A6E8A\" font-size=\"7.5\" font-family=\"Georgia,serif\" font-style=\"italic\">trajectory<\/text>\n\n \n <text x=\"380\" y=\"185\" text-anchor=\"middle\" fill=\"#2D6B47\" font-size=\"8\" font-family=\"Georgia,serif\" font-weight=\"bold\">OBSERVE<\/text>\n <text x=\"380\" y=\"130\" text-anchor=\"middle\" fill=\"#B88010\" font-size=\"8\" font-family=\"Georgia,serif\" font-weight=\"bold\">PHOTOTHERAPY<\/text>\n <text x=\"380\" y=\"38\" text-anchor=\"middle\" fill=\"#922020\" font-size=\"8\" font-family=\"Georgia,serif\" font-weight=\"bold\">EXCHANGE TRANSFUSION<\/text>\n\n \n <text x=\"287\" y=\"10\" text-anchor=\"middle\" fill=\"#1A4E6A\" font-size=\"9\" font-family=\"Georgia,serif\" font-weight=\"bold\">\n Neonatal Jaundice \u2014 Term Infant (≥38 wk, no risk factors)\n <\/text>\n\n <\/svg>\n <figcaption>\n Bilirubin action thresholds for a <strong>term neonate (≥38 weeks, no risk factors)<\/strong>,\n plotted against age in hours. The <strong>phototherapy line<\/strong> starts around\n 6 mg\/dL at birth and rises to ~18 mg\/dL at day 6. The <strong>exchange transfusion line<\/strong>\n runs approximately 5 mg\/dL higher throughout. Thresholds are <em>lower<\/em> for preterm infants,\n those with haemolysis, and those with other risk factors — always use the gestational-age\n and risk-stratified nomogram in practice.\n <\/figcaption>\n <\/figure>\n<\/div>\n\n\n\n<div id=\"mrq01\">\n\n \n <div class=\"mr-header\">\n <div class=\"mr-eyebrow\">Morning Rounds · Daily Clinical Quiz<\/div>\n <div class=\"mr-title\">\n Neonatology<br><em>Clinical Reasoning<\/em>\n <\/div>\n <div class=\"mr-subtitle\">Five cases · Read carefully · Trust your instinct<\/div>\n <div class=\"mr-chips\">\n <span class=\"mr-chip\">5 Cases<\/span>\n <span class=\"mr-chip\">+4 \/ −1 scoring<\/span>\n <span class=\"mr-chip\">Options reshuffled<\/span>\n <\/div>\n <\/div>\n\n \n <div class=\"mr-sentinel\" id=\"mrq01-sentinel\"><\/div>\n\n \n <div class=\"mr-progress\" id=\"mrq01-progress\">\n <div class=\"mr-prog-inner\">\n <div class=\"mr-pips\" id=\"mrq01-pips\"><\/div>\n <\/div>\n <\/div>\n\n <div class=\"mr-body\">\n\n \n <div id=\"mrq01-cases\"><\/div>\n\n <div class=\"mr-submit-wrap\">\n <button class=\"mr-btn\" id=\"mrq01-submit\">Submit for Debrief<\/button>\n <\/div>\n\n \n <div class=\"mr-score\" id=\"mrq01-score\">\n <div class=\"mr-score-in\">\n <div class=\"mr-score-ey\">Round Complete<\/div>\n <div class=\"mr-ring\" id=\"mrq01-ring\">\n <div class=\"mr-ring-in\">\n <span class=\"mr-ring-pct\" id=\"mrq01-pct\">0%<\/span>\n <span class=\"mr-ring-sub\">net<\/span>\n <\/div>\n <\/div>\n <div class=\"mr-score-title\">Your Debrief<\/div>\n <div class=\"mr-score-net\" id=\"mrq01-net\"><\/div>\n <div class=\"mr-verdict\" id=\"mrq01-verdict\"><\/div>\n <div class=\"mr-bands\">\n <span class=\"mr-band mr-band-c\" id=\"mrq01-ct-c\"><\/span>\n <span class=\"mr-band mr-band-w\" id=\"mrq01-ct-w\"><\/span>\n <span class=\"mr-band mr-band-s\" id=\"mrq01-ct-s\"><\/span>\n <\/div>\n <button class=\"mr-retry\" id=\"mrq01-retry\">↻ New Round<\/button>\n <\/div>\n <\/div>\n\n <\/div>\n<\/div>\n\n\n<script>\n(function () {\n 'use strict';\n\n \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n NAMESPACE \u2014 one string that prefixes every element id.\n If you ever put two quizzes on the same page, change\n 'mrq01' to 'mrq02' in one of them (and update every\n id=\"mrq01-...\" in the HTML above to match).\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n var NS = 'mrq01';\n var TOTAL = 5;\n var MAX = 20; \/* TOTAL \u00d7 4 \u2014 update if you ever change TOTAL *\/\n var LTRS = ['A','B','C','D'];\n\n\n \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n \u2605 EDIT HERE \u2605 \u2014 THE QUESTION BANK\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n\n QS is an array of 5 question objects.\n Each object has six fields:\n\n id \u2014 question number 1\u20135. Keep in order. Don't skip.\n\n tag \u2014 short topic label shown above the stem in small caps.\n\n stem \u2014 the question text. HTML tags allowed inside the string.\n\n correct \u2014 EXACT text of the correct option.\n Must match one of the entries in opts, character for character.\n\n opts \u2014 array of exactly 4 answer strings (shuffled on every load).\n\n exp \u2014 explanation shown after the user answers (3\u20135 sentences).\n\n imgId \u2014 'mrq01-img1' to show the image in the debrief; null otherwise.\n Set on ONE question only.\n\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n var QS = [\n\n \/* \u2500\u2500 Question 1 \u2500\u2500 *\/\n {\n id: 1,\n tag: 'Neonatal Jaundice — Phototherapy',\n stem: 'A <strong>term male neonate (39 weeks)<\/strong> is noted to have jaundice on day 3 of life. He is breastfed, clinically well, and has no features of haemolysis. Total serum bilirubin (TSB) is <strong>16 mg\/dL<\/strong>. The Coombs test is negative and blood group is compatible with the mother. Which statement about management is MOST CORRECT?',\n correct: 'Phototherapy should be started; the threshold for a low-risk term neonate at 72 hours is approximately 15–18 mg\/dL and this TSB exceeds it',\n opts: [\n 'Phototherapy should be started; the threshold for a low-risk term neonate at 72 hours is approximately 15–18 mg\/dL and this TSB exceeds it',\n 'No intervention is needed; physiological jaundice in a term neonate never requires phototherapy before day 5',\n 'Exchange transfusion should be performed immediately as 16 mg\/dL at day 3 always indicates haemolytic disease',\n 'Intravenous immunoglobulin (IVIG) is the first-line treatment as haemolytic jaundice cannot be excluded without a reticulocyte count'\n ],\n exp: 'The decision to start <strong>phototherapy<\/strong> in neonatal jaundice is based on the <em>total serum bilirubin level plotted against age in hours<\/em> on a gestational-age- and risk-stratified nomogram. For a <strong>low-risk term neonate (≥38 weeks, no haemolysis, no risk factors)<\/strong>, the phototherapy threshold at 72 hours is approximately 15–18 mg\/dL; 16 mg\/dL at day 3 therefore meets the criterion. Physiological jaundice peaks at days 3–4 in term neonates and can still require phototherapy. The <strong>exchange transfusion threshold<\/strong> is roughly 5 mg\/dL higher than the phototherapy line. IVIG is reserved for <em>confirmed<\/em> immune haemolytic jaundice (ABO or Rh incompatibility).',\n imgId: 'mrq01-img1'\n },\n\n \/* \u2500\u2500 Question 2 \u2500\u2500 *\/\n {\n id: 2,\n tag: 'Respiratory Distress Syndrome — Pathophysiology & Treatment',\n stem: 'A neonate is born at <strong>30 weeks gestation<\/strong> by emergency caesarean section for antepartum haemorrhage. The mother received <em>no antenatal corticosteroids<\/em>. Within 30 minutes of birth the baby develops <strong>grunting, nasal flaring, intercostal recession<\/strong>, and an oxygen requirement of 50%. Chest X-ray shows bilateral ground-glass opacification with an air bronchogram. Which statement best describes the pathophysiology and management?',\n correct: 'Surfactant deficiency causes alveolar collapse and V\/Q mismatch; intratracheal surfactant plus CPAP is first-line treatment',\n opts: [\n 'Surfactant deficiency causes alveolar collapse and V\/Q mismatch; intratracheal surfactant plus CPAP is first-line treatment',\n 'Meconium aspiration causes airway obstruction and chemical pneumonitis; bronchoscopic lavage should be performed urgently',\n 'Transient tachypnoea of the newborn caused by retained lung fluid is the diagnosis; it resolves within 6 hours without surfactant',\n 'Group B streptococcal pneumonia is the most likely cause; surfactant is contraindicated until the infection is treated'\n ],\n exp: '<strong>Respiratory distress syndrome (RDS)<\/strong>, formerly hyaline membrane disease, is caused by deficiency of <strong>pulmonary surfactant<\/strong> (primarily dipalmitoyl phosphatidylcholine), resulting in high alveolar surface tension, diffuse atelectasis, and a right-to-left shunt. It is the commonest cause of respiratory distress in preterm neonates; incidence inversely correlates with gestational age. <strong>Antenatal corticosteroids<\/strong> (betamethasone or dexamethasone given ≥24 hours before delivery) accelerate surfactant synthesis and are the most effective preventive measure. Postnatal treatment is <strong>exogenous surfactant via endotracheal tube<\/strong> (e.g., poractant alfa) combined with <strong>CPAP<\/strong> to maintain functional residual capacity; this has dramatically reduced mortality from RDS.',\n imgId: null\n },\n\n \/* \u2500\u2500 Question 3 \u2500\u2500 *\/\n {\n id: 3,\n tag: 'Neonatal Sepsis — Early-Onset',\n stem: 'A neonate born at <strong>38 weeks<\/strong> by normal vaginal delivery develops <strong>temperature instability, poor feeding, and respiratory distress at 14 hours of life<\/strong>. The mother had prolonged rupture of membranes for 22 hours and untreated <em>Group B Streptococcus (GBS)<\/em> colonisation detected at 36 weeks. White cell count is 3,200\/mm³ (neutropenia), CRP is 28 mg\/L, and blood culture is pending. What is the correct immediate antibiotic regimen?',\n correct: 'Intravenous benzylpenicillin plus gentamicin; benzylpenicillin targets GBS and gentamicin provides synergistic gram-negative cover',\n opts: [\n 'Intravenous benzylpenicillin plus gentamicin; benzylpenicillin targets GBS and gentamicin provides synergistic gram-negative cover',\n 'Oral amoxicillin alone; early-onset GBS sepsis in term neonates is mild and responds to oral beta-lactams',\n 'Intravenous vancomycin plus cefotaxime; vancomycin is required because GBS has intrinsic penicillin resistance',\n 'No antibiotics until blood culture is positive; neutropenia in the first 24 hours is physiological and not diagnostic of sepsis'\n ],\n exp: '<strong>Early-onset neonatal sepsis (EOS)<\/strong> presents within <strong>72 hours<\/strong> of birth and is most commonly caused by <em>Group B Streptococcus<\/em> and gram-negative enteric organisms (<em>E. coli<\/em>, <em>Klebsiella<\/em>). Risk factors include maternal GBS colonisation, prolonged rupture of membranes (>18 hours), maternal fever, and prematurity. The empirical regimen of choice is <strong>IV benzylpenicillin<\/strong> (narrow-spectrum, highly effective against GBS) <strong>plus IV gentamicin<\/strong> (aminoglycoside providing synergistic bactericidal activity against gram-negatives). GBS is <em>not<\/em> penicillin-resistant; vancomycin is not required. Antibiotics should be started <strong>without waiting for culture results<\/strong> when clinical suspicion is high \u2014 a blood culture should be obtained first but must not delay treatment.',\n imgId: null\n },\n\n \/* \u2500\u2500 Question 4 \u2500\u2500 *\/\n {\n id: 4,\n tag: 'Hypoxic-Ischaemic Encephalopathy — Therapeutic Hypothermia',\n stem: 'A <strong>term neonate (41 weeks)<\/strong> is born after a prolonged labour complicated by a cord prolapse. Apgar scores are 2 at 1 minute and 5 at 5 minutes; cord pH is <strong>6.98<\/strong>. At 2 hours of life the infant has <strong>seizures<\/strong>, abnormal tone, and an abnormal level of consciousness. HIE is diagnosed and classified as <strong>moderate (Sarnat grade II)<\/strong>. The infant is now 3 hours old. What is the most appropriate specific neuroprotective intervention?',\n correct: 'Whole-body cooling to 33.5 °C for 72 hours, commenced within 6 hours of birth; this reduces death or major neurodisability',\n opts: [\n 'Whole-body cooling to 33.5 °C for 72 hours, commenced within 6 hours of birth; this reduces death or major neurodisability',\n 'High-dose intravenous phenobarbitone to suppress all electrical activity and prevent secondary neuronal injury',\n 'Therapeutic hypothermia is contraindicated if seizures have already occurred; magnesium sulphate should be used instead',\n 'Cooling should be deferred until MRI brain confirms injury, as unnecessary hypothermia worsens coagulopathy in term neonates'\n ],\n exp: '<strong>Therapeutic hypothermia (TH)<\/strong> is the only evidence-based neuroprotective treatment for <strong>moderate-to-severe HIE<\/strong> in term and near-term (≥36 weeks) neonates. It exploits the <em>secondary energy failure<\/em> window (6–72 hours post-asphyxia) during which excitotoxicity and apoptosis can be attenuated by reducing cerebral metabolic demand. <strong>Criteria<\/strong>: ≥36 weeks gestation, evidence of perinatal asphyxia (cord or early ABG pH ≤7.0 or base deficit ≥16 mmol\/L, or need for resuscitation) <em>plus<\/em> clinical or amplitude-integrated EEG evidence of encephalopathy. Target rectal temperature is <strong>33–34 °C for exactly 72 hours<\/strong>; cooling must begin within 6 hours of birth. Seizures are not a contraindication. Meta-analyses show a number-needed-to-treat of ~7 to prevent one death or major neurodisability.',\n imgId: null\n },\n\n \/* \u2500\u2500 Question 5 \u2500\u2500 *\/\n {\n id: 5,\n tag: 'Neonatal Hypoglycaemia — At-Risk Groups',\n stem: 'A <strong>term neonate born to a diabetic mother (GDM, poorly controlled)<\/strong> is asymptomatic at 1 hour of life. A routine blood glucose by heel-prick glucometer reads <strong>1.8 mmol\/L (32 mg\/dL)<\/strong>. The ward nurse asks whether to feed the baby or escalate. Which statement is MOST CORRECT regarding definition, risk, and management?',\n correct: 'A glucose <2.6 mmol\/L in a neonate at risk warrants intervention; breastfeed or give formula immediately, then recheck in 30 minutes',\n opts: [\n 'A glucose <2.6 mmol\/L in a neonate at risk warrants intervention; breastfeed or give formula immediately, then recheck in 30 minutes',\n 'A glucose of 1.8 mmol\/L is acceptable in the first 2 hours of life as neonatal glucose naturally nadirs before rising; no action needed until 4 hours',\n 'IV 10% dextrose bolus 2 mL\/kg should be given immediately as oral feeding is always too slow to correct hypoglycaemia in IDM neonates',\n 'The glucometer reading should be ignored; only laboratory plasma glucose <1.0 mmol\/L requires treatment in an asymptomatic term neonate'\n ],\n exp: 'The <strong>infant of a diabetic mother (IDM)<\/strong> is at high risk of neonatal hypoglycaemia due to <strong>fetal hyperinsulinism<\/strong> \u2014 chronic fetal hyperglycaemia drives pancreatic beta-cell hyperplasia, and the abrupt cessation of maternal glucose at birth leaves high circulating insulin unopposed. Other at-risk groups include preterm, SGA, and LGA neonates. The operational threshold most widely used is <strong><2.6 mmol\/L (47 mg\/dL)<\/strong> for at-risk neonates, regardless of symptoms. For an <em>asymptomatic<\/em> neonate with glucose 1.8 mmol\/L, the first step is <strong>early feeding<\/strong> (breastfeed or 10 mL\/kg formula) and recheck within 30 minutes. IV dextrose is reserved for symptomatic hypoglycaemia, severe values (<1.5 mmol\/L), or failure to respond to feeding. Glucometer values should be confirmed by laboratory plasma glucose if there is clinical concern, but treatment must not be delayed pending the result.',\n imgId: null\n }\n\n ];\n \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n END OF QUESTION BANK \u2014 do not edit below this line\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n\n\n \/* \u2500\u2500 Internal state \u2014 nothing to edit \u2500\u2500 *\/\n var answers = {};\n var answered = 0;\n var shuffled = {};\n var done = false;\n\n \/* \u2500\u2500 DOM helpers \u2500\u2500 *\/\n function byId(id) { return document.getElementById(id); }\n function gid(suffix) { return byId(NS + '-' + suffix); }\n\n \/* \u2500\u2500 Fisher-Yates shuffle (pure ES5) \u2500\u2500 *\/\n function shuffleArr(arr) {\n var a = arr.slice(), i, j, tmp;\n for (i = a.length - 1; i > 0; i--) {\n j = Math.floor(Math.random() * (i + 1));\n tmp = a[i]; a[i] = a[j]; a[j] = tmp;\n }\n return a;\n }\n\n \/* \u2500\u2500 Count answers of a given value ('c' or 'w') \u2500\u2500 *\/\n function countVal(val) {\n var k, n = 0;\n for (k in answers) {\n if (answers.hasOwnProperty(k) && answers[k] === val) n++;\n }\n return n;\n }\n\n \/* \u2500\u2500 Build the five progress pips \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n Called on every build() invocation (initial load + every Retry).\n\n Structure created (pip ids and line ids):\n\n [pip1] --pl2-- [pip2] --pl3-- [pip3] --pl4-- [pip4] --pl5-- [pip5]\n\n \u2022 pip ids : mrq01-pip1 \u2026 mrq01-pip5\n \u2022 line ids: mrq01-pl2 \u2026 mrq01-pl5\n \u2022 There is NO mrq01-pl1 \u2014 the guard if (qid > 1) in pick()\n relies on this absence. Do not add a pl1.\n\n CSS classes after a question is answered (set in pick()):\n pip \u2192 'mr-pip correct' or 'mr-pip wrong' (full replacement)\n line \u2192 class 'mr-pip-line done' (appended class)\n \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n function buildPips() {\n var cont = gid('pips'), i, q, wLine, wPip, line, pip;\n cont.innerHTML = ''; \/* wipe all existing pips on Retry *\/\n for (i = 0; i < QS.length; i++) {\n q = QS[i];\n\n \/* \u2500\u2500 connector line \u2014 inserted BEFORE pip, but NOT before pip 1 \u2500\u2500 *\/\n if (i > 0) {\n wLine = document.createElement('div');\n wLine.className = 'mr-pip-wrap';\n line = document.createElement('div');\n line.className = 'mr-pip-line';\n line.id = NS + '-pl' + q.id; \/* pl2, pl3, pl4, pl5 \u2014 never pl1 *\/\n wLine.appendChild(line);\n cont.appendChild(wLine);\n }\n\n \/* \u2500\u2500 pip circle \u2500\u2500 *\/\n wPip = document.createElement('div');\n wPip.className = 'mr-pip-wrap';\n pip = document.createElement('div');\n pip.className = 'mr-pip'; \/* default: grey, numbered *\/\n pip.id = NS + '-pip' + q.id; \/* pip1 \u2026 pip5 *\/\n pip.textContent = String(q.id);\n wPip.appendChild(pip);\n cont.appendChild(wPip);\n }\n }\n\n \/* \u2500\u2500 Build all case cards from the QS array \u2500\u2500 *\/\n function build() {\n var cont, i, q, opts, card, top, numDiv, meta, tag, stem,\n rule, optsDiv, expDiv, lbl, txt, imgDiv, imgSrc, j,\n optEl, ltrSpan, txtSpan;\n\n cont = gid('cases');\n cont.innerHTML = '';\n\n \/* reset state *\/\n answers = {}; answered = 0; shuffled = {}; done = false;\n gid('score').style.display = 'none';\n buildPips();\n\n for (i = 0; i < QS.length; i++) {\n q = QS[i];\n opts = shuffleArr(q.opts); \/* shuffle options fresh each load *\/\n shuffled[q.id] = opts; \/* store shuffled order for later use *\/\n\n \/* \u2500\u2500 outer card \u2500\u2500 *\/\n card = document.createElement('div');\n card.className = 'mr-case';\n\n \/* \u2500\u2500 top section: big number + tag + stem \u2500\u2500 *\/\n top = document.createElement('div');\n top.className = 'mr-case-top';\n\n numDiv = document.createElement('div');\n numDiv.className = 'mr-num';\n numDiv.textContent = q.id < 10 ? '0' + q.id : String(q.id);\n\n meta = document.createElement('div');\n meta.className = 'mr-meta';\n\n tag = document.createElement('div');\n tag.className = 'mr-tag';\n tag.innerHTML = q.tag; \/* innerHTML so — etc. render *\/\n\n stem = document.createElement('div');\n stem.className = 'mr-stem';\n stem.innerHTML = q.stem;\n\n meta.appendChild(tag);\n meta.appendChild(stem);\n top.appendChild(numDiv);\n top.appendChild(meta);\n card.appendChild(top);\n\n \/* \u2500\u2500 divider line \u2500\u2500 *\/\n rule = document.createElement('div');\n rule.className = 'mr-rule';\n card.appendChild(rule);\n\n \/* \u2500\u2500 answer options \u2500\u2500 *\/\n optsDiv = document.createElement('div');\n optsDiv.className = 'mr-opts';\n\n for (j = 0; j < opts.length; j++) {\n optEl = document.createElement('div');\n optEl.className = 'mr-opt';\n optEl.id = NS + '-o' + q.id + '-' + j;\n optEl.setAttribute('role', 'button');\n optEl.setAttribute('tabindex', '0');\n\n ltrSpan = document.createElement('span');\n ltrSpan.className = 'mr-ltr';\n ltrSpan.textContent = LTRS[j];\n\n txtSpan = document.createElement('span');\n txtSpan.className = 'mr-opt-text';\n txtSpan.innerHTML = opts[j];\n\n optEl.appendChild(ltrSpan);\n optEl.appendChild(txtSpan);\n optsDiv.appendChild(optEl);\n\n \/* IIFE to capture correct qid and oi for each click listener *\/\n (function (qid, oi) {\n optEl.addEventListener('click', function () { pick(qid, oi); });\n }(q.id, j));\n }\n card.appendChild(optsDiv);\n\n \/* \u2500\u2500 explanation (hidden until the user answers) \u2500\u2500 *\/\n expDiv = document.createElement('div');\n expDiv.className = 'mr-exp';\n expDiv.id = NS + '-exp' + q.id;\n\n lbl = document.createElement('div');\n lbl.className = 'mr-exp-lbl';\n lbl.textContent = 'Debrief';\n\n txt = document.createElement('div');\n txt.className = 'mr-exp-text';\n txt.innerHTML = q.exp;\n\n expDiv.appendChild(lbl);\n expDiv.appendChild(txt);\n\n \/* inject image if this question has one *\/\n if (q.imgId) {\n imgSrc = byId(q.imgId);\n if (imgSrc) {\n imgDiv = document.createElement('div');\n imgDiv.innerHTML = imgSrc.innerHTML; \/* clone HTML from hidden div *\/\n expDiv.appendChild(imgDiv);\n }\n }\n\n card.appendChild(expDiv);\n cont.appendChild(card);\n }\n }\n\n \/* \u2500\u2500 Handle a user clicking an option \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n After a pick:\n 1. All four options are locked (correct\/wrong\/dimmed styling).\n 2. The debrief panel for this question is revealed.\n 3. The pip for this question turns green or red.\n 4. The connector line LEADING TO this pip turns teal (.done),\n but ONLY if qid > 1 \u2014 because mrq01-pl1 does not exist.\n \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n function pick(qid, oi) {\n var q, opts, i, el, correct, pl;\n\n if (answers[qid] !== undefined || done) return; \/* ignore if already answered *\/\n\n \/* find the question object *\/\n q = null;\n for (i = 0; i < QS.length; i++) {\n if (QS[i].id === qid) { q = QS[i]; break; }\n }\n if (!q) return;\n\n opts = shuffled[qid];\n correct = (opts[oi] === q.correct); \/* string comparison \u2014 not index *\/\n answers[qid] = correct ? 'c' : 'w';\n answered++;\n\n \/* style all four options *\/\n for (i = 0; i < opts.length; i++) {\n el = byId(NS + '-o' + qid + '-' + i);\n if (opts[i] === q.correct) {\n el.className = 'mr-opt correct locked';\n } else if (i === oi) {\n el.className = 'mr-opt wrong locked';\n } else {\n el.className = 'mr-opt dimmed locked';\n }\n }\n\n \/* reveal explanation *\/\n byId(NS + '-exp' + qid).style.display = 'block';\n\n \/* colour the pip \u2014 full className replacement (never appended) *\/\n byId(NS + '-pip' + qid).className = 'mr-pip ' + (correct ? 'correct' : 'wrong');\n\n \/* colour the connector line that leads TO this pip.\n Guard: qid > 1 because mrq01-pl1 was never created in buildPips(). *\/\n if (qid > 1) {\n pl = gid('pl' + qid);\n if (pl) { pl.className = 'mr-pip-line done'; }\n }\n }\n\n \/* \u2500\u2500 Show the score panel after Submit is clicked \u2500\u2500 *\/\n function showScore() {\n var c, w, s, net, pct, disp, verdicts, vi, sc;\n if (done) return;\n done = true;\n\n c = countVal('c');\n w = countVal('w');\n s = TOTAL - answered;\n net = (c * 4) - w;\n pct = Math.max(0, Math.round((net \/ MAX) * 100));\n disp = Math.min(100, Math.max(0, pct));\n\n \/* fill the donut ring \u2014 hex must match --ter exactly *\/\n gid('ring').style.background =\n 'conic-gradient(#2A6E8A ' + disp + '%, #D8E8EE 0%)';\n\n gid('pct').textContent = pct + '%';\n gid('net').textContent = 'Net Score: ' + net + ' \/ ' + MAX;\n\n \/* pick verdict by correct count *\/\n verdicts = [\n [5, 'Perfect round. Exceptional clinical reasoning.'],\n [4, 'Strong \\u2014 one nuance to revisit.'],\n [3, 'Solid base \\u2014 consolidate the finer distinctions.'],\n [2, 'Halfway there \\u2014 review the missed cases carefully.'],\n [0, 'These cases repay close reading. Come back tomorrow.']\n ];\n gid('verdict').textContent = verdicts[4][1]; \/* default: lowest *\/\n for (vi = 0; vi < verdicts.length; vi++) {\n if (c >= verdicts[vi][0]) {\n gid('verdict').textContent = verdicts[vi][1];\n break;\n }\n }\n\n \/* unicode escapes \u2014 no multi-byte literals in source *\/\n gid('ct-c').textContent = '\\u2705 ' + c + ' Correct';\n gid('ct-w').textContent = '\\u274C ' + w + ' Wrong';\n gid('ct-s').textContent = '\\u23ED ' + s + ' Skipped';\n\n sc = gid('score');\n sc.style.display = 'block';\n sc.scrollIntoView({ behavior: 'smooth', block: 'center' });\n }\n\n \/* \u2500\u2500 Sticky progress bar via IntersectionObserver \u2500\u2500\n When the sentinel div (just below the header) leaves the\n viewport, the fixed progress bar appears. When the sentinel\n comes back into view (user scrolled back up), bar disappears. *\/\n function initObserver() {\n var sentinel = gid('sentinel'), bar = gid('progress');\n if (!sentinel || !bar || !window.IntersectionObserver) return;\n new IntersectionObserver(function (entries) {\n if (!entries[0].isIntersecting) {\n bar.className = 'mr-progress visible';\n } else {\n bar.className = 'mr-progress';\n }\n }, { threshold: 0 }).observe(sentinel);\n }\n\n \/* \u2500\u2500 Bootstrap \u2500\u2500 *\/\n function init() {\n gid('submit').addEventListener('click', showScore);\n gid('retry').addEventListener('click', function () {\n build();\n window.scrollTo(0, 0);\n });\n initObserver();\n build();\n }\n\n if (document.readyState === 'loading') {\n document.addEventListener('DOMContentLoaded', init);\n } else {\n init();\n }\n\n}());\n<\/script>\n<\/body>\n<\/html>\n\n\n","protected":false},"excerpt":{"rendered":"<p>5 10 15 20 25 Total Bilirubin (mg\/dL) 0 24 48 72 96 120 144 Age (hours) Phototherapy threshold Exchange transfusion threshold Phototherapy started (72 h) Sample trajectory OBSERVE PHOTOTHERAPY EXCHANGE TRANSFUSION Neonatal Jaundice \u2014 Term Infant (≥38 wk, no risk factors) Bilirubin action thresholds for a term neonate (≥38 weeks, no risk factors), plotted… <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[24],"tags":[],"class_list":["post-36709","post","type-post","status-publish","format-standard","hentry","category-neet-pg"],"yoast_head":"\n<title>Neonatology Clinical - atsixty<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neonatology Clinical - atsixty\" \/>\n<meta property=\"og:description\" content=\"5 10 15 20 25 Total Bilirubin (mg\/dL) 0 24 48 72 96 120 144 Age (hours) Phototherapy threshold Exchange transfusion threshold Phototherapy started (72 h) Sample trajectory OBSERVE PHOTOTHERAPY EXCHANGE TRANSFUSION Neonatal Jaundice \u2014 Term Infant (≥38 wk, no risk factors) Bilirubin action thresholds for a term neonate (≥38 weeks, no risk factors), plotted… \" \/>\n<meta property=\"og:url\" content=\"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/\" \/>\n<meta property=\"og:site_name\" content=\"atsixty\" \/>\n<meta property=\"article:published_time\" content=\"2026-04-28T00:36:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-28T00:36:44+00:00\" \/>\n<meta name=\"author\" content=\"Avi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Avi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\"},\"author\":{\"name\":\"Avi\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"headline\":\"Neonatology Clinical\",\"datePublished\":\"2026-04-28T00:36:07+00:00\",\"dateModified\":\"2026-04-28T00:36:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\"},\"wordCount\":132,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"articleSection\":[\"NEET PG\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\",\"url\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\",\"name\":\"Neonatology Clinical - atsixty\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#website\"},\"datePublished\":\"2026-04-28T00:36:07+00:00\",\"dateModified\":\"2026-04-28T00:36:44+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/28\\\/neonatology-clinical\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/atsixty.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Neonatology Clinical\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/#website\",\"url\":\"https:\\\/\\\/atsixty.com\\\/\",\"name\":\"At Sixty\",\"description\":\"The Option Taken\",\"publisher\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/atsixty.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\",\"name\":\"Avi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"url\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"contentUrl\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"width\":200,\"height\":200,\"caption\":\"Avi\"},\"logo\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\"},\"sameAs\":[\"https:\\\/\\\/atsixty.com\"],\"url\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/author\\\/avinaux\\\/\"}]}<\/script>\n","yoast_head_json":{"title":"Neonatology Clinical - atsixty","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","og_locale":"en_US","og_type":"article","og_title":"Neonatology Clinical - atsixty","og_description":"5 10 15 20 25 Total Bilirubin (mg\/dL) 0 24 48 72 96 120 144 Age (hours) Phototherapy threshold Exchange transfusion threshold Phototherapy started (72 h) Sample trajectory OBSERVE PHOTOTHERAPY EXCHANGE TRANSFUSION Neonatal Jaundice \u2014 Term Infant (≥38 wk, no risk factors) Bilirubin action thresholds for a term neonate (≥38 weeks, no risk factors), plotted… ","og_url":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","og_site_name":"atsixty","article_published_time":"2026-04-28T00:36:07+00:00","article_modified_time":"2026-04-28T00:36:44+00:00","author":"Avi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Avi","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/#article","isPartOf":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/"},"author":{"name":"Avi","@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"headline":"Neonatology Clinical","datePublished":"2026-04-28T00:36:07+00:00","dateModified":"2026-04-28T00:36:44+00:00","mainEntityOfPage":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/"},"wordCount":132,"commentCount":0,"publisher":{"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"articleSection":["NEET PG"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","url":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/","name":"Neonatology Clinical - atsixty","isPartOf":{"@id":"https:\/\/atsixty.com\/#website"},"datePublished":"2026-04-28T00:36:07+00:00","dateModified":"2026-04-28T00:36:44+00:00","breadcrumb":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/28\/neonatology-clinical\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/atsixty.com\/"},{"@type":"ListItem","position":2,"name":"Neonatology Clinical"}]},{"@type":"WebSite","@id":"https:\/\/atsixty.com\/#website","url":"https:\/\/atsixty.com\/","name":"At Sixty","description":"The Option Taken","publisher":{"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/atsixty.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d","name":"Avi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","url":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","contentUrl":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","width":200,"height":200,"caption":"Avi"},"logo":{"@id":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png"},"sameAs":["https:\/\/atsixty.com"],"url":"https:\/\/atsixty.com\/index.php\/author\/avinaux\/"}]}},"_links":{"self":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36709","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/comments?post=36709"}],"version-history":[{"count":1,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36709\/revisions"}],"predecessor-version":[{"id":36710,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36709\/revisions\/36710"}],"wp:attachment":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/media?parent=36709"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/categories?post=36709"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/tags?post=36709"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}