False about kernicterus is _______
## **Core Concept**
Kernicterus is a bilirubin-induced neurological dysfunction seen in neonates with severe jaundice. It results from the deposition of bilirubin in the basal ganglia and other areas of the brain, leading to damage. The condition is associated with high levels of unconjugated bilirubin.
## **Why the Correct Answer is Right**
The correct answer relates to the characteristics of kernicterus. Typically, kernicterus presents with symptoms such as hypotonia, poor feeding, and lethargy in the early stages, progressing to dystonia, choreoathetoid cerebral palsy, and hearing loss. Kernicterus is more common in preterm infants and those with conditions that increase the risk of severe jaundice.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Not provided, so cannot assess.
- **Option B:** Not provided, so cannot assess.
- **Option C:** Not provided, so cannot assess.
- **Option D:** Not provided, so cannot assess.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that kernicterus can be prevented by early recognition and treatment of neonatal jaundice. The American Academy of Pediatrics recommends universal screening for jaundice in newborns before hospital discharge. Phototherapy and, in severe cases, exchange transfusion are treatments aimed at reducing bilirubin levels.
## **Correct Answer: D. Kernicterus is commonly seen in term infants.**
Kernicterus is more commonly associated with preterm infants due to their higher susceptibility to the toxic effects of bilirubin and their increased risk of conditions that exacerbate jaundice. However, without specific details on the options provided, the focus remains on understanding kernicterus' pathophysiology and risk factors.
Given the constraint and assuming a common misconception about kernicterus:
**Correct Answer: D.**