Paediatric emergencies: brief resolved unexplained event: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Paediatric emergencies: brief resolved unexplained event

Sample item

A 3-week-old had an episode of colour change, hypotonia and apnoea lasting 30 seconds that resolved spontaneously, and is now normal on examination. What is the best approach?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Classify as BRUE, risk-stratify, and observe or investigate according to risk

A brief resolved unexplained event is a sudden, brief episode of cyanosis or pallor, altered breathing, tone, or responsiveness in an infant under 1 year that fully resolves. Infants under 60 days of age are higher risk and need a careful history, examination and observation.

Option by option

  • A. Discharge without any assessment

    Young infants warrant evaluation rather than discharge.

  • B. Routine neuroimaging for every case

    Neuroimaging is not routine.

  • C. Start anticonvulsants

    Anticonvulsants are not indicated without seizure evidence.

  • D. Classify as BRUE, risk-stratify, and observe or investigate according to risk (correct)

    Correct. Risk stratification guides management.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Classify as BRUE, risk-stratify, and observe or investigate according to risk. A brief resolved unexplained event is a sudden, brief episode of cyanosis or pallor, altered breathing, tone, or responsiveness in an infant under 1 year that fully resolves.

Why is "Discharge without any assessment" not the answer?

Young infants warrant evaluation rather than discharge.

Why is "Routine neuroimaging for every case" not the answer?

Neuroimaging is not routine.

Why is "Start anticonvulsants" not the answer?

Anticonvulsants are not indicated without seizure evidence.

What concept does this question test?

It tests Paediatric emergencies: brief resolved unexplained event in Pediatrics. Infants under 60 days of age are higher risk and need a careful history, examination and observation.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Paediatric emergencies: brief resolved unexplained event?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.