219 Flashcards

1
Q

excess pulmonary vascular resistance and subsequent
right ventricular enlargement and failure,
results in________

A

Eisenmenger Syndrome

This is usually seen in the context of a large VSD,
in which the left-to-right shunt has flooded the pulmonary circulation.

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2
Q

a relatively common complication after neonatal repair of congenital cardiac disease, in which chyle leaks into the chest cavity, is ___________

A

thoracic duct injury

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3
Q

recent history of eating a fast
food hamburger. The child has bloody diarrhea. Laboratory evaluation reveals anemia,
thrombocytopenia, elevated BUN, and creatinine

Dx

A

hemolytic uremic syndrome

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4
Q

T/F Patients with hemolytic uremic syndrome should be given Insulin and glucose

A

T.

Yes, To drive potassium into the cells, decreasing serum levels.

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5
Q

T/F Patients with hemolytic uremic syndrome should be given Aggressive fluid management (i.e., 2-3 times maintenance fluids)

A

F.
Fluids should be given very cautiously due to the inability of the kidneys to remove excess fluid, leading to pulmonary edema

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6
Q

the most common form of childhood malignancy is :

A

Acute lymphocytic leukemia (ALL)

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7
Q

Children of what ages are at much higher risk, and which have a better prognostic when it comes to ALL?

A

Children less than 2 years of age or greater than 10 years of age are at much higher risk

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8
Q

normal WBC for Canada are :

And Good prognostic range for ALL is :

A

(4.5–11.0 x 10^9/L)

WBC < 30 x 10^9/L

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9
Q

Which of the following are good prognostic factors for ALL

T-cell phenotype,
absence of Ph chromosome
Presence of Ph chromosome

A

T-cell phenotype,

absence of Ph chromosome

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10
Q

T/F Treatment of amblyopia includes occlusion of the “bad” eye

A

F. Treatment of amblyopia may include occlusion of the “good eye”, forcing the child to use the “bad” or lazy eye.

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11
Q

the most common cause of amblyopia is :

Other risk factors are:

A

Strabismus.
myopia, muscle
weakness, cataract.

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12
Q

Infant Patients with cerebral palsy are at risk for what ophthalmologic condition?

A

strabismus.

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13
Q

The hyperoxia test is used as an early tool to evaluate the cyanotic neonate to determine if:

A

the etiology of the cyanosis is cardiac or non-cardiac in origin.

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14
Q

. A PaO2 of less than ___with the administration of 100% oxygen suggests a cardiac lesion

whereas a PaO2 between __ and __ on 100% oxygen suggests that there is no restriction of pulmonary blood flow in the presence of complete mixing of oxygenated and deoxygenated blood.

A

50

50- 150

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