Cystic fibrosis in children and adults Flashcards

1
Q

what is cystic fibrosis?

A

it is a hereditary disorder affecting the exocrine glands

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2
Q

what does cystic fibrosis cause?

A

it causes the production of abnormally thick much, leading to the blockage of the pancreatic ducts, intestine and bronchi and often resulting in respiratory infection

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3
Q

give an example of a recessive disease

A

cystic fibrosis

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4
Q

what does it mean that cystic fibrosis is a recessive disease?

A

it means a person must have a mutation in both copies of the CFTR gene to have cystic fibrosis

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5
Q

if someone has a mutation in only one copy of the CFTR gene and the other copy is normal does he/she have cystic fibrosis?

A

no, he/she is a cystic fibrosis carrier, 25% of children however will have cystic fibrosis

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6
Q

what are possible complications of cystic fibrosis?

A
nasal polyps
chronic sinusitis
persistent sinusitis
bronchiectasis
atelectasis
pneumothorax
haemoptysis
hypertrophic pulmonary osteoarthropathy
allergic bronchopulmonary aspergillosis
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7
Q

describe the management steps of pancreatic insufficiency

A
lifestyle modification
avoidance of fatty food
limitation of alcohol intake 
cessation of smoking
consumption of a well-balanced diet
vitamin supplementation
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8
Q

describe the management of chest infections

A

chest infections can be categorised into bronchitis and pneumonia, pneumonia is usually bacterial and does require antibiotic treatment

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9
Q

what is the role of transplantation in cystic fibrosis?

A

both lungs are transplanted to reduce the risk of infection spreading from the cystic fibrosis lung to the new lung,
it is common for individuals with cystic fibrosis to receive double lung transplants

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10
Q

what is the educational impact of cystic fibrosis on the child and the family?

A

when people with cystic fibrosis attend school, they may need special permissions, services or accommodations to maintain their health

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11
Q

does cystic fibrosis affect mental ability?

A

no

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12
Q

do babies with only one gene mutation found on a newborn screening result generally have cystic fibrosis?

A

no

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13
Q

do babies with 2 cystic fibrosis gene mutations likely to have cystic fibrosis?

A

yes

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14
Q

what does it mean by being exocrine pancreatic insufficient?

A

it means there is the inability to properly digest food die to the lack of digestive enzymes made by the pancreas

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15
Q

when is exocrine pancreatic insufficiency found?

A

in humans afflicted with cystic fibrosis and shwachman-diamond syndrome

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16
Q

what are 2 cardinal features of cystic fibrosis?

A

recurrent bronchopulmonary infection

and respiratory tract infections

17
Q

state 4 recurrent bronchopulmonary infections

A

pneumonitis
bronchiectasis
scarring
abscesses

18
Q

what is life expentacy for children born and diagnosed with cystic fibrosis for males and females? (this statistic is from 2010)

A

life expectancy

37 years - females

40 years - males

19
Q

what are other manifestations of cystic fibrosis?

A
GI dysmotility
CI co-existent disease
hepatopathy
upper airway polyps
upper airway sinusitis
diabetes
osteopenia
arthropathy
heat exhaustion
bilateral absence of vas deferent
vaginal candidiasis
20
Q

what are airway clearance techniques?

A

they are different types of breathing exercises that help you get sputum out of your lungs

21
Q

state 3 airway clearance techniques

A

percussion and drainage
autogenic drainage
active cycle of breathing

22
Q

state 3 airway clearance adjuncts

A

positive expiratory pressure mask
cornet/flutter
high frequency chest wall oscillation

23
Q

what is a mucolytic?

A

it is any agent which dissolves thick mucus, used to help relieve breathing difficulties,

24
Q

what help loosen and clear mucus from respiratory passages and make thick mucus thinner and easier to cough up?

A

mucolytics