Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OS 213 Respiratory EXAM 1 > History and PE of a Pediatric patient > Flashcards

History and PE of a Pediatric patient Flashcards

1
Q

Breathing through a closed glottis because of alveolar collapse; spontaneous PEEP

A

Grunting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

DIfferent signs of respiratory failure

A

tachypnea, use of accessory muscles, abnormal sounds, bobbing of head, cyanosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Duration of symptoms (Pedia)

A

<3 weeks - acute
3 weeks to 3 months - subacute
>3 months - chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do you define”recurrent” symptoms

A

discontinuous with documented intervals of well being (6-8 TI’s/year in first 2 years)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Most common reason for pediatric consult

A

infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Most common indicators of infection in PE

A

Fever, lymphadenitis, inflamed mucous membrane, purulent dscharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

most common illness in children affected by triggers

A

Asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cough, wheezing, dyspnea, most commonly exercise induced

A

asthma attack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Effect of Position (symptoms)

A

Recumbent - PND or GERD

Diurnal - asthma (agrravated during the night)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the cut off time for bronchodilators to be consdered to have poor response

A

not lasting 4 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Good indicator for positive/negative response to treatment

A

Respiratory rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Time required for air to travel from the mouth to the alveoulus; computed as airway resitance x compliance

A

Time constant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

DDX for loud pulmonic sound heard on auscultation of the pulmonic component of S2

A

Vascular lung disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Abnormally deep breathing; occurs with fever, sever anemia, metabolic acidosis, respiratory alkalosis

A

Hyperpnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

abnormally shallow breathing; occurs with metabolic alkalosis and respiratory acidosis

A

hypopnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

It is a benign condition in premature infants observed after 24 hous; 5-10 seconds apneic episodes; not associated with cyanosis or bradycardia

A

Periodic breathing

  • immaturity of the integrating pathways in the CNS
  • preterm to 10 months
  • absent by 6 months
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pAthologic apneic episodes; lasts more than 20 seconds; associated with cyanosis and bradycardia

A

Apnea of prematurity

18
Q

Waxing and waning of depth of breath with periods of apnea after each sequence

A

Cheyne-Stokes breathing

19
Q

one or several deep breaths or an irregular depth (irregularly irregular), indicated in severe brain damage

A

Biot’s breathing

20
Q

Occurs in paralysis of intercostal muscles, premature and newborn infants due to compliant ribcage, upper airway obstruction, respiratory muscle fatigue

A

Paradoxical breathing

21
Q

Normal breath sound in an infant

A

Vesicular

22
Q

Normal breath sound in adults

A

bronchovesicular

23
Q

Non musical, discontinuous lung sounds, requires the presence of lung fluid interface or during sudden opening and closing of airways

A

Rales or crackles

24
Q

have musical and non musical qualities, produced by fluid films and airway wall vibration in larger airways , problem in the middle RT

A

Rhonchi

25
Q

Wet lung/ chest cold, gurgly chest or chest congestion, audible to the naked ear

A

HALAK

26
Q

Due to mechanical stretching of the pleura, occur during inspiration and expiration

A

Pleural Rub

27
Q

More or less musical sound that is produced by oscillations of critically narrowed extrathoracic airways during inspiration

A

Stridor

-Upper airway obstruction (Laryngeal)

28
Q

High pitched usually hear during inspiration (glottic or supraglottic obstruction) can also occur during expiration (infraglottic)

A

Stridor

29
Q

An expiratory sound usually low pitched and with musical qualities. Breathing through closed vocal cords to produce PEEP

A

Grunting

-signifies collapse lung

30
Q

musical continuous sounds that originate from oscillations in the narrowed peripheral airways. Sound produced is proximal to the lung tissue

A

Wheezes

31
Q

(Descriptions related to cough) With voice changes

A

Laryngeal involvement

32
Q

(Descriptions related to cough) Brassy coung

A

Tracheal irritation

33
Q

(Descriptions related to cough) Barky cough

A

glottic or subglottic involvement (Smoker’s, Croup)

34
Q

(Descriptions related to cough) Morning with expectoration of significant volume of phlegm

A

bronchiectasis

35
Q

(Descriptions related to cough) nocturnal ough

A

asthma, post nasal drip

36
Q

Focal enlargement of the connecctive tissue in the terminal phalanges of the digits especially in the dorsal surface (hyponychial angle)

A

Clubbing

37
Q

Testing for clubbing

A

Schamroth’s window test

38
Q

Absolute concentration of reduced hemoglobin in the capillaries associated with cyanosis

A

4-6g/100ml

39
Q

Peripheral cyanosi

A

Acrocyanosis- confined to the skin of the extremities

40
Q

Trachea deviation in pneumothorax

A

contralateral

41
Q

Trachea deviation in atelectasis

A

ipsilateral

OS 213 Respiratory EXAM 1 (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions