Pediatrics

Question 1

respiratory syncytial virus

Answer 1

affects the bronchiole

Question 2

cystic fibrosis, genetic

Answer 2

must get gene from both parents

Question 3

dx test cystic fibrosis

Answer 3

sweat chloride test

Question 4

GERD

Answer 4

chronic form of gastroesophageal reflux, tissue damage to respi structure= pneumo and bronchospasm

Question 5

GERD postioning

Answer 5

elevated prone= dim reflux and improves stomach emptying

Question 6

hirschsprungus stools

Answer 6

ribbon like

Question 7

pyloric stenosis

Answer 7

projectile vo after feeding, spit up formula with gastric juice, olive shaped mass in epigastric region

Question 8

intussuseption

Answer 8

currant jelly stools, drawing up of knees, piece of bowel that goes in itself

Question 9

Tracheosphageal fistula:mother

Answer 9

hydramnios, baby never swallowed amniotic fluid

Question 10

hydrocephalus manif

Answer 10

palpate anterior fontanel, dilated scalp veins, depressed eyes, change LOC, high pitch cry, irrit

Question 11

post-op hydrocephalus

Answer 11

measure frontal occipital circumference, temp, supine

Question 12

rheumatic fever

Answer 12

beta hemolytic strep

Question 13

Sx CHF

Answer 13

aug pls at rest, aug RR, scalp sweating, fatigue, sudden weight aug

Question 14

Trx CHF

Answer 14

listen to lungs, control room temp (aug T= more workload), sit up, rest, dim stimuli, humidified cool O2, uninterrupted sleep, calm play, loose clothes and diapers, respond to crying baby quickly, can’t handle fever

Question 15

Nut CHF

Answer 15

nipple with large opening, every 3h

Question 16

digoxin normal levels

Answer 16

8-2

Question 17

stop digoxin if levels if

Answer 17

pls less than 110 baby, 70 for child

Question 18

give digoxin

Answer 18

one hour before or 2 hours after feeding

Question 19

Effects of chronic hypoxia

Answer 19

polycythemia: too many RBC= thinkers blood= stroke + no place for platelets. keep hydrated

Question 20

ventricular septal defect: many

Answer 20

close spontaneously during 1st year

Question 21

atrial septal defect sx

Answer 21

atrial arythmia

Question 22

atrial septal defect trx

Answer 22

surgery before school age

Question 23

patent ductus arterioles which sided heart failure

Answer 23

L

Question 24

coaptation of aorta sx

Answer 24

big difference in BP and pls of upper and lower extremities

Question 25

pulmonic stenosis sx

Answer 25

enlarged heart