Pediatrics Exam 10

Question 1

MEDICAL EMERGENCY

Drooling/ Tripod position

Answer 1

Acute Epiglottitis

Question 2

Twilight Croup

Answer 2

Acute Spasmotic Laryngitis

Sudden @ night onset

Question 3

Most prevalent nutritional disorder in the US

Answer 3

Iron deficiency Anemia

Question 4

Sickle cell –>bone marrow cant produce any more RBC’s

Answer 4

Aplastic Crisis

Question 5

• Painful episode
• Distal ischemia and pain
Sickle Cell

Answer 5

Vasocclusive Crisis

Question 6

Type of -Sickle Cell Crisis

–>spleen enlarged – working hard to remove abnorm rbc → blood pools to spleen

Answer 6

Sequestration Crisis

Question 7

¾ of circulation pulls in spleen=hypovolemic shock

Answer 7

Sequestration Crisis

Question 8

Greatest risk for Kawasaki Disease (KD)

Answer 8

boys < 1 yo

Question 9

Consider KD in

Answer 9

any child w/ rash & fever of unknown origin

Question 10

protrusion of abd contents through the abd wall @junction of the umbilical cord and abdomen

Answer 10

Omphalocele

Question 11

Omphalocele develops

Answer 11

btwn 6-8wks

Question 12

stricture of the anus

Answer 12

Imperforate Anus

Question 13

Occurrence of Imperforate Anus

Answer 13

7th week of intrauterine life

Question 14

S/S of Imperforate Anus

Answer 14

No Stool in 24h

Fistulas = difficult to repair, typically want to retract

Question 15

Contraindicated w/ Imperforate Anus

Answer 15

Rectal Temps

Question 16

RN Mgmnt - Imperforate Anus

Answer 16

Irrigate w/ NS after ALL BM
NPO
IV Fluids
NG tube for decompression

Question 17

Highest Incidence of Cleft Palate

Answer 17

North American Indian
Cleft lip & palate= boys
Lip= girls

Question 18

Cleft Lip and Palate

Answer 18

Boys

Question 19

Cleft Lip

Answer 19

Girls

Question 20

Primary Pallet formed by

Answer 20

7 wks gestation

Question 21

Secondary Pallet formed by

Answer 21

~13 wks gestation

Question 22

Lip unites at

Answer 22

~5-6 weeks gest

Question 23

Maxillary processes fuse to form

Answer 23

primary palate by week 7 gestation

Question 24

Palatal processes fuse to form

Answer 24

secondary palate by week 13

Question 25

close cleft lip and pallet; usually preformed in stages; wait for baby to get older.

Answer 25

Palatoplasty

Question 26

hyper-nasality (pinch your nose and talk)

Answer 26

resonance asc w/ cleft palate/ lip

Question 27

omit sounds or substitute sounds

Answer 27

articulation:

asc w/ cleft palate/ lip

Question 28

Least likely to exhibit cleft palate

Answer 28

African American

Question 29

Tx of Choice for cleft palate

Answer 29

Plastic Sx- Palatoplasty

Question 30

Failure of the esophagus to develop as a continuous passage

Answer 30

EA: Esophageal Atresia

Question 31

Failure of trachea and esophagus to separate into distinct structures.

Answer 31

TEF: Tracheoesophageal Fistula (TEF)

Question 32

Esophagus ends in a blind pouch; No connection to the trachea

Answer 32

Pure EA

Question 33

( TEF w/o atresia)

fistula is present between otherwise normal esophagus and trachea

Answer 33

H – type

Question 34

esophagus ends in a blind pouch

fistula to stomach (80-90%)

Answer 34

Proximal (EA with TEF):