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2016 summer 6903 > peds > Flashcards

peds Flashcards

1
Q

peds

A

quiz

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2
Q

The neonatal period is defined as the period that begins with birth and ends at:

a. 24hrs
b. 14days
c. 6months
d. 1yr

A

c

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3
Q

Which of the following corresponds with the location of glottis in full-term neonates/

a. C2
b. C3
c. C4
d. C5

A

c

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4
Q

Which of the following statements regarding O2 consumption in infants verses adults is correct?

a. 7cc/kg/min in infants, 3/cc/kg/min in adults
b. 6cc/kg/min in infants, 5/cc/kg/min in adults
c. 10cc/kg/min in infants, 4/cc/kg/min in adults
d. 3cc/kg/min in infants, 7/cc/kg/min in adults
e. 5cc/kg/min in infants, 5/cc/kg/min in adults

A

a

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5
Q

A URI increases the risk of

a. Aspiration and fever
b. Bronchospasm and aspiration
c. Wheezing and laryngospasm
d. laryngospasm and fever

A

c

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6
Q

BP in the ped pat is dependent on which of the following?

a. Hgb value
b. HR
c. SV
d. Body SA

A

b

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7
Q

The impact of having avarying degree of O2 consumption in an adult verses neonate indicates that:

a. The neonate is more likely to desat as quickly
b. The neonate is less likely to desat as quickly
c. Early obstruction will have more impact on O2 delivery and reserve in neonates, infants and children than in adults
d. Early obstruction will have less impact on O2 delivery and reserve in neonates, infants and children than in adults

A

c

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8
Q

Persistent PHTN (PPH)may be caused by all the following EXCEPT:

a. Sepsis
b. Resp distress
c. Meconium aspiration
d. Delivery of high concentration of oxygen
e. Congenital diaphragmatic hernia

A

d

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9
Q

Which of the following statements regarding the neonatal kidney is FALSE?

a. By the time the healthy full term infant is 1 month of age, the kidneys are approximately 60% mature.
b. UOP is low in the first month of life (1st 24hrs)
c. From an anesthetic standpoint, the ½ life of meds excrete by means of GFR will be prolonged
d. The relative inability to conserve water means that neonates, esp in the first week of life, poorly tolerate fluid restriction

A

b

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10
Q

According to the ASA NPO guidelines what is the fasting time for an infant having received formula?

a. 2hrs
b. 4hrs
c. 6hrs
d. 8hrs

A

c

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11
Q

Which of the following statements regarding the neonatal airway is FALSE

a. The head is flexed forward when the pt is in the supine position
b. Neonates are obligate nose breathers
c. They have a relatively large tongue
d. The vocal cords are the narrowest portion
e. The larynx is more cephalad

A

d

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12
Q

Which of the following statements regarding the neonatal pulm sys is TRUE

a. Neonates have a high closing vol
b. Neonates have rigid ribs
c. Neonates’ O2 consumption is equal to adults
d. Neonates have a low ratio of minute ventilation to FRC
e. Neonates have high lung compliance

A

a

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13
Q

Which of the following is not a purpose of the preop physical exam?

a. Tour the OR
b. Decr anxiety
c. Gather med info
d. Assess the airway

A

a

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14
Q

Which of the following statements regarding the neonatal CV sys is FALSE

a. Increases in CO are primarily achieved thru an incr in HR
b. The PNS dominates over the SNS in the HR
c. CO may typically be increased by no more than 40%
d. The neonatal heart is very compliant

A

e

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15
Q

Which of the following statements abt MRs in peds is FALSE

a. In infants younger than 1 yr, the duration of action of vec is approx. 2x that observed in older children bc of their immature livers
b. Hyperkalemia with asso cardiac arrest in boys younger than 8yrs (bc of unrecognized muscular dystrophy) have caused some clinicians to recommend that sux should not be used routinely in this age group.
c. Sux is the only MR that can be given IM
d. The duration of action btwn a typical indxn dose of rox and a RSI dose is that the RSI dose will last longer.

A

c

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16
Q

What size uncuffed ETT would be correct for a 4 yrs old pt?

a. 3.5
b. 4
c. 4.5
d. 5

A

d

17
Q

Which of the following statements regarding neonatal anes requirements is TRUE

a. Neonates require as much anes as older infants
b. In premature infants, the MAC is decreased compared to infants
c. Premature infants have decr endorphins
d. Immature infants have mature BBB
e. The highest MAC occurs at around 2 yrs of age

A

b

18
Q

With an increased PVR, a patent ductus arteriosis is an example of which type of cardiac shunt?

a. Left to right
b. Right to left
c. Pulm back flow
d. Functional

A

b

19
Q

All of the following statements are true regarding the transition of the cardiopulmonary sys and persistent pulmonary HTN (PPH) EXCEPT

a. The goal of therapy is to keep PaO2 btwn 80-90mmHg
b. Pulm circulation is sensitive to O2, pH, AND NO
c. Hypoxia and acidosis are pivotal etiologic factors in PPH
d. Bc of the elevated PVR, a right to left shunt develops
e. Patency of the ductus arteriosis beyond 4 days of age is abnormal regardless of the infant’s gestational age

A

a

20
Q

What is the maintenance rate for IVFs in the post-op period for a 44kg pt

a. 44cc/hr
b. 64cc/hr
c. 84cc/hr
d. 94cc/hr

A

c

21
Q

Which one of the following is the correct BV calculation

a. Premature – 90cc/kg
b. Newborn – 90cc/kg
c. 3-12mos – 85cc/kg
d. Child 85cc/kg

A

a

22
Q

MAC concen peaks at what age

a. 1-6mos
b. 1yr
c. 3yrs
d. 5yrs

A

a

23
Q

To avoid paradoxical brady the min dose of atropine given to a 6kg infant for SB should be?

a. .2mg
b. .4mg
c. .8mg
d. .1mg

A

d

24
Q

What is/are the major muscle(s) of respiration in an infant?

a. Strap muscles
b. Intercostals
c. Pectorals major
d. Diaphragm

A

d

25
Q

What is the effect of a right to left shunt during an inhalation indxn

a. Faster indxn
b. Same speed indxn
c. Failed indxn
d. Slower indxn

A

d

26
Q

What increases the risk of soft tissue airway obstruction in the ped pt

a. Loss of muscle tone
b. Tongue
c. Properly sized oral airway
d. Foreign body

A

b

27
Q

Which one of the following is not a defect found in TOF

a. Overriding aorta
b. Right ventricular outflow tract obstruction
c. Right ventricular hypertrophy
d. Large ASD

A

d

28
Q

High concen of oxygen can cause what condition in the premature infant?

a. Retinopathy of prematurity
b. Seizures
c. Irreversible binding of fetal hgb
d. Loss of respiratory drive

A

a

29
Q

The BEST place for precordial placement to monitor BSs and heart tones is

a. Dicrotic notch
b. Left side of chest, 2nd ICS
c. Left side of chest, 5th ICS
d. Precordial steth are unnecessary and archaic.

A

c

30
Q

You are caring for a child that weighs 26.4lbs. what is their maintenance fluid rate

a. 44cc/hr
b. 66.4cc/hr
c. 45cc/hr
d. 26.4cc/hr

A

a

31
Q

Which statement is TRUE

a. During fetal devl testicles descend from abd to scrotum during 2nd trimester
b. Over 50% of males will have testicles desend over the 1st yr of life
c. Cryptorchidism is the complete absence of testicles
d. Testicular torsion sx is only a surgical emergency in a neonate

A

b

32
Q

Which symptom is NOT a symptom of Wilms’ Tumor

a. Fever
b. Hematuria
c. Abd mass
d. HOTN

A

d

33
Q

Select the list that correctly identifies factors that INCREASE IOP

a. Intub, hypercarbia, external pressure on eye, acute HTN
b. Intub, IV lido, hypothermia, diuretics
c. Hypoxia, acute HTN, contrxn of EOM, deep inspiration

A

a

34
Q

When would a surgeon STOP a scoliosis repair mid-surgery

a. A sudden decr in MAP from 70 to 50mmHg
b. A hgb drop from 12g/dl to 9
c. Sudden loss of SSEPs
d. 50% decr in SSEPs

A

d

35
Q

A PDA in a newborn can be caused by all of the following except

a. High blood PCO2
b. High o2 level
c. Acidosis
d. PPH of the newborn

A

b

36
Q

Hypoplastic left heart syndrome (HLHS) does NOT consist of which symptom

a. Hypoplasia of the left ventricle
b. AV stenosis
c. Pulmonary valve atresia
d. Hypoplasia of the ascending aorta with a discrete CoA

A

c

37
Q

Congenital diaphragmatic hernia causes which one of the following health variations

a. Left to right shunting
b. Right to left shunting
c. Thinning of alveolar smooth muscle
d. Increased alveolar SA

A

b

38
Q

Which of the following periop factors is an expected potential laryngospasm trigger

a. Second hand smoke exposure
b. GERD
c. Mechanical irritants
d. A & C only
e. All of the above

A

e

39
Q

peds

A

lecture/PPs?

2016 summer 6903 (4 decks)

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