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6334 Physical assessment > Test #2 > Flashcards

Test #2 Flashcards

1
Q

Define varus

A

turned inward

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2
Q

What is a likely cause of the development of hip dysplasia (DDH)?

A

Multiple gestations

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3
Q

When the lumbar and cervical spine excessively concave (swayback)

A

Lordosis

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4
Q

The maneuver to place the already dislocated hip back in to place or normal position.

A

Ortalani

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5
Q

The maneuver to determine if the femoral head can be dislocated from the acetabulum.

A

Barlow

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6
Q

The name to assess the femoral length. Knees are uneven

A

Galeazzi

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7
Q

Adduction of the forefoot, Vargus of the heel.

A

Clubfoot - Talipes Equinovarus

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8
Q

The congenital webbing of digits.

A

Syndactly

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9
Q

When a NB has an ineffective suck, swallow, and persistent drooling, check facial symmetry, can’t make a good seal around bottle you should think…

A

Injury to the facial nerve

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10
Q

What is the most common birth fracture?

A

Clavicular fractures

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11
Q

What injury happens when the nerve root is completely pulled out of the vertebral body?

A

The nerve innervation is not coming back.

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12
Q

What injury occurs at C 5-7 in the brachial plexus?

A

Erb’s palsy

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13
Q

When the grasp is intact but no moro on the affected side think…

A

Total brachial plexus injury C5-T1.

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14
Q

What is the treatment for Brachial Plexus injuries?

A

Immobilization for 1-5 days
splints
passive range of motion
gradual increase in activity

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15
Q

What is the % chance of having a major anomaly when 3 or more minor anomalies are present?

A

90%

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16
Q

What is a common polygenic defect?

A

Cleft lip and cleft palate

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17
Q

What are non-sex chromosomes called?

A

autosomes

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18
Q

What disorder is caused by monosomy 45?

A

Turners. 45 XO (missing the other X)

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19
Q

What disorder has a flat nasal bridge, upward slant of the palpebral fissures, protruding tongue, brachycephaly?

A

Trisomy 21

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20
Q

What are two common congenital defects arise with Trisomy 21?

A

Congenital heart defects

GI malformations

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21
Q

What disorder has flexed overlapped fingers, hypoplastic nails, rocker-bottom feet

A

Trisomy 18

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22
Q

What disorder has cardiac defects and bilateral cleft lip/palate?

A

Trisomy 13

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23
Q

The combination of defects occurring together but in a less fixed group?

A

Association

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24
Q

An infant with brushfield spots and small low set and square ears should be evaluated for

A

Down’s syndrome

25
Q

An x-linked recessive inheritance pattern is based on which of the following?

A

Females carry the gene

26
Q

What spots can indicate neurofibromatosis is there are more than 3 and are >1.5 cm?

A

Café Au Lait spots

27
Q

Port wine staines can sometimes indicate…

A

CNA abnormalities

28
Q

If an infant can still have the MORO reflex at

A

3 months

29
Q

What are the most common and significant sign of neurological dysfunction in the newborn?

A

Seizures

30
Q

The probability of test negative when true disease is absent.

A

Specificity

31
Q

What is to diagnosis shortly after birth infants with genetic diseases in which early treatment prevents or minimizes serious, irreversible complications or even death.

A

Neonatal screening

32
Q

What is a criteria for selecting disease for screening?

A

When the disease is amenable to treat (no sure)

33
Q

The list os screening criteria includes…

A
  1. sensitive and specific test
  2. Reliable means of reporting
  3. resources fro tx
  4. Cost of testing outweighed savings in human misery
34
Q

What is the most accurate indicator of infection (<1500/mm3)?

A

Neutropenia

35
Q

What is the normal value of C-Reactive Protein?

A

<1.0mg/dL thereafter

36
Q

What is the desired inspiratory location?

A

R hemi-diaphragm at or below level of the 8th rib

37
Q

When the baby is rotated the X-ray looks?

A

chest structures closest to the beam are magnified and appear enlarged and distorted

38
Q

What affects the appearance of the ribs and you are unable to correctly assess line and tube location?

A

Angulation

39
Q

When the xray is over exposed it will look…

A

Dark

40
Q

What x-ray view is when the x-ray beam passes horizontally through patient in the supine position?

A

Lateral

41
Q

What penetration (over/under) will make the disease look better than it really is?

A

Over Penetration

42
Q

When the trachea is deviated?

A

Mediastinal shift

43
Q

What percentage of cardiothoracic ratio suggests cardiomeglay?

A

> 60%

44
Q

When is transient cardiomegaly seen?

A

Asphyxia

45
Q

When can a gasless abdomen seen?

A

Esophageal Atresia without fistula

46
Q

Where is the level of the carina?

A

T4

47
Q

What are the UAC line placements? Low? High?

A

Low - L3-L4

High - T6-T9

48
Q

What is the correct placement for UVC?

A

above the diaphragm in the IVC and outside the R atrium

49
Q

What is the correct placement for a PICC?

A

Tip at the junction of SVC and R atrium. 1cm outside the cardiac sillhouette in preterm and 2cm outside in term.

50
Q

What error happens with trisomy?

A

nondy junction?! not sure

51
Q

What is the cardiac and GI problem associated with trisomy 21

A

AV canal and duodenal atresia

52
Q

in the association of VATERS, what does the acronym mean?

A 
V = vertebral or VSD
A = anal
TE = TE fistula
R = renal or radial
S = single umbilical artery
53
Q

When there is resp distress with cyanosis and asymmetric chest movement but no lung disease?

A

Phrenic Nerve Palsy

54
Q

When there is resp distress with cyanosis and asymmetric chest movement but no lung disease?

A

Phrenic Nerve Palsy

55
Q

What type of birth injury is the most common and life threatening?

A

Hepatic injuries

56
Q

Rooting reflex should disappear at what age?

A

4 months

57
Q

Palmar grasp should disappear at what age?

A

2 months

58
Q

When should the Tonic neck reflex (“fencing reflex”) disappear?

A

7 months

6334 Physical assessment (2 decks)

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