Brainscape's Knowledge GenomeTM

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


See full index

Peds > Test 3-ped disease > Flashcards

Test 3-ped disease Flashcards

1
Q

To help in the diagnosis of a patient with a questionable history of wheezing & possible asthma, which of the following would be the best test?
A. Bronchoprovocation study
B. Flow volume loop
C. Before and after bronchodilator study
D. Raw

A

A. bronchoprovocation study

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q 
4 components of airway obstruction in asthma include
1. Acute bronchoconstriction
2. airway edema
3. mucus plugging
4. airway remodeling
A. 1,2, 4
B. 1, 3, 4
C. 1, 3
D. All of the above
A 
All of the above:  D
Acute bronchoconstriction
Airway edema
Mucus plugging
Airway remodeling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q 
Causes upper airway obstruction & often seen in children less than 3 yrs old;  Causes forward displacement of posterior pharyngeal wall by group a or staph aureus; often heard as a hot potato voice:
A. Retropharngeal abcess
B. Periglottic obstruction
C.  Subglottic stenosis
D.  Laryngomalacia
A

A. Retropharyngeal abcess or obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q 
This is a common benign often congenital cause of upper airway obstruction in which high pitched stridor is heard; the arytenoids become oversized & floppy
A. Retropharyngeal abcess
B.  Periglottic obstruction
C.  Subglottic stenosis
D.  Layngomalacia
A

D. Layngomalacia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q 
Which of the following are causes of lower airway obstruction:
A.  Retropharyngeal abcess
B.  Obstructive apnea
C. Periglottic obstruction
D.  Subglottic stenosis
E.  Laryngomalacia
F.  Pierre Robin Syndrome
G.  Bacterial Tracheitis
H.  Tracheomalacia
I.  Bronchial Stenosis
A

Bacterial Tracheitis
Tracheomalacia
Bronchial Stenosis
G, H, I

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

What are some common conditions with upper airway obstruction:

A 
Subglottic stenosis
Obstructive apnea
Laryngomalacia
Retropharyngeal abscess
Periglottic obstruction
Pierre Robin Sydnrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are common conditions of lower airway obstruction?

A 
Bacterial Tracheitis
Tracheomalacia
Congenital tracheal stenosis or bronchial stenosis
bronchiolitis
bronchiectasis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q 
\_\_\_\_\_ is strongest link to development of asthma.
A. Genetics
B.  Race
C.  Atopy
D. Illness
A

C. Atopy

Atopic dermatitis often precedes onset of asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q 
In a flow volume loop, when you have a fixed obstruction
1. FVC volume is close to normal
2. Inspiratory rates is reduced
3. expiratory rates is reduced
4. it appears as squared off tracing with FEF50 & FIF50 about the same
A. 1, 3
B. 1 2
C. 2, 3, 4
D. 1, 2, 3, 4
A

D.

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

In asthma, the RV:TLC would be
A. Increased
B. Decreased
C. Normal

A

A. Increased

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

In asthma, your VC would be expected to be:
A. Increased
B. Decreased
C. Normal

A

Decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q 
The hallmarks of obstructive lung disease in early phases are 
A. Decreased FEV & FEF 25-75
B. Increased FEV & FEF 25-75
C. Decreased FVC
D. Increased FVC
A

A. Decreased FEV & FEF 25-75

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

A key finding in restrictive disease is an RV, FRC, TLC less than _____ of predicted.

A

80%

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

A 14 yr old with severe asthma has just been given a new medication of inhaled corticosteroid by DPI; after rapidly inhaling the med she coughs vigorously. BS reveal increased wheezing in all lung fields. what should you recommend?
A. have her inhale rapidly via DPI to make sure she received all medication
B. Have her inhale slowly via DPI to make sure she received all medication
C. Stop taking Medication
D. Increase dose of DPI until wheezing stops

A

C. Stop taking medication, this is adverse reaction

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

What is the best way to administer high humidity & 35% Oxygen to infant?
A. Send the desired O2 to heated cascade type humidifier to oxyhood
B. Use the incubator’s humidifier and the low O2 setting on unit
C. Place 3l/min nasal cannula on infant & use incubator
‘s humidifier
D. Use incubator’s humidifier and high O2 setting on the unit

A

A.

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

YOu are working with a 10 yr old patient with CF with a pulmonary infection & thick secretions. What would yoyu recommend to help him cough out secretions?
A. Nebulized 0.9% normal saline solution
B. Mucomyst (or acestylcysteine) into lungs
C. Pulmozyme or nebulized dornase alfa
D. Nebulized acetylcysteine

A

C. PUlmozyme

17
Q

A 10 yr old boy with CF has been having recurrent episodes of Pseudomonas pneumonia. What should ne recommended to prevent further episodes.
A. Instill pendtamidine (Pentam) into treachea by way of suction catheter
B. Administer pentamidine once a dmonth by SVN
C Isonicotinic acid hydrazide (Isoniazid) should be taken twice a week for 6 months
D. Tobi should be taken by SVCN every other month

A

D. TOBI should be given by SVN every other month

18
Q

A home care patient with asthma has finished her stadnard dose of 0.25 ml of albuterol. After waiting 15 min she performs a peak flow measurement showing 65% of personal best. What should be done to imnprove patient’s condition?
A. Decrease dose of albuterol
B. Add an IV corticosteroid to patient’s meds
C. Maintain present therapy
D. Increase dose of albuterol

A

D. Increase dose of albuterol

19
Q

Airflow obstruction is considered reversible when it is greater than _____% of FEV1

A

12%

20
Q

In CF, sweat becomes hypertonic with increased levels of ____ & ______.

A

Na & CL

21
Q

Decreased levels of ____ can cause false negative on CF test.

A

Hypoalbuminemia

albumin

22
Q

What can cause false positive on CF test?

A

Malnourishment, evaporation, adrenal insufficiency, hypothyroidism

23
Q

An xray taken at birth that shows abdominal distention, or distended bowel with gas bubbles or bowel loops is indicative of?

A

CF or presence of meconium Ileus which indicates CF

24
Q

On xray: classic thumb sign is present on lateral neck xray

A

Epiglottis

25
Q

Commonly heard as a hot potato voice?

A

Retropharyngeal Abscess

26
Q

Main cause is RSV and seen in infants with viral respiratory infection?

A

Bronchiloitis

27
Q

True airway emergency involves obstruction of lower airway; looks like LTB but does not respond to racemic epiniphrine

A

Bacterial tracheitis

28
Q

______ is the gene responsible for CF.

A

CFTR

29
Q

What type of cough may be heard in CF?

A

dry, hacking cough initially, progression to more frequent with production of large quantities of secretions

30
Q

On an xray in cf what can you see?

A

hyperinflation, or normal in early onset
Increased interstitial markings
Cystic bronchiectasis
Atelectasis on right UL, flattening of diaphraghm

31
Q

____ is a major component of CF secretions.

A

DNA

32
Q

For management, sometimes use Aerosolized recombinant DNASE–used to modify transportability of secretions

A

RHDNase was developed and approved for use in CF patients in 1994

33
Q

T or F: Mucomyst is not recommended for aerosol use in CF

A

True; most efective when instilled in bronchoscopy

34
Q

A common strategy to CF is using _____ saline solutions. Use 3% ______ after albuterol treatment.

A

Promotes hydration of inspissated mucus secretions. Hypertonic Saline Solutions Use 3% NaCl, not mormally recommended

35
Q

Primary oral agent to manage CF antibibiotics is

A

Ciprofloxacin but can develop resistance
also use aminoglycosides
TOBI most effective inhaled antibiotic 300 mg twice daily inhaled

36
Q

Use of antiinflammatory agents is highly effective in CF patients. T or F

A

False; they have yielded mixed results

37
Q

FBA most common in children ages 7mos to 4 yrs; they often obstruct the larynx, trachea or bronchi and may be radiolucent so cannot always be seen in typical chest xray. T or F

A

True

38
Q

T or F: children who aspirate foreign bodies often cough up the object spontaneously.

A

False, they seldom cough up spontaneously

Peds (6 decks)

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