Tutoring Review

Question 1

iron defieicny anemia size

Answer 1

micocytic

Question 2

labs ferritin for iron defieicny anemia

Answer 2

low

Question 3

who does iron defieicny anemia affect

Answer 3

toddlers drinking lots of milk (+16-24oz) and adol with menorrhagia and GI bleeding

Question 4

folate or vit b12 apparence

Answer 4

macrocytic anemia

Question 5

vasooculsive crisis

Answer 5

Sickle cells can then block blood flow in the vessels of limbs and organs causing vaso occlusive

crisis

Question 6

life span of sickle cell

Answer 6

10-20 days

Question 7

acute chest

Answer 7

common, Patients will present with a pulmonary infiltrate on
chest x‐ray as well as fever, chest pain, tachypnea, wheezing, difficulty breathing,
and low O2 saturation.

Question 8

triggers for sickle cell crisis

Answer 8

extreme temperatures, dehydration, stress.

Question 9

folic acid med for sickle cell

Answer 9

helps w/ DNA synthesis to increase RBC production

Question 10

hydroxyurea med sickle cell

Answer 10

increases HgF levels (HgF competes with HgbS)

Question 11

lumbar puncture

Answer 11

Examines cerebrospinal fluid.

Presence of malignant cells indicates central nervous system
involvement of cancer.

Question 12

common s/s of brain tumor

Answer 12

abnormal gait, vision changes, and fatigue. N/V, morning headache leukemia

Question 13

diagnosis for leukemia

Answer 13

blood counts, bone marrow biopsy or bone
marrow aspiration, and lumbar puncture.

Question 14

leukemia bone marrow aspiration relveals

Answer 14

abnormal lymphoblasts and the
percentage of blasts are measured from the sample obtained
during the aspiration

Question 15

wilms tumor

Answer 15

usually asymptomatic and it is often found by the
parent during the child’s bath

Question 16

osteosarcoma most common s/s

Answer 16

pain swelling limp

Question 17

tumor lysis syndrome

Answer 17

Metabolic derangements from rapid, spontaneous, or treatment-related

death of tumor cells.

Cell lysis causes a rise in serum potassium levels, serum phosphate, and uric acid

Typically peaks 24-48 h after start of treatment

Highest risk in patients with high tumor burden (big tumor = big risk)

Question 18

what can be normal in children
S3 or S4

Answer 18

S3

Question 19

S4 can indicate

Answer 19

CHF

Question 20

s/s of increase pulmonary blood flow

Answer 20

Symptoms include tachypnea, tachycardia, murmur, congestive heart failure (CHF), poor weight gain, diaphoresis, edema

Question 21

disease of increase pulmonary blood flow

Answer 21

PDA
ASD
VSD

Question 22

decrease pulmonary blood flow s/s

Answer 22

Cyanosis, hypoxic spells, poor weight gain, polycythemia

Question 23

disease of decrease blood flow

Answer 23

TOF

Question 24

classifications of TOF

Answer 24

*Stenosis of the pulmonary outflow tract or valve
*Right ventricular hypertrophy
*Ventricular septal defect (V S D)
*Overriding of aorta

Question 25

what does the overriding aorta and VSD allow

Answer 25

unoxyegnated blood to pass into systemic circualtion

Question 26

TET spell

Answer 26

knee chest position, keep child calm, temp regulation, give O2- position decreases shunt by increasing peripheral vascular resistance

Question 27

obstructive lesions s/s

Answer 27

diminished pulses, poor color, delayed capillary refill, decreased urine output, CHF with pulmonary edema

Question 28

disease of obstructive

Answer 28

CoA and HLHS

Question 29

use what med for obstructive lesions

Answer 29

PGE

Question 30

s/s of CoA

Answer 30

blood pressure lower in legs and higher in arms

Question 31

murmur for HLHS

Answer 31

no

Question 32

mixed s/s

Answer 32

cyanosis, poor weight gain, pulmonary congestion

Question 33

disease of mixed

Answer 33

TGA

Question 34

TGA med

Answer 34

PGE

Question 35

in TGA will o2 improve cyanosis

Answer 35

no

Question 36

Kawasaki

Answer 36

-Acute febrile, systemic vascular inflammatory disorder that affects small and midsize arteries, including the coronary arteries

Question 37

in Kawasaki monitor for

Answer 37

coronary artery aneursyms

Question 38

s/s of Kawasaki

Answer 38

Symptoms include strawberry tongue, fever, cracking skin, hand and foot swelling

Question 39

BP in early comp shock

Answer 39

normal

Question 40

parkland

Answer 40

4mL x %TBSA x kg = 24 hour fluid 50% in 1st 8 hour, 50% in remaining

Question 41

children use diaphragm to breath so

Answer 41

trunk burns cause impaired ventilation

Question 42

5 P

Answer 42

Pain Pallor Pulse Paresthesia Paralysis