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104 final

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
what is the incidence of RDS among infants borna at less than 28 wks gestation?   show
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during RDS what conditions are responsible for the reduction in pulmonary blood flow?   show
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show because these infants tend to be stron and have excellent pulmonary reserve  
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what is the significance of an infant with RDS demonstrating a grunt during each exhalation?   show
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show respiratory distress syndrome (RDS)  
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how should the therapist interpret a L/S ratio of 2:1   show
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show infants lungs are devoid of pulmonary surfactant  
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while reveiwing an x-ray therapist observes pulmonary vascular congestion, prominant peripheral streaking, fluid in the interlobilar fissures, hyperexpansion, and flat diaphragm what condition?   show
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what therapuetic interventions are used to treate TTN?   show
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what microorganism are responsible for nosocomial pna?   show
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when neonatal pna is suscpected how long does an infent receive broad spectrum antibiotics?   show
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why does meconium staning occur predominantly in infants greater than 36 weeks of gestation?   show
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what is the typical type of airway obstruction that occurs with MAS?   show
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show patchy areas of atelectasis  
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wat conditions are responsible for causing PPPHN?   show
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show 80%  
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show PPHN  
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show hypoxic pulmonary hypertension, methacholine- induced bronchoconstriction and septic shock  
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which clinical presentations are asociated with apnea of prematurit?   show
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what medications should the therpist recommend for an infant w apnea prematurity experiencing prolonged apnea?   show
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show insert an opa  
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ehat should an rt do to confirm diagnosis of choanal artesia?   show
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show treatment is based on severity of airway obstruction end etiology  
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show pierre robin syndrome/ sequence  
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what acronym is associated with esophageal artesia and tracheoesophageal fistula   show
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show blind ending upper esophageal pouch of variable length associated with fistula from lower trachea or main stem bronchi leading into distal esophagus  
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show location of nasogastric tube may confirm obstrusction of proximal esophagus caused by atrasia  
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show apnea, bradycardia, and recurrent pna  
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what is the current survival rate in infants w esophageal artesia?   show
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show herniated contents cause compression of developing ipsilateral lung, histologic studies demonstrated increase musculature, lung tissue hypoplastic includijng oulmonary vasculature  
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what factors cause exacerbation of pulmonary hypertension in pts who have congenital diaphragmatic hernia?   show
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which condition is consistent with presence of a scaphoid abdomen in newbornw w tachypnea?   show
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what intervention is used to treate congenital diaphragmatic hernia   show
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show rupturing vascular structures  
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whats the most common pt complaint associated w pectus carinatum   show
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why is pulmonary development often stifle in children who have asphyxiating thoracic dystrophy?   show
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show appear early in the newborn period, emerge later in childhood, and frequent respiratory infections  
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what conditions best explain the presentation of symptoms beyond infancy in pts w bronchogenic cysts or congeital cystic adenomatoid malformations?   show
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newborn presents with respiratory distress has an xray revealing circular/ ovoid mass w smooth edges whad lung bud abnormality is consistent w this?   show
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whats a possibly consequence of inadvertent rupture of systemic arterial supply in cases of pulmonary sequestration when this supply arises directly from aorta?   show
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an infant presents w abd distention, intolerance to feeding, rectal bleeding, abd wall erythema, lab finding include throbocytopnea, neutropenia, and metabolic acidosis?   show
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which xray stages of bronchopulmonary displasia (BPD) is characterized by presence of granular pattern, air bronchograms, and small lung volume?   show
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show "new" bronchopulmonary dysplasia  
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How is chronic lung disease in infants defined?   show
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show alveolar type II cells  
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what cytotoxic metabolites of O2 is beleived to be responsible for lipid peroxidation of unsaturated fatty acids in the cell wall membranes?   show
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what term describes air leaving the lungs and entering the pulmonary interstitial spaces a consequence of barotrauma   show
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when newborn presents wit tachypnea, hypoxemia, or hypercarbia what condition should therapist suspect?   show
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1 day old infant receiving mech vent suddenly exhibits cyanosis drop in transcutaneous pressure of oxygen, bradycardia, hypotension xray shows gas surrounding collecting beneath inferior surface of heart. what condition is this?   show
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show no antioxidants have proved safe for long-term use  
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immediately after delivery of newborn where should therapist place the transcutaneous PO2 electrode to obtain readings reflecting preductal oxygenation assessment?   show
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show initiate high frequency ventilation  
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show patent ductus arteriosus  
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show sepsis  
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lactated ringers has been admited to neo however bp still low urine has decreased what should be done now?   show
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show uncertain at this time  
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show fluctuation PaO2 values or PaCO2 values after vasoconstricitve injury  
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show retinas still immature  
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show supplemental o2 limits production of VEGF  
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what measure may help reduce incidence of intraventricular hemorrhage in infants w mechanical vent?   show
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which of following vessels return blood to right ventricle   show
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show increased arterial partial pressure of oxygen  
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show increased pressure on the left side of heart  
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show tetralogy of fallot with pulmonary atresia, severe coarctation of aorta and hypoplastic left heart syndrome  
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show absence of ductal shunting  
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which methods are involved in management of PDA?   show
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which clinical manifestation are consistent with an atrial septal defect?   show
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what clinical manifestation consistent w large ventricular septal defect? (VSD)   show
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why must supplemental O2 be judiciously admin to pts w atrioventricular canal defect?   show
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what clinical features characterize aortic stenosis in neonate?   show
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what medications are most common preoperative treatments to minimize preductal constriction until surgical correction of coarctation of aorta can be achieved   show
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what mech vent techniques may be necessary during postop period after surgical intervention for hypoplastic left ventricular syndrome?   show
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show pulmonary veins connect directly to the right atrium and pulmonary veins connect directly to superious vena cava  
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what congenital cardiac anomalies are classified conotruncal   show
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what statement describes truncus arteriosus   show
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show systemic venous blood passes through the right heart chambers  
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show cpmplete transposition of great arteries  
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when hypoplastic right ventricle is present what is the only pathway for blood to leave the right atrium?   show
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infant becomes apneic, cyanotic, hypotonic, therapist nudges and stimulates infant, what has happened?   show
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what describes the confition sids?   show
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whats the rold of a pneumocardiogram for assessing infatns atr risk for developing sids?   show
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what measurement is used to stage infatns sleep?   show
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show movements of chest wall and abdomen, air flow at nose and mouth, end title CO2  
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how is infant assessed for presence of gastirc reflux during polysomnogram?   show
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show full term infants can spend 50% total sleep in REM, in first few moths of life infants enter rem immediately  
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show crying, vocalizing, and changing body poitions  
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what type of apnea occurs in sleep?   show
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what best describes central sleep apnea?   show
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how will children who have osa breathe while awake?   show
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show large tonsils or adenoids, obesity, micrognathia  
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what type of effects are likely to develope in children who experience osa?   show
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show anytime  
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show can't differentiate between apnea and hypopneas  
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relative to an adults larynx where is an infant's larynx situated?   show
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show younger has fewer resp bronchioles  
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show mild obstruction  
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show infant breates more through mouth  
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show retropharyngeal abscess  
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4 yo child brought to er w high fever with severe soar throat, dysphagia w drollin and cough, + stridor,muffled voice without hoarseness air hunger and cyanosis supreasternal,substernal and intercostal retratctions with nasal flaring,bradypnea and dyspnea   show
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show steeple sign  
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what medication should be admin to 4 yo w postextubation stridor   show
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2 yo wheezes equal in pitch all regions of chest loudest in vicinity of sternum, from which structure?   show
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show inspiratory and expiratory AP xray  
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what lobes of lungs are most at risk for collapse in intubated neonate lying supine   show
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show bronchiectasis  
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3 yo +nasal congestion +cough, sticky crackles, hyperinflation lung   show
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what % pna in pediatric pt are viral   show
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what interventions used to treat suckle cell anemia?   show
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show mast cells, eosinophils, neutrophils  
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whats responsible for airway obstruction?   show
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show release of preformed mediators  
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what precesses are features of airway remodeling?   show
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what appears to be the strongest identifiable predisposing factor for developing asthma?   show
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show respiratory syncytial virus (RSV)  
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show physical exam, spriometry determine reversibility, detailed med history conducted  
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what spirometric measurements sensitive to small changes in airway   show
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hows clinical airflow limitation determined from pre and post bronch spirometry?   show
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show methacholine and histamine  
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show leukotriene modifiers, methylxanthines, immunomodulators  
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show formoterol  
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show omalizumab  
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whats typcial fist phar intervetion instituted by therpist to treat pt who entes ed   show
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Created by: janeth4035