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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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why are term or ner term infants commonly overlooked as a grp of pts at risk for developing RDS?   show
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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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how should therapist interpret fact that there is no supernatant foam during shake test?   show
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show transient tachypnea of newborn (TTN  
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show 40% oxygen hood  
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show candida albicans and serratia marcescens  
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when neonatal pna is suscpected how long does an infent receive broad spectrum antibiotics?   show
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show because these infants demonstrate strong peristalsis, and have powerful sphincter tone  
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show ball valve  
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what x-ray features is therapist likely to see on x-ray of infant with MAS   show
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show genetic differences in pulmonary smooth muscle development, alveolar capillary dysplasia, and intrauterine closure of ductus arteriosus  
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what % if normal pulmonary vascular resistance is achieved within 24 hours of birth?   show
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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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what intervention should be performed when infant is born w choanal artesia?   show
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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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what conditions are consistent with micrognathia, glossoptosis and cleft palate in a newborn?   show
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show VACTERL (vertebreal, anal...  
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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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show 95%  
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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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show congenital diaphragmatic hernia  
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show high frequency oscillation, gastrointestinal tract decompression, and thoracistomy tube insertion if necessary  
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show rupturing vascular structures  
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show cosmetic  
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show because chest cavity is decreased  
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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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show bronchogenic cysts  
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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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show stage 1  
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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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show superoxide, peroxide  
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show pulmonary interestitial emphysema  
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show pnuemothorax  
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show pneumopericardium  
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what antioxdants work to alleviate xidative stress experiences by newborns who receive high concentrations of oxygen during resuscitation or mechanical ventilation   show
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show on the right wrist  
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what action should therapist take regarding infants who don't favorably respond to surfactant replacement therapy and conventional mech ventilation?   show
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what condition is consistent wit finding a tranq PO2 difference of 25 mmhg between infant's right wrest and left leg?   show
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what should therapist suspect if a newborn has respiratory rate greater than 60 beyond an hour after birth   show
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show dopamine  
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whats the role of steroids in the postnatal period in an effort to reduce risk of chronic lung disease   show
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what mechanism has been implicated w development o retinopathy of prematurity?   show
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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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at birth what factor causes dilation of pulmonary vascular bed and decrease in pulmonary vascular resistance?   show
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show increased pressure on the left side of heart  
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for which congenital cardiac defects may spontaneous clisure of ductus arteriosus be catastrophic   show
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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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show right ventricle may become hypertrophic chest xrays normal  
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show majority of blood flow shunted from left to right and x-ray shows enlarged cardiac siljouette and increased pulmonary vascular markings  
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show minimize pulmonary vascular dilation  
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what clinical features characterize aortic stenosis in neonate?   show
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show prostaglandin E1 negative inotropes  
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show rule of forties and hypercarbic therapy  
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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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show tetralogy of fallot and transposition of great vessels  
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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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what cardiac defects requires use of balloon atrial septostomy?   show
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show through an ASD  
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show an apparent life threatening event  
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what describes the confition sids?   show
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show not an effective screening to ascertain preterm infants at risk of sids  
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show elevtroencephalogram, electrooculogram, electromyogram  
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to assess adequacy of vent to diff between central and obstructive apnea and severity what must polysomnography include?   show
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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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as infant matures what types of events occur as infant transitions to REM through lighter phase of NREM during night?   show
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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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show normally  
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what conditions are often associated with osa?   show
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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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why are apnea monitores used at home insensitive to determining osa?   show
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relative to an adults larynx where is an infant's larynx situated?   show
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why does resp syncytual viral infection have little adverse effect on an older child yet life threatening to younger?   show
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therapist hears low pitched shound on infants larynx, what impression on upper airway obstruction?   show
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why does an infant's res distress from choanal artesia seem to lessen when infant cries?   show
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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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show trachea  
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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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xray shows dilation of segmental subsegmental bronchi, pt complains of expectorating copious thich mucus   show
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show bronchiolitis  
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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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what types of cells play a role in pathophysiology of asthma?   show
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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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NAEPP when diagnosis of asthme is being made what criteria recomended?   show
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show mean forced expiratory flow during middle half of FVC  
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hows clinical airflow limitation determined from pre and post bronch spirometry?   show
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which pharmocologic agents may be used for bronchoprovocation?   show
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show leukotriene modifiers, methylxanthines, immunomodulators  
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if recomending short onset long acting beta agonist for pt w asthma?   show
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what medications indicated for 40 yo w mod/ severe asthma not controlled w inhaled corticosteroids and exibits + allergin test+ IgE level   show
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show three treatments w alb 20-30 min apart  
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Created by: janeth4035