RCP 170 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔What congenital cardiac defects are considered ductal dependent - ✔✔Tetralogy of
fallot
Severe coarctation of aorta
Hypolastic left heart syndrome
✔✔What is Epogen used for - ✔✔Help RBC formation
✔✔What is dopamine used for - ✔✔increase blood pressure
✔✔What is curosurf - ✔✔artificial surfactant
✔✔what is the initial dose for Curosurf - ✔✔2.5mL/kg
✔✔What is bethamethasone/dexamethasone - ✔✔antenatal corticosteroid used to
speed up production of surfactant
✔✔What is sildenafil - ✔✔Systemic vasodilator used to treat pulmonary hypertension
✔✔Why would indomethacin or ibuprofen be used - ✔✔to close the PDA
✔✔What is digoxin used for - ✔✔Used to treat heart failure and heart rhythm problems
✔✔What is prostaglandin E1 - ✔✔given to keep the PDA open
✔✔What is morphine sulfate used for - ✔✔increase blood flow in neonates with TOF or
TET spells
✔✔What is acyclovir - ✔✔given to neonates to treat herpes simplex virus
✔✔What is keppra - ✔✔drug of choice for neonates to treat seizures
✔✔What is the greatest risk factor for respiratory distress in a newborn - ✔✔prematurity
✔✔What is the significance of an infant with RDS demonstrating a grunting durning
exhulation - ✔✔an effort to maintain its functional residual capacity
✔✔8 hours after being born a baby presents with cyanosis despite administration of
adequate ventilation tachypeana and retractions. Which of the following conditions
should the therapist suspect? - ✔✔PPHN
, ✔✔Which job the following clinical features characterizes a critical aortic stenosis in a
neonate - ✔✔the neonate presents in cariogenic shock with hypotension
✔✔which of the following methods is involved in the management of a PDA -
✔✔Administering indomethacin
✔✔Which of the following interventions is used to treat the most severe cases of
macroglossia - ✔✔Surgical intervention
✔✔abdominal radiograph reveals distended loops and pneumatosis intestinal what
condition can this be - ✔✔Necrotizing enterocolitis
✔✔How does TTN present on x ray - ✔✔Flattened diaphragms, fluid in fissures,
perihilar streaking
✔✔How does TOF present on x-ray - ✔✔Boot shape
✔✔How does RDS present on x-ray - ✔✔ground glass pattern
✔✔How does TGA present on x-ray - ✔✔Egg on string
✔✔How does MAS present on x-ray - ✔✔consolidation, patchy atelectasis,
hyperexpansion
✔✔Which of the following clinical signs characterizes the onset of third stage ARDS -
✔✔Refractory hypoxemia
✔✔Which of the following interventions should the therapist implement to decrease
mortality in patients with ARDS - ✔✔Low tidal volume
✔✔Which of the following pharmacologic agents may be used for bronchoprovocation
challenge testing - ✔✔Methacholine
✔✔Which of the following structures will result in the most radiopaque shadow on a
radiograph? - ✔✔ribs
✔✔Your patient just had an anteroposterior chest film taken. When you view the film
what film what may be a consideration? - ✔✔The heart may appear larger than it really
is
✔✔What is indicated by blunting of the costophrenic angles seen on the posteroanterior
or lateral chest film - ✔✔Excess pleural fluid
SOLUTIONS GRADED A+
✔✔What congenital cardiac defects are considered ductal dependent - ✔✔Tetralogy of
fallot
Severe coarctation of aorta
Hypolastic left heart syndrome
✔✔What is Epogen used for - ✔✔Help RBC formation
✔✔What is dopamine used for - ✔✔increase blood pressure
✔✔What is curosurf - ✔✔artificial surfactant
✔✔what is the initial dose for Curosurf - ✔✔2.5mL/kg
✔✔What is bethamethasone/dexamethasone - ✔✔antenatal corticosteroid used to
speed up production of surfactant
✔✔What is sildenafil - ✔✔Systemic vasodilator used to treat pulmonary hypertension
✔✔Why would indomethacin or ibuprofen be used - ✔✔to close the PDA
✔✔What is digoxin used for - ✔✔Used to treat heart failure and heart rhythm problems
✔✔What is prostaglandin E1 - ✔✔given to keep the PDA open
✔✔What is morphine sulfate used for - ✔✔increase blood flow in neonates with TOF or
TET spells
✔✔What is acyclovir - ✔✔given to neonates to treat herpes simplex virus
✔✔What is keppra - ✔✔drug of choice for neonates to treat seizures
✔✔What is the greatest risk factor for respiratory distress in a newborn - ✔✔prematurity
✔✔What is the significance of an infant with RDS demonstrating a grunting durning
exhulation - ✔✔an effort to maintain its functional residual capacity
✔✔8 hours after being born a baby presents with cyanosis despite administration of
adequate ventilation tachypeana and retractions. Which of the following conditions
should the therapist suspect? - ✔✔PPHN
, ✔✔Which job the following clinical features characterizes a critical aortic stenosis in a
neonate - ✔✔the neonate presents in cariogenic shock with hypotension
✔✔which of the following methods is involved in the management of a PDA -
✔✔Administering indomethacin
✔✔Which of the following interventions is used to treat the most severe cases of
macroglossia - ✔✔Surgical intervention
✔✔abdominal radiograph reveals distended loops and pneumatosis intestinal what
condition can this be - ✔✔Necrotizing enterocolitis
✔✔How does TTN present on x ray - ✔✔Flattened diaphragms, fluid in fissures,
perihilar streaking
✔✔How does TOF present on x-ray - ✔✔Boot shape
✔✔How does RDS present on x-ray - ✔✔ground glass pattern
✔✔How does TGA present on x-ray - ✔✔Egg on string
✔✔How does MAS present on x-ray - ✔✔consolidation, patchy atelectasis,
hyperexpansion
✔✔Which of the following clinical signs characterizes the onset of third stage ARDS -
✔✔Refractory hypoxemia
✔✔Which of the following interventions should the therapist implement to decrease
mortality in patients with ARDS - ✔✔Low tidal volume
✔✔Which of the following pharmacologic agents may be used for bronchoprovocation
challenge testing - ✔✔Methacholine
✔✔Which of the following structures will result in the most radiopaque shadow on a
radiograph? - ✔✔ribs
✔✔Your patient just had an anteroposterior chest film taken. When you view the film
what film what may be a consideration? - ✔✔The heart may appear larger than it really
is
✔✔What is indicated by blunting of the costophrenic angles seen on the posteroanterior
or lateral chest film - ✔✔Excess pleural fluid
