RCP 170 UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Define placenta previa - ✔✔placenta implants over or close to the mother's crvix
✔✔Define Oligohydramnios - ✔✔Decreased amniotic fluid below 5cm
✔✔Which of the following parameters of the APAGAR score provides the most
important prognostic value - ✔✔Heart rate
✔✔By approximately what age do most of the alveoli that will be present in life develop -
✔✔1.5 years
✔✔Which drug should be used to slow or stop preterm labor - ✔✔Magnesium sulfate
✔✔On physical exam you notice that the point of maximal cardiac impulse is to the left
of the sternal border what does this indicate - ✔✔right sided pneumothorax
✔✔Define macrosomia - ✔✔Baby born greater than 4kg
✔✔What scale is used to classify respiratory distress - ✔✔Silverman score
✔✔Define mongolian spots - ✔✔Areas of pale blue over the sacrum and butt
✔✔Define vernix - ✔✔Whitish gray cheese like substance
✔✔Define lanugo - ✔✔Fine hair over the body
✔✔Jaundice indicates what - ✔✔Hyperbilirubinemia
✔✔What is the common name for Laryngotracheobronchitis - ✔✔Croup
✔✔Steeple sign, subglottic narrowing below the vocal cords, over distended hypo
pharynx indicates what - ✔✔Laryngotracheobronchitis (CROUP)
✔✔What is the correct placement for a umbilical artery catheter - ✔✔between T6 and
T8
✔✔How long after birth should it take for the ductus arteriousus to close - ✔✔96 hours
✔✔What is the correct temperature range for a transcutaneous electrode - ✔✔41 to 44
✔✔Where should the pulse mix be placed on a new born - ✔✔right wrist
, ✔✔What condition can develop in neonates receiving high concentrations of oxygen -
✔✔Retinopathy of prematurity
✔✔What are the main components of traditional airway clearance techniques -
✔✔Postural drainage
Percussion
coughing
✔✔How should you confirm proper placement of an endotracheal tube - ✔✔The
presence of end tidal CO2 for at least five breath
✔✔What condition should be suspected for a neonate unresponsive to surfactant due to
its inactivation - ✔✔Pulmonary hemorrhage
✔✔How does TTN present on a chest X ray - ✔✔Flattened diaphragms, fluid in fissures
perihilar streaking
✔✔What does a boot shape indicate on a x-ray - ✔✔TOF
✔✔What does infiltrates, ground glass pattern, and air bronchograms indicate - ✔✔RDS
✔✔What does an egg on a string indicate on a x-ray - ✔✔Transposition of great arteries
✔✔What does consolidation, patchy atelectasis, and hyper expansion indicate -
✔✔MAS
✔✔What medication is used to keep the PDA open - ✔✔Prostaglandin E1
✔✔What are the major difference between infants airway an a adult - ✔✔Treachea is
proportional smaller
Infants are obligate nose breathers
✔✔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
SOLUTIONS GRADED A+
✔✔Define placenta previa - ✔✔placenta implants over or close to the mother's crvix
✔✔Define Oligohydramnios - ✔✔Decreased amniotic fluid below 5cm
✔✔Which of the following parameters of the APAGAR score provides the most
important prognostic value - ✔✔Heart rate
✔✔By approximately what age do most of the alveoli that will be present in life develop -
✔✔1.5 years
✔✔Which drug should be used to slow or stop preterm labor - ✔✔Magnesium sulfate
✔✔On physical exam you notice that the point of maximal cardiac impulse is to the left
of the sternal border what does this indicate - ✔✔right sided pneumothorax
✔✔Define macrosomia - ✔✔Baby born greater than 4kg
✔✔What scale is used to classify respiratory distress - ✔✔Silverman score
✔✔Define mongolian spots - ✔✔Areas of pale blue over the sacrum and butt
✔✔Define vernix - ✔✔Whitish gray cheese like substance
✔✔Define lanugo - ✔✔Fine hair over the body
✔✔Jaundice indicates what - ✔✔Hyperbilirubinemia
✔✔What is the common name for Laryngotracheobronchitis - ✔✔Croup
✔✔Steeple sign, subglottic narrowing below the vocal cords, over distended hypo
pharynx indicates what - ✔✔Laryngotracheobronchitis (CROUP)
✔✔What is the correct placement for a umbilical artery catheter - ✔✔between T6 and
T8
✔✔How long after birth should it take for the ductus arteriousus to close - ✔✔96 hours
✔✔What is the correct temperature range for a transcutaneous electrode - ✔✔41 to 44
✔✔Where should the pulse mix be placed on a new born - ✔✔right wrist
, ✔✔What condition can develop in neonates receiving high concentrations of oxygen -
✔✔Retinopathy of prematurity
✔✔What are the main components of traditional airway clearance techniques -
✔✔Postural drainage
Percussion
coughing
✔✔How should you confirm proper placement of an endotracheal tube - ✔✔The
presence of end tidal CO2 for at least five breath
✔✔What condition should be suspected for a neonate unresponsive to surfactant due to
its inactivation - ✔✔Pulmonary hemorrhage
✔✔How does TTN present on a chest X ray - ✔✔Flattened diaphragms, fluid in fissures
perihilar streaking
✔✔What does a boot shape indicate on a x-ray - ✔✔TOF
✔✔What does infiltrates, ground glass pattern, and air bronchograms indicate - ✔✔RDS
✔✔What does an egg on a string indicate on a x-ray - ✔✔Transposition of great arteries
✔✔What does consolidation, patchy atelectasis, and hyper expansion indicate -
✔✔MAS
✔✔What medication is used to keep the PDA open - ✔✔Prostaglandin E1
✔✔What are the major difference between infants airway an a adult - ✔✔Treachea is
proportional smaller
Infants are obligate nose breathers
✔✔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
