QUESTIONS AND ANSWERS FULL SOLUTION
GRADED A+
◉ Symptoms of rubella( german measles). Answer: subauricular and
supoccipital lymphadenopathy, pink& mild maculipapular rash
◉ parotitis(mumps). Answer: resp tract virus lasting 7-10 days
◉ Symptoms of mumps. Answer: swelling in the parotid glands and
painful swallowing
◉ Potential consequences of mumps. Answer: aseptic meningitis,
orchitis, epididymitis, nerve deafness, encephalitis
◉ poliomylelitis(polio). Answer: fecal-oral enterovirus that
replicated in the GI tract and then enters the blood
◉ Symptoms of polio. Answer: stiff neck, mucle pains,
-nerve damage
-asymmetrical faccid paralysis
,◉ Varicella(chicken pox). Answer: respiratory herpes zoster virus,
highly contagious from 1-2 days
incubation period 21 days
◉ symptoms of chicken pox. Answer: pruritic vesicular rash
beginning on trunk and going proximodistally
◉ Interventions for varicella. Answer: - pat sores( do not rub)
-keep nails short
-apply calamine lotion
-lukewarm oatmeal bath
-antihistamines
-dress light-loose clothing
-no aspirin
◉ Rotavirus. Answer:
◉ Ductus Venosus. Answer: connects the umbilical vein to the
inferior vena cava, bypassing the liver
◉ Ductus Arteriosis. Answer: Blood vessel in fetuses; attaches
pulmonary artery to aorta; closes shortly after birth
,◉ Foramen Ovale. Answer: A shunt that connects the right atrium to
the left atrium in order to bypass the fetal lung.
◉ Left to right shunt. Answer: The most common physiology seen in
neonates with congenital heart disease involves a(n)
◉ Cyanotic heart defects. Answer: cardiac anomoly in which
oxygenated blood entering the aorta and eventual systemic
circulation is mixed with deoxygenated blood
◉ Assessment for cyanotic heart defects. Answer: cyanosis,
increased HR< RR, polycythemia, hx irritability, difficulty eating,
clubbing, squatting position
◉ Tests to diagnose cardiac defects. Answer: -ECG
-cardiac cath
-Echocardiography
◉ Tetrology of Fallot. Answer: pulmonary artery stenosis, VSD,
hypertrophy of R ventricle, and overriding aorta
◉ Treatment of Tetrology of Fallot. Answer: -complete repair with
1st year
-morphine
, ◉ Hypoplastic Left heart syndrome. Answer: blood from L atrium
travels through atrial septal defect to R Ventricle and pulmonary
artery
◉ Early symptoms of CHF. Answer: Tachycardia, diaphoresis,
tachypnea, fatigue, mild cyanosis
◉ Patent ductus arteriosis( PDA). Answer: Failure of fatal structure
to close; common in premature infants
◉ Treatment of PDA. Answer: Prostaglandin inhibitor indomethacin
achieving pharmacological closure, possible surgical ligation of PDA
◉ Ventricular septal defect( VSD). Answer: Most common congenital
cardiac anomaly when septum fails to complete its formation
between the ventricles leading to L-R shunt
◉ Atrial Septal defect( ASD). Answer: failure of a septum to develop
completely between the atria, leading to L-R shunt
◉ Pulmonic stenosis. Answer: an obstructive defect that involves
narrowing or fusing the valves at entrance of pulm artery, interfering
with the right ventricular outflow