FANAROFF CHAPTER 85 (NEC) EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS { GRADED A+}
NEC is a devastating disease of the GI tract affecting mostly ______
infants; the most significant contributor of GI intestinal morbidity and
mortality in _____ - ✔✔preterm infants
T/F? a general lack of reliable and specific early clinical or laboratory
signs affects the ability to promptly and accurately diagnose NEC and
initiate treatment - ✔✔TRUE
o A primary cause for the inability to clearly define NEC is the fact that
it is not simply one disease entity, but rather a spectrum of conditions;
these conditions have a similar outcome - ________; however, the
,pathophysiology of these conditions is very different - ✔✔necrosis of
the intestine
T/F? One issue of NEC is developing a strict, well-defined diagnostic
criteria of the disease; criteria should be specific, sensitive, and
accurate and allow clinicians to differentiate between subsets of NEC
and other entities such as SIP - ✔✔TRUE
The "classic" form of NEC peaks in preterm infants at a similar GA and is
most often accompanied by clinical deterioration and clear signs of
intestinal inflammation, including? - ✔✔abdominal distention,
periumbilical erythema, bloody stools, elevations of nonspecific
inflammatory markers, and distinctive radiologic changes such as
pneumatosis intestinalis and portal venous gas
Incidence of NEC inversely correlates with GA at birth with a higher
incidence in babies born at _______ GA - ✔✔lower
, T/F? There is also a correlation between GA at birth and length of
interval between birth and onset of disease; the earlier the infant is
born, the more time will pass between birth and onset of NEC -
✔✔TRUE
The highest NEC incidence is between __________ weeks of corrected
GA - ✔✔28-33
Race seems to affect the risk for development of NEC with ______
infants being at higher risk compared to Caucasian - ✔✔african
american
T/F? Genetic predisposition is evolving as a risk factor for NEC -
✔✔TRUE
Early clinical signs of NEC are usually vague and nonspecific and may
include ? - ✔✔slight changes in vital signs (tachy or bradycardia)
new onset of apneic episodes
feeding intolerance or increased gastric residual
QUESTIONS WITH 100% CORRECT
ANSWERS { GRADED A+}
NEC is a devastating disease of the GI tract affecting mostly ______
infants; the most significant contributor of GI intestinal morbidity and
mortality in _____ - ✔✔preterm infants
T/F? a general lack of reliable and specific early clinical or laboratory
signs affects the ability to promptly and accurately diagnose NEC and
initiate treatment - ✔✔TRUE
o A primary cause for the inability to clearly define NEC is the fact that
it is not simply one disease entity, but rather a spectrum of conditions;
these conditions have a similar outcome - ________; however, the
,pathophysiology of these conditions is very different - ✔✔necrosis of
the intestine
T/F? One issue of NEC is developing a strict, well-defined diagnostic
criteria of the disease; criteria should be specific, sensitive, and
accurate and allow clinicians to differentiate between subsets of NEC
and other entities such as SIP - ✔✔TRUE
The "classic" form of NEC peaks in preterm infants at a similar GA and is
most often accompanied by clinical deterioration and clear signs of
intestinal inflammation, including? - ✔✔abdominal distention,
periumbilical erythema, bloody stools, elevations of nonspecific
inflammatory markers, and distinctive radiologic changes such as
pneumatosis intestinalis and portal venous gas
Incidence of NEC inversely correlates with GA at birth with a higher
incidence in babies born at _______ GA - ✔✔lower
, T/F? There is also a correlation between GA at birth and length of
interval between birth and onset of disease; the earlier the infant is
born, the more time will pass between birth and onset of NEC -
✔✔TRUE
The highest NEC incidence is between __________ weeks of corrected
GA - ✔✔28-33
Race seems to affect the risk for development of NEC with ______
infants being at higher risk compared to Caucasian - ✔✔african
american
T/F? Genetic predisposition is evolving as a risk factor for NEC -
✔✔TRUE
Early clinical signs of NEC are usually vague and nonspecific and may
include ? - ✔✔slight changes in vital signs (tachy or bradycardia)
new onset of apneic episodes
feeding intolerance or increased gastric residual
