NR 602 Mid-term Latest Update 2024-2025 Actual
Exam from Credible Sources with 60 Questions
and Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
(coartication) of the aorta (COA) - CORRECT ANSWER: - Narrowing of a small or long
segment of the aorta
- Risk: male, other L heart abnormalities
- Sx: Severe: may be apparent in first 6 weeks. might have no sx until 3-5 yo. Upper
extremity HTN, lower ext hypo., delayed timing or weak distal arterial pulses, bounding
or bounding brachial radial & carotid pulse, CHF signs, Systolic murmur, gallop
- Dx: Echo will confirm, MRI defines location & severity.
- Tx: PGE1 used in sev. neonates, surgery (restenosis likely if done <1yo),
Acyanotic Defects - CORRECT ANSWER: - ASD, VSD,A/VSD/ PDA, PVS, coarctation
of the aorta, AS
Asthma - CORRECT ANSWER: - Step 1 (intermittent): sx <2x/week, normal PFts,
nighttime sx <2/month, exacerbations brief, no interference with normal activity
- Step 2 (mild persistent): >2x/week but not more than 1 per day, 3-4 nighttime
sx/month, FEV >80%
- Step 3 (mod persistent): daily sx, daily SABA, some limitations, exacerbations affect
activity and may last days. FEV >60 but <80
- Step 4 (severe persistent): Continual sx, requires SABA several x's/day, extremely
limited physical activity, frequent exacerbations, nightly sx, FEV <60%
Asthma treatment steps - CORRECT ANSWER: - Step 1: SABA PRn
- Step 2: Low-dose ICS, OR LTRA, Cromolyn
- Step 3: Low-dose ICS + LABA OR Med- dose ICS
- Step 4: Med- dose ICS + LABA OR med-dose ICS + LTRA
- Step 5: High-dose ICS + LABA AND omalizumab for pts who have allergies
, - Step 6: High-dose ICS + Laba + Oral steroid AND omalizumab for allergies
- consult asthma specialist after step 3-4( for sure at 4)
atrial septal defect - CORRECT ANSWER: - hole in atrial septum (5-10% OF CHD)
- Sx: easily fatigued, no murmur till 2-3yo, murmur at pulmonic area split S1 sometimes,
split S2,
- Tx: may close spontaneously, or need surgery, ASA x 6m post surgery
Blepharitis - CORRECT ANSWER: - acute or chronic bacterial (staph) inflammation of
eyelash follicle or sebaceous gland of eyelid. bilateral usually
-flaky, scaly debris over eyelid margin when awakening
- tx: warm compress, scrub with weak shampoo, sometimes bacitracin or erythromycin,
-no contacts during tx
C. diff - CORRECT ANSWER: - unknown incubation, duration: after several weeks of
ATB
- Sx: explosive diarrhea, bloody stools, abd pain, fever, n/v
- acquired from the environment or oral-fecal route
-Test: stool culture, enzyme immunoassay for toxin a or a and B
- Tx: d/c ATB (esp. clinda, ampa, or cephalosporins), fluid & lyte replacement. ** If ATB
still needed, treat with oral Metronidadole or Vanco for 7-10 days, probiotic
Cafe au lait spots - CORRECT ANSWER: - First sign of Neurofibromatosis
-Tan to brown macules found anywhere on skin.
Celiac Disease - CORRECT ANSWER: - Gluten-sensitivity. Immune mediated systemic
disorder
- Frequently occurs with other autoimmune diseases (DM 1, liver disease, IgA
nephropathy, juvenile chronic arthritis)
-Risk: immigration from another country, born by c-section, 6m-2years, female,
Exam from Credible Sources with 60 Questions
and Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
(coartication) of the aorta (COA) - CORRECT ANSWER: - Narrowing of a small or long
segment of the aorta
- Risk: male, other L heart abnormalities
- Sx: Severe: may be apparent in first 6 weeks. might have no sx until 3-5 yo. Upper
extremity HTN, lower ext hypo., delayed timing or weak distal arterial pulses, bounding
or bounding brachial radial & carotid pulse, CHF signs, Systolic murmur, gallop
- Dx: Echo will confirm, MRI defines location & severity.
- Tx: PGE1 used in sev. neonates, surgery (restenosis likely if done <1yo),
Acyanotic Defects - CORRECT ANSWER: - ASD, VSD,A/VSD/ PDA, PVS, coarctation
of the aorta, AS
Asthma - CORRECT ANSWER: - Step 1 (intermittent): sx <2x/week, normal PFts,
nighttime sx <2/month, exacerbations brief, no interference with normal activity
- Step 2 (mild persistent): >2x/week but not more than 1 per day, 3-4 nighttime
sx/month, FEV >80%
- Step 3 (mod persistent): daily sx, daily SABA, some limitations, exacerbations affect
activity and may last days. FEV >60 but <80
- Step 4 (severe persistent): Continual sx, requires SABA several x's/day, extremely
limited physical activity, frequent exacerbations, nightly sx, FEV <60%
Asthma treatment steps - CORRECT ANSWER: - Step 1: SABA PRn
- Step 2: Low-dose ICS, OR LTRA, Cromolyn
- Step 3: Low-dose ICS + LABA OR Med- dose ICS
- Step 4: Med- dose ICS + LABA OR med-dose ICS + LTRA
- Step 5: High-dose ICS + LABA AND omalizumab for pts who have allergies
, - Step 6: High-dose ICS + Laba + Oral steroid AND omalizumab for allergies
- consult asthma specialist after step 3-4( for sure at 4)
atrial septal defect - CORRECT ANSWER: - hole in atrial septum (5-10% OF CHD)
- Sx: easily fatigued, no murmur till 2-3yo, murmur at pulmonic area split S1 sometimes,
split S2,
- Tx: may close spontaneously, or need surgery, ASA x 6m post surgery
Blepharitis - CORRECT ANSWER: - acute or chronic bacterial (staph) inflammation of
eyelash follicle or sebaceous gland of eyelid. bilateral usually
-flaky, scaly debris over eyelid margin when awakening
- tx: warm compress, scrub with weak shampoo, sometimes bacitracin or erythromycin,
-no contacts during tx
C. diff - CORRECT ANSWER: - unknown incubation, duration: after several weeks of
ATB
- Sx: explosive diarrhea, bloody stools, abd pain, fever, n/v
- acquired from the environment or oral-fecal route
-Test: stool culture, enzyme immunoassay for toxin a or a and B
- Tx: d/c ATB (esp. clinda, ampa, or cephalosporins), fluid & lyte replacement. ** If ATB
still needed, treat with oral Metronidadole or Vanco for 7-10 days, probiotic
Cafe au lait spots - CORRECT ANSWER: - First sign of Neurofibromatosis
-Tan to brown macules found anywhere on skin.
Celiac Disease - CORRECT ANSWER: - Gluten-sensitivity. Immune mediated systemic
disorder
- Frequently occurs with other autoimmune diseases (DM 1, liver disease, IgA
nephropathy, juvenile chronic arthritis)
-Risk: immigration from another country, born by c-section, 6m-2years, female,
