comprehensive questions and verified
answers ( detailed & elaborated) ACTUAL
EXAM 2025 TEST
fluid boluses
blood products
vasopressors
minimize fluid overload/assess for surgical correctable anomalies
adjust fluids and medications that worsen kidney failure
foley catheter for I/Os - 📌📌- Medical treatment of post Renal failure?
Prolonged ischemia: Shock, hemorrhage, sepsis
Vascular lesions:
Thrombi
Nephrotoxins:
Indocin, ATBX, non steroidal anti-inflammatories
📌📌- Etiologies of Intrinsic ARF?
Pigments:
Myo- or hemoglobinemia -
NAS - 📌📌 - A one week of age, 34 week neonate develops feeding intolerance,
vomiting, diarrhea, fever irritability, rapid respirations, sweating, hyperactive
reflexes. You suspect the infant is experiencing what?
Feeding problems - 📌📌- What is a sub acute sign of NAS that may persist for
4-6 months?
Phenobarbital and clonidine - 📌📌- What combination of sedative have been
shown to decrease the severity of narcotic withdrawl symptoms in the neonate?
Liver -📌📌 - In neonates, biotransformation or drug metabolism occurs most
commonly in which organ?
Tubular Secretion - 📌📌- The primary mechanism for excretion of many drugs
commonly used in the NICU are glomular filtration and what?
, Maintain - 📌📌 - What is the appropriate management for a neonatal serum
trough level for vancomycin of 12mcg/ml?
Maternal heroin addiction - 📌📌- What maternal factor lessens the severity of
RDS?
Prune Belly Syndrome - 📌📌 - The triad of bilateral cryptorchidism, abdominal
wall flaccidity and urologic abnormalities is consistent with what condition?
Ureteropelvic junction obstruction - 📌📌 - A common reason for the dilation of
the renal pelvis in the newborn is what?
Congenital adrenal hypoplasia - 📌📌- What is a common cause of virilization in
a female neonate?
Withholding circumcision - 📌📌- What does care for a neonate born with
hypospadias include?
📌📌
Oncotic and hydrostatic pressure in the peri-tubular capillaries regulates sodium -
- What is an accurate statement about sodium regulation?
10 weeks-12 weeks - 📌📌- When does fetal urine production begin?
Hyperglycemia, hyperkalemia, serum BUN 36mg/dl - 📌📌- What findings
correlate with neonatal acute tubular necrosis (ATN)?
-maintain plasma osmolarity
-electrolyte balance
-excretes nitrogenous end products
-produces erythropoietin
-metabolizes Vit D
📌📌
-breaks down insulin
-produces prostaglandin - - What are the 7 main kidney functions?
Horseshoe kidney
Pelvic kidneys - 📌📌- Abnormal ascent or rotation of the kidney in utero can
lead to what?
Formation and excretion of urine to maintain adequate amniotic fluid - 📌📌-
What is the most important function of the fetal kidney?
5ml/hr
10ml/hr