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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Legal and ethical principles
|
| Topic 2: General Management | 19% | - Thermoregulation
|
| Topic 3: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
|
| Topic 4: General Assessment | 15% | - Family integration
|
| Topic 5: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Integumentary
|
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NEW QUESTION # 35
Identifying and treating congenital hypothyroidism within the first month oflife is especially critical to prevent
Answer: C
Explanation:
Untreated congenital hypothyroidism can result in profound intellectual disability, so diagnosing the disorder and beginning thyroxine treatment within the first month of life is essential. Newborn screening tests in most states mandate checking for hypothyroidism. Infants whose mothers received radioactive iodine treatment for thyroid cancer during pregnancy are especially at risk Signs of congenital hypothyroidism include hypotonia, growth restriction, poor feeding, wide hands with stunted fingers, short extremities, edematous face, and thick protruding tongue.
NEW QUESTION # 36
What change in arterial blood gas values would be expected in a patient with compensated respiratory acidosis?
Answer: C
Explanation:
Respiratory acidosis occurs when a person is not being adequately oxygenated. This results in an elevated PaCO: level and a decreased blood pH level. VVhen the body attempts to compensate for this abnormality, the serum bicarbonate (HCO;) level is elevated to offset the acidic level of the blood PH. This results in a continued PaCO:, a normal blood pH level, and an elevated HCOs level.
NEW QUESTION # 37
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is
Answer: B
Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.
NEW QUESTION # 38
A neonate at 37 weeks gestation is born to a mother who has abused cocaine throughout pregnancy. The neonate exhibits persistent hypertonia, startles easily, and shows signs of distress at any disturbance. The most appropriate treatment is
Answer: A
Explanation:
Swaddling a neonate exposed to cocaine and eliminating as much environmental noise and excessive light as possible can reduce stimulation and relieve symptoms. Medications are rarely required to control symptoms. Hypertonia may last s2 years. Head circumference may be smaller for the first 2 years as well although the infant usually attains normal weight and height by the end of the first year.
NEW QUESTION # 39
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with
Answer: B
Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.
NEW QUESTION # 40
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