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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Genetics and congenital anomalies - Cardiovascular system - Infectious diseases - Hematopoietic and immune system - Metabolic and endocrine system - Musculoskeletal and integumentary system - Respiratory system - Neurological system - Renal and genitourinary system - Eyes, ears, nose and throat |
| Topic 3: Professional Issues | 3% | - Scope and standards of practice - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration |
| Topic 4: General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Systematic physical assessment - Growth and development assessment |
| Topic 5: General Management | 19% | - Resuscitation and stabilization - Pain management and sedation - Fluids, electrolytes and acid-base balance - Thermoregulation - Care coordination and family education - Nutrition and growth support |
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質問 # 86
Which condition results in birth defects that are usually fatal before birth or within the first year of life?
正解：A
解説：
Edwards syndrome, or trisomy 18, is a condition that occurs when there is an extra 18th chromosome. This is usually diagnosed prenatally with blood screening and ultrasounds. Infants with this condition are smaller than normal and have a small, misshapen head. Over one-third of these infants do not live past the first year of live. Approximately 10% may live up to 10 years of life, though, but with very complex medical problems due to birth defects affecting the organs.
質問 # 87
Which of the following is an indication for parenteral nutrition in the premature infant?
正解：B
解説：
Parenteral nutrition is given via intravenous route. It is used when enteral feeding via a tube directly in the GI tract is not possible. This is most often due to a very low birth weight, less than
1500 g. Enteral feedings are delayed in these infants due to immature lung function requiring intubation, hypotension, hypothermia, and infection risk. Also, the GI tract in these infants may not tolerate feedings that require digestion by normal means.
質問 # 88
What change in arterial blood gas values would be expected in a patient with compensated respiratory acidosis?
正解：A
解説：
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.
質問 # 89
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is
正解：B
解説：
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.
質問 # 90
What are the most common symptoms of sudden withdrawal of a beta blocker medication?
正解：A
解説：
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.
質問 # 91
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