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Final exam nr328 PEDS Questions Answers Rated 96 Best Update 2024

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Final exam nr328 PEDS - Questions & Answers (Rated 96%) Best Update 2024 cretinism (congenital hypothyroidism) what can cause a infant to have cretinism (congenital hypothyroidism )? what sign will the child show at birth associated with cretinism/congenital hypothyroidism ? Juvenile Hypothyroi...

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  • March 22, 2024
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Final exam nr328 PEDS - Questions & Answers
(Rated 96%) Best Update 2024

1). Cretinism (congenital hypothyroidism)

 Ans: A word from the past to classify infants who were not exposed to sufficient
quantities of thyroid hormone in utero


2). What can cause a infant to have cretinism (congenital hypothyroidism )?

 Ans: 1. insufficiency of iodine in mothers diet

2. Untreated maternal hypothyroidism


3). What sign will the child show at birth associated with cretinism/congenital hypothyroidism
?

 Ans: 1. Distinguished facial characteristics

2. Diminished growth

3. Mental retardation


4). Juvenile hypothyroidism

 Ans: known as the "good babies" because always quiet and sleepy they have decrease
growth ,constipation,



in myxedematous changes
dry skin and sparse hair

periorbital edema


5). Iodine deficiency

 Ans: is the most preventable form of brain damage




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, 6). Reye's syndrome

 Ans: is a rare but serious condition that causes swelling in the liver and brain which
causes liver dysfunction and cerebral edema


7). Reyes syndrome is most common in ?

 Ans: Children and teenager (4-12) who have or are recovering from chicken pox or flu
like symptoms receiving ASPIRIN!!!


8). Patients who have reyes syndrome should not use?

 Ans: Aspirin


9). Reyes syndrome is ?

 Ans: idiopathic


10). Since the liver is dysfunctional in reyes syndrome -

 Ans: Ammonia build up because your liver is not filtering out the toxins so it can pass
the blood barrier in the brain causing encephalopathy


11). Reye's syndrome symptoms

 Ans: -Vomiting,

-Alter mental status
-absence fever

-Rash on palms of hands and feet, seizures

-weak or diminished reflexes, cerebral edema

-increase LIVER ENZYMES

-increased AMMONIA LEVELS

-increased ptt because the liver plays a role in clotting

-glycogen problem ( glycogen to convert to glucose problem and vice versa )




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, 12). Reye's syndrome treatment

 Ans: -Ondansetron may be given to decrease vomiting.


-Seizure: phenytoin

-Decrease ICP give Mannitol

**but iv fluids for the most part careful monitoring and supportive care


13). Reye's syndrome (rs) diagnosis

 Ans: LIVER biopsy and CSF analysis ( because it deals with the brain being enlarged )


14). Cerebral palsy (cp)

 Ans: condition characterized by lack of muscle control and partial paralysis, caused
by a brain defect or lesion present at birth or shortly after



**Although PT might have this 40-60% have normal IQ's


15). Cerebral palsy can cause what other problem/complication-

 Ans: can cause abnormal perception and sensation: such as Visual ,hearing ,and
speech impairment :seizure and cognitive disabilities depending on what part of the
brain is damaged



**use manual jaw control because lower jaw is weak during feeding


16). Cerebral palsy (cp) usually happens when ?

 Ans: usually happens before birth from prenatal care and things such as radiation
,infection and hypoxia ( placental insufficiency )




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, 17). If cerebral palsy does happen at birth when does it happen?

 Ans: -Post Birth
* head trauma
* infection
* hypoxia


18). Cerebral palsy

 Ans: Doesn't progressive overtime **meaning it doesn't get worse*
non progressive


19). Cerebral palsy (cp) is classified by movements

 Ans: {Spastic} - most common 70% of cases

- tightness and stiff muscle

-jerky movement because Gaba isn't inhibited which causes over excited leading to
hypertonia and "scissor gait"(knees rubbing)



{Dyskinetic} or Athemoid:

involuntarily movement

-Dystonia : Random slow movement which are uncontrolled movements and limb/trunk,

-Chorea : Random "dance-like" movement

-Ataxic :
without order
- uncoordinated shaky
-poor ability to do repetitive movements


20). Cerebral palsy symptoms

 Ans: Chronic, static impairment of muscles
from birth

-Limb spasticity, weakness, paralysis (MC)
-Ataxia (loss of control of movements)
-Dystonia




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