Risk factors related to elevated cholesterol?
Correct answer- · Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
Most common cyanotic cardiac lesion (disorder)
Correct answer- Tetralogy of Fallot
What is Tetralogy of Fallot?
Correct answer- a congenital heart condition involving four abnormalities occurring
together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF
Correct answer- Boot shaped heart and Rt vent hypertrophy
What are the common s/s of tetralogy of Fallot?
Correct answer- *Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with
pneumonia
Correct answer- Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2
<92%
What to expect of a 2-mo old visual acuity?
Correct answer- *Vision of 20/400
*Can fix and follow objects
Clinical findings of of viral conjunctivitis
Correct answer- *Normal visual acuity
*injected conjunctiva
*Preauricular lymphadenopathy
Treatment of viral conjunctivitis
Correct answer- * Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
What do you do for a patient with an elevated B/P on initial visit?
Correct answer- *Repeat in 1-2 weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a
week, what's the next step?
Correct answer- Moderate persistant; prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis
Correct answer- (RSV) Respiratory syncytial virus most likely cause
what type of murmur is caused by normal blood flow thru normal cardiac structures in
up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and
anxiety
Correct answer- functional or innocent murmur
When do innocent murmurs develop?
Correct answer- (book p 763) age 3-4; (module 10 lect) age 2-6
type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystolic; Grade ≥ IV; increases with sitting or standing
Correct answer- pathological murmur
symptoms of croup
Correct answer- · Barking cough
· Fever
· URI symptoms
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