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AHN 548 Exam 1 Questions with Detailed Verified Answers

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AHN 548 Exam 1 Questions with Detailed Verified Answers

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AHN 548 Exam 1 Questions with
Detailed Verified Answers
Neural tube defects r/t Answer: Alpha fetal protein (AFP)

Turner syndrome: Males or females? Answer: Females

Most common inherited intellectual disability Answer: Fragile X

AFP Screening (Done as part of quad screen).. When and for
what? Answer: 16-21 weeks to check for spina bifida and
anencephaly and some other chromosomal abnormalities

Aniridia Answer: Bilateral eye disorder that results in the
absence of the majority of the iris.

Optic neuritis.. one or both eyes? Answer: Unilateral

Papilledema.. one or both eyes? Answer: Bilateral

Molluscum cause and tx? Answer: Viral. Tx w/ Topical
cantharidin

most common primary malignant tumor of the orbit? Answer:
rhabdomyosarcoma

Jaundice w/in 1st 24hrs post birth r/t? Answer:
Hyperbilirubinemia r/t Congenital hepatitis or hemolytic issue

what is plethora and what could it indicate in a neonate?
Answer: Polycythemia as in twin twin transfusion

1st PAP recommendations Answer: 21 despite sexual activity;
earlier if indicated

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What meds due at time of birth to baby? (3 things) Answer:
Hep B vax, Erythromycin ointment, and Vitamin K

1st peds flu shot.. how many doses? how far apart? and until
what age do you give 2? Answer: 2 doses; 1 month apart;
until age 9

Live attenuated nasal flu administration contraindicated in...
Answer: pregnant women, immunocompromised pts.. can get
injection though as it is not live vaccine

Teaching to prevent SIDS.. Answer: baby sleeps supine.. no
co-sleeping

What is DRESS syndrome? What drug classes cause it?
Answer: drug eruptions fever eosinophilia and systemic
symptoms; anti-convulsants

potential causes of late-onset (7-10 days after birth)
hypocalcemia? Answer: 1..infants receiving cow's milk rather
than infant formula (high phosphorus intake), 2..
hypoparathyroidism (DiGeorge syndrome), 3.. infants born to
mothers with severe vitamin D deficiency.

Thrombocytopenia, hyperglycemia, and subtle clinical
deterioration in infants would lead you to dx of? Answer:
Fungal sepsis

Most common cause of neonatal seizure? Answer: hypoxic-
ischemic encephalopathy

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Necrotizing enterocolitis- radiology findings.. Answer:
Pneumatosis intestinalis (air in the bowel wall) seen on a CT
scan. Or biliary tract air on a plain abdominal x-ray.

Tx of patent ductus arteriosis or PDA? Answer: Indomethacin
0.2-0.3 mg/kg ... can be repeated q12-24h for a total of 3
doses.

What condition would you suspect in an infant that had good
color and a good heart rate while crying at delivery, but
become cyanotic and bradycardic when they resumed normal
nasal breathing? Answer: bilateral choanal atresia

In infants of mothers suspected of abusing drugs, what should
be sent for drug screening as it enhances dx by indicating
cumulative drug exposure from 1st trimester forward?
Answer: Meconium

3 meds for infant withdrawal symptoms? Answer: (1)
phenobarb 16mg/kg loading dose, then 2.5 mg/kg BID (2)
morphine 0.1-0.5 mg/kg/dose q 6-12 hours; (3) methadone
0.05-0.1 mg/kg q6h!

Infants with respiratory distress need what to rule out PNA? 2
correct answers.. 1 is diagnostic Answer: Xray and Blood
Cultures. May give broad spectrum ABX until bacterial dx is
eliminated

The most common presenting sign in the (lol) most common
primary Intraocular malignancy of childhood? Answer:
Leukocoria

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