NR 328 PEDS EXAM 3 2025 NEWEST ACTUAL EXAM COMPLETE
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) AND RATIONALES ALREADY GRADED A+
cretinism (congenital hypothyroidism) - (answers)A word from the past to classify infants who
were not exposed to sufficient quantities of thyroid hormone in utero
what can cause a infant to have cretinism (congenital hypothyroidism )? - (answers)1.
insufficiency of iodine in mothers diet
2. Untreated maternal hypothyroidism
what sign will the child show at birth associated with cretinism/congenital hypothyroidism ? -
心的坚强决定了我们的命运。当
(answers)1. Distinguished facial characteristics
我们面对挫折时，是一颗不屈的
心让我们勇敢前行
2. Diminished growth
3. Mental retardation
Juvenile Hypothyroidism - (answers)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
,Iodine deficiency - (answers)is the most preventable form of brain damage
Reye's syndrome - (answers)is a rare but serious condition that causes swelling in the liver and
brain which causes liver dysfunction and cerebral edema
Reyes syndrome is most common in ? - (answers)Children and teenager (4-12) who have or are
recovering from chicken pox or flu like symptoms receiving ASPIRIN!!!
Patients who have Reyes syndrome should not use? - (answers)Aspirin
Reyes syndrome is ? - (answers)idiopathic
Since the liver is dysfunctional in Reyes syndrome - - (answers)Ammonia build up because your
liver is not filtering out the toxins 心的坚强决定了我们的命运。当
so it can pass the blood barrier in the brain causing
encephalopathy 我们面对挫折时，是一颗不屈的
心让我们勇敢前行
Reye's Syndrome symptoms - (answers)-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 )
Reye's Syndrome treatment - (answers)-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
心的坚强决定了我们的命运。当
Reye's syndrome (RS) diagnosis -我们面对挫折时，是一颗不屈的
(answers)LIVER biopsy and CSF analysis ( because it deals
with the brain being enlarged ) 心让我们勇敢前行
cerebral palsy (CP) - (answers)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
cerebral palsy can cause what other problem/complication- - (answers)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
, cerebral palsy (CP) usually happens when ? - (answers)usually happens before birth from
prenatal care and things such as radiation ,infection and hypoxia ( placental insufficiency )
If cerebral palsy does happen at birth when does it happen? - (answers)-Post Birth
* head trauma
* infection
* hypoxia
Cerebral palsy - (answers)Doesn't progressive overtime **meaning it doesn't get worse*
non progressive
cerebral palsy (CP) is classified by心的坚强决定了我们的命运。当
movements - (answers){Spastic} - most common 70% of
cases
我们面对挫折时，是一颗不屈的
心让我们勇敢前行
- 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
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) AND RATIONALES ALREADY GRADED A+
cretinism (congenital hypothyroidism) - (answers)A word from the past to classify infants who
were not exposed to sufficient quantities of thyroid hormone in utero
what can cause a infant to have cretinism (congenital hypothyroidism )? - (answers)1.
insufficiency of iodine in mothers diet
2. Untreated maternal hypothyroidism
what sign will the child show at birth associated with cretinism/congenital hypothyroidism ? -
心的坚强决定了我们的命运。当
(answers)1. Distinguished facial characteristics
我们面对挫折时，是一颗不屈的
心让我们勇敢前行
2. Diminished growth
3. Mental retardation
Juvenile Hypothyroidism - (answers)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
,Iodine deficiency - (answers)is the most preventable form of brain damage
Reye's syndrome - (answers)is a rare but serious condition that causes swelling in the liver and
brain which causes liver dysfunction and cerebral edema
Reyes syndrome is most common in ? - (answers)Children and teenager (4-12) who have or are
recovering from chicken pox or flu like symptoms receiving ASPIRIN!!!
Patients who have Reyes syndrome should not use? - (answers)Aspirin
Reyes syndrome is ? - (answers)idiopathic
Since the liver is dysfunctional in Reyes syndrome - - (answers)Ammonia build up because your
liver is not filtering out the toxins 心的坚强决定了我们的命运。当
so it can pass the blood barrier in the brain causing
encephalopathy 我们面对挫折时，是一颗不屈的
心让我们勇敢前行
Reye's Syndrome symptoms - (answers)-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 )
Reye's Syndrome treatment - (answers)-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
心的坚强决定了我们的命运。当
Reye's syndrome (RS) diagnosis -我们面对挫折时，是一颗不屈的
(answers)LIVER biopsy and CSF analysis ( because it deals
with the brain being enlarged ) 心让我们勇敢前行
cerebral palsy (CP) - (answers)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
cerebral palsy can cause what other problem/complication- - (answers)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
, cerebral palsy (CP) usually happens when ? - (answers)usually happens before birth from
prenatal care and things such as radiation ,infection and hypoxia ( placental insufficiency )
If cerebral palsy does happen at birth when does it happen? - (answers)-Post Birth
* head trauma
* infection
* hypoxia
Cerebral palsy - (answers)Doesn't progressive overtime **meaning it doesn't get worse*
non progressive
cerebral palsy (CP) is classified by心的坚强决定了我们的命运。当
movements - (answers){Spastic} - most common 70% of
cases
我们面对挫折时，是一颗不屈的
心让我们勇敢前行
- 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
