CMN 574 Unit 2 Exam Questions with Correct Answers Latest Update 2025/2026
Even before mild desaturation is detectable, early clubbing and cyanosis may be seen. The base
of the nail, especially the thumbnail, may show loss of the angle as early as __ months of age -
Answers 3
A transient systolic murmur at the middle-low left sternal border in the normal newborn can be
due to ______________ ____________ - Answers tricuspid regurgitation
a soft systolic ejection murmur at the upper left sternal border may arise from what? - Answers
A closing PDA
A large _____ does not produce a murmur in the newborn period because the initially high
pulmonary vascular resistance results in minimal shunting across the defect - Answers VSD
What is implicated in newborns who present with possible pathologic systolic murmur? -
Answers Echo
Examination of the skin in a patient with __________ ______________ ____________may reveal the
typical rash of erythema marginatum, although this rash is not specific for rheumatic fever. It is
evanescent, nonpruritic, has sharp serpiginous margins, and is found on the inner aspects of the
upper arms and thighs and on the trunk - Answers acute rheumatic fever
The classic skin lesions include petechiae, splinter hemorrhages of the nails, conjunctival
hemorrhages, and Janeway lesions. Osler's nodes, which present as small tender erythematous
nodules, are found in the intradermal pads of the fingers and toes - Answers Bacterial
endocarditis; Osler's nodes
the most common form of acquired heart disease in children. It is characterized by fever,
conjunctivitis, erythema of the lips and oral mucosa, extremity changes, rash, and cervical
adenopathy - Answers Kawasaki's disease
____ __________ is a distinct radiographic finding in patients older than 5 to 10 years of age with
coarctation of the aorta - Answers rib notching
___________ is a common finding in teenage patients with cyanotic congenital heart disease -
Answers scoliosis
The most common irregularity of heart rhythm seen in children is a ______ _________. This is a
normal variant that reflects a healthy interaction between autonomic respiratory and cardiac
control activity in the central nervous system - Answers sinus arrhythmia
What circulating hormone produced in adipose tissue seems to duced in adipose tissue and
seems to have a significant role in mediating the neuroendocrine effects
of AN? - Answers Leptin
, Common cardio s/s of eating disorders include? - Answers Common cardiovascular signs and
symptoms include orthostasis with
blood pressure and/or pulse changes,
bradycardia, and poor peripheral perfusion characterized by cold extremities,
delayed capillary refill, and sometimes acrocyanosis
thought to be the most common proximal cause of death with AN - Answers Conduction
abnormalities
may occur as a result of myocardial atrophy
What conditions can mimic sexual abuse in children? - Answers anal fissures
enlarged hymenal opening
failure of midline fusion
Lichen Sclerosis
Molloscum
Mongolian spots
Nevi
straddle injury
strep
urethral prolapse
What characteristic of hymenal tissue are concerning for sexual abuse yet very difficult for the
unskilled medical examiner to accurately diagnose - Answers Narrowing of the posterior
hymenal rim (less
than 1 mm), a laceration in posterior rim extending entirely through the hymen, and a deep notch
in the hymen extending more than 50% through the hymen leaving less than 1mm
A change in the midline fusion defect in a __-week period would indicate that it was not failure of
midline fusion but rather an acute, possibly traumatic, defect - Answers 2
What is the most valuable part of the medical evaluation when assessing for child abuse? -
Answers interview with the child
How is the interview usually conducted on children suspected of being abused? - Answers First
Even before mild desaturation is detectable, early clubbing and cyanosis may be seen. The base
of the nail, especially the thumbnail, may show loss of the angle as early as __ months of age -
Answers 3
A transient systolic murmur at the middle-low left sternal border in the normal newborn can be
due to ______________ ____________ - Answers tricuspid regurgitation
a soft systolic ejection murmur at the upper left sternal border may arise from what? - Answers
A closing PDA
A large _____ does not produce a murmur in the newborn period because the initially high
pulmonary vascular resistance results in minimal shunting across the defect - Answers VSD
What is implicated in newborns who present with possible pathologic systolic murmur? -
Answers Echo
Examination of the skin in a patient with __________ ______________ ____________may reveal the
typical rash of erythema marginatum, although this rash is not specific for rheumatic fever. It is
evanescent, nonpruritic, has sharp serpiginous margins, and is found on the inner aspects of the
upper arms and thighs and on the trunk - Answers acute rheumatic fever
The classic skin lesions include petechiae, splinter hemorrhages of the nails, conjunctival
hemorrhages, and Janeway lesions. Osler's nodes, which present as small tender erythematous
nodules, are found in the intradermal pads of the fingers and toes - Answers Bacterial
endocarditis; Osler's nodes
the most common form of acquired heart disease in children. It is characterized by fever,
conjunctivitis, erythema of the lips and oral mucosa, extremity changes, rash, and cervical
adenopathy - Answers Kawasaki's disease
____ __________ is a distinct radiographic finding in patients older than 5 to 10 years of age with
coarctation of the aorta - Answers rib notching
___________ is a common finding in teenage patients with cyanotic congenital heart disease -
Answers scoliosis
The most common irregularity of heart rhythm seen in children is a ______ _________. This is a
normal variant that reflects a healthy interaction between autonomic respiratory and cardiac
control activity in the central nervous system - Answers sinus arrhythmia
What circulating hormone produced in adipose tissue seems to duced in adipose tissue and
seems to have a significant role in mediating the neuroendocrine effects
of AN? - Answers Leptin
, Common cardio s/s of eating disorders include? - Answers Common cardiovascular signs and
symptoms include orthostasis with
blood pressure and/or pulse changes,
bradycardia, and poor peripheral perfusion characterized by cold extremities,
delayed capillary refill, and sometimes acrocyanosis
thought to be the most common proximal cause of death with AN - Answers Conduction
abnormalities
may occur as a result of myocardial atrophy
What conditions can mimic sexual abuse in children? - Answers anal fissures
enlarged hymenal opening
failure of midline fusion
Lichen Sclerosis
Molloscum
Mongolian spots
Nevi
straddle injury
strep
urethral prolapse
What characteristic of hymenal tissue are concerning for sexual abuse yet very difficult for the
unskilled medical examiner to accurately diagnose - Answers Narrowing of the posterior
hymenal rim (less
than 1 mm), a laceration in posterior rim extending entirely through the hymen, and a deep notch
in the hymen extending more than 50% through the hymen leaving less than 1mm
A change in the midline fusion defect in a __-week period would indicate that it was not failure of
midline fusion but rather an acute, possibly traumatic, defect - Answers 2
What is the most valuable part of the medical evaluation when assessing for child abuse? -
Answers interview with the child
How is the interview usually conducted on children suspected of being abused? - Answers First
