FNP 2 EXAM 1 EXAM SCRIPT SOLVED
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ Common causes of CP in children? Answer: Typically not cardiac
in origin.
Focus on GI and MSK: esophagitis, costochondritis, asthma, drugs,
anxiety
◉ Common causes of palpitations in children? Answer: Anemia,
thyroid, drugs, MVP
◉ What is exercise associated collapse? Answer: Any feeling of
faintness, lightheadedness, or syncope during or following exercise
◉ What work-up is done for exercise induced collapse? Answer: EKG
for long QT, Echo, Stress test to reproduce the sport that cause
collapse
◉ What is long QT syndrome? Answer: A Qt interval longer than 440
mms that places the patient at higher risk of arrythmia
, ◉ What is ASD and what are S/S? Answer: a hole between the
atriums, will likely close by age 4. If it doesn't you will hear a S1
split,
◉ What is a VSD and what are S/S? Answer: most common acyanotic
defects. a hole in between eh ventricles that allows oxygenated blood
to shunt back into the right ventricle. will hear a holosystolic murmur.
Will cause poor brain growth and lung stiffness is not addressed.
◉ What is a PDA and what are S/S? Answer: a vessel connects the
pulmonary artery and the aorta. May have HF, pneumonia, and will
hear a loud machinery murmur in the left upper chest
◉ When should a child referred for cardiology for elevated BP? What
counts as elevated? Answer: BP 120/80 must be reevaluated at a
separate visit and if it persists should be referred for a work up if
under 10 or can try therapy at primary care level if over 10
◉ What are the common CV problems associated with Down's?
Answer: VSD which can lead to heart failure
◉ What are the 7 S's of innocent murmurs? Answer: Soft, short,
systolic, sounds normal, symptomless, standing/sitting changes
murmur, special tests normal
◉ What are the characteristics of a pathologic murmur in a child?
Answer: =/>Grade 3, holosystolic, max intensity at LUSB, harsh or
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ Common causes of CP in children? Answer: Typically not cardiac
in origin.
Focus on GI and MSK: esophagitis, costochondritis, asthma, drugs,
anxiety
◉ Common causes of palpitations in children? Answer: Anemia,
thyroid, drugs, MVP
◉ What is exercise associated collapse? Answer: Any feeling of
faintness, lightheadedness, or syncope during or following exercise
◉ What work-up is done for exercise induced collapse? Answer: EKG
for long QT, Echo, Stress test to reproduce the sport that cause
collapse
◉ What is long QT syndrome? Answer: A Qt interval longer than 440
mms that places the patient at higher risk of arrythmia
, ◉ What is ASD and what are S/S? Answer: a hole between the
atriums, will likely close by age 4. If it doesn't you will hear a S1
split,
◉ What is a VSD and what are S/S? Answer: most common acyanotic
defects. a hole in between eh ventricles that allows oxygenated blood
to shunt back into the right ventricle. will hear a holosystolic murmur.
Will cause poor brain growth and lung stiffness is not addressed.
◉ What is a PDA and what are S/S? Answer: a vessel connects the
pulmonary artery and the aorta. May have HF, pneumonia, and will
hear a loud machinery murmur in the left upper chest
◉ When should a child referred for cardiology for elevated BP? What
counts as elevated? Answer: BP 120/80 must be reevaluated at a
separate visit and if it persists should be referred for a work up if
under 10 or can try therapy at primary care level if over 10
◉ What are the common CV problems associated with Down's?
Answer: VSD which can lead to heart failure
◉ What are the 7 S's of innocent murmurs? Answer: Soft, short,
systolic, sounds normal, symptomless, standing/sitting changes
murmur, special tests normal
◉ What are the characteristics of a pathologic murmur in a child?
Answer: =/>Grade 3, holosystolic, max intensity at LUSB, harsh or