CMN 574 Unit 2 questions with answers

CMN 574 Unit 2 questions with answers
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Even before mild desaturation is detectable, early
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clubbing and cyanosis may be seen. The base of the nail,
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especially the thumbnail, may show loss of the angle as
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early as __ months of age - CORRECT ANSWERS ✔✔3
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A transient systolic murmur at the middle-low left sternal
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border in the normal newborn can be due to
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______________ ____________ - CORRECT ANSWERS |\ |\ |\ |\ |\



✔✔tricuspid regurgitation |\




a soft systolic ejection murmur at the upper left sternal
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border may arise from what? - CORRECT ANSWERS ✔✔A
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closing PDA |\




A large _____ does not produce a murmur in the newborn
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period because the initially high pulmonary vascular
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resistance results in minimal shunting across the defect -
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CORRECT ANSWERS ✔✔VSD |\ |\




What is implicated in newborns who present with possible
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pathologic systolic murmur? - CORRECT ANSWERS
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✔✔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
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sharp serpiginous margins, and is found on the inner
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aspects of the upper arms and thighs and on the trunk -
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CORRECT ANSWERS ✔✔acute rheumatic fever |\ |\ |\ |\




The classic skin lesions include petechiae, splinter
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hemorrhages of the nails, conjunctival hemorrhages, and |\ |\ |\ |\ |\ |\ |\



Janeway lesions. Osler's nodes, which present as small
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tender erythematous nodules, are found in the
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intradermal pads of the fingers and toes - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔Bacterial endocarditis; Osler's nodes |\ |\ |\ |\




the most common form of acquired heart disease in
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children. It is characterized by fever, conjunctivitis,
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erythema of the lips and oral mucosa, extremity changes, |\ |\ |\ |\ |\ |\ |\ |\



rash, and cervical adenopathy - CORRECT ANSWERS
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✔✔Kawasaki's disease |\




____ __________ is a distinct radiographic finding in
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patients older than 5 to 10 years of age with coarctation
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of the aorta - CORRECT ANSWERS ✔✔rib notching
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,___________ is a common finding in teenage patients with |\ |\ |\ |\ |\ |\ |\ |\ |\



cyanotic congenital heart disease - CORRECT ANSWERS
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✔✔scoliosis


The most common irregularity of heart rhythm seen in
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children is a ______ _________. This is a normal variant that
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reflects a healthy interaction between autonomic
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respiratory and cardiac control activity in the central |\ |\ |\ |\ |\ |\ |\ |\



nervous system - CORRECT ANSWERS ✔✔sinus
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arrhythmia


What circulating hormone produced in adipose tissue
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seems to duced in adipose tissue and seems to have a
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significant role in mediating the neuroendocrine effects
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of AN? - CORRECT ANSWERS ✔✔Leptin
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Common cardio s/s of eating disorders include? -
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CORRECT ANSWERS ✔✔Common cardiovascular signs |\ |\ |\ |\ |\



and
symptoms include orthostasis with |\ |\ |\




blood pressure and/or pulse changes,
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bradycardia, and poor peripheral perfusion characterized |\ |\ |\ |\ |\ |\



by cold extremities,
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delayed capillary refill, and sometimes acrocyanosis
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, thought to be the most common proximal cause of death
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with AN - CORRECT ANSWERS ✔✔Conduction
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abnormalities
may occur as a result of myocardial atrophy
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What conditions can mimic sexual abuse in children? -
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CORRECT ANSWERS ✔✔anal fissures |\ |\ |\




enlarged hymenal opening |\ |\




failure of midline fusion
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Lichen Sclerosis |\




Molloscum
Mongolian spots |\




Nevi
straddle injury |\




strep
urethral prolapse |\




What characteristic of hymenal tissue are concerning for
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sexual abuse yet very difficult for the unskilled medical
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examiner to accurately diagnose - CORRECT ANSWERS
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✔✔Narrowing of the posterior hymenal rim (less |\ |\ |\ |\ |\ |\ |\




than 1 mm), a laceration in posterior rim extending
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entirely through the hymen, and a deep notch in the
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