Aquifer Peds Exam Questions
and Answers Verified Solutions
Latest Update (2026/2027)
Question:
What is your assessment of Tyler's feeding? Choose the single best answer.
Answer:
The
feeding history suggests a problem with Tyler's ability to feed adequately.
What would you tell the mother now, in answer to her question? Choose the
single best answer.
Question:
I am concerned that Tyler's feedings do not seem to be going well. Can I ask
you
a few more questions about Tyler to help us find out if there is a problem?
Based on the history, it sounds as if Tyler is having some real difficulties
with his feeds. Which of
the following might be causing Tyler's difficulty feeding, respiratory distress,
and diaphoresis?
Select all that apply.
Answer:
CHD/CHF, respiratory infection, sepsis, metabolic disorder
Question:
,Which of his vital signs is abnormal? Choose the single best answer.
Answer:
RR
Question:
What do you hear in the audio of Tyler's heart sounds? Choose the single
best answer.
Answer:
Holosystolic murmur
Question:
Based on what you know about the patient so far, write a one- to
three-sentence summary
statement to communicate your understanding of the patient to other
providers.
Answer:
Tyler is a 6-week-old former term infant who has recent onset of progressive
dyspnea with
feedings, diaphoresis, and poor weight gain (having only gained 300 grams
from his birth weight).
He is acyanotic with a normal temperature, but exam reveals tachypnea, an
active precordium,
Grade III holosystolic murmur, and hepatomegaly.
With your summary statement in mind, what etiologies now remain in your
differential diagnosis?
Question:
,Answer:
CHF
Question:
What is the most common cause of a murmur in childhood? Choose the
single best answer -
Answer:
Innocent murmur
Question:
What congenital heart defects are more likely to be detected in school-age
children than in
neonates? Select all that apply.
Answer:
ASD, bicuspid aortic valve
Question:
Which of these sounds most like Tyler's murmur? Choose the single best
answer.
Answer:
VSD
Question:
, What other common congenital heart defects can present with signs of
congestive heart failure
and a murmur? Select all that apply.
Answer:
Aortic stenosis, Coarctation of Aorta, PDA
Question:
Which of these diagnostic tests should you order to help you assess Tyler's
clinical status? Select
all that apply.
Answer:
ECG, Echo, CXR
Question:
This is the chest x-ray you ordered on Tyler. What do you think this film
shows? Choose the single
best answer.
Answer:
Increased heart size, increased pulmonary vascular markings
Question:
While Tyler was in the newborn nursery, his parents were told that the initial
exam was normal,
with no murmur noted. They ask why the murmur was not noted in the
nursery.
and Answers Verified Solutions
Latest Update (2026/2027)
Question:
What is your assessment of Tyler's feeding? Choose the single best answer.
Answer:
The
feeding history suggests a problem with Tyler's ability to feed adequately.
What would you tell the mother now, in answer to her question? Choose the
single best answer.
Question:
I am concerned that Tyler's feedings do not seem to be going well. Can I ask
you
a few more questions about Tyler to help us find out if there is a problem?
Based on the history, it sounds as if Tyler is having some real difficulties
with his feeds. Which of
the following might be causing Tyler's difficulty feeding, respiratory distress,
and diaphoresis?
Select all that apply.
Answer:
CHD/CHF, respiratory infection, sepsis, metabolic disorder
Question:
,Which of his vital signs is abnormal? Choose the single best answer.
Answer:
RR
Question:
What do you hear in the audio of Tyler's heart sounds? Choose the single
best answer.
Answer:
Holosystolic murmur
Question:
Based on what you know about the patient so far, write a one- to
three-sentence summary
statement to communicate your understanding of the patient to other
providers.
Answer:
Tyler is a 6-week-old former term infant who has recent onset of progressive
dyspnea with
feedings, diaphoresis, and poor weight gain (having only gained 300 grams
from his birth weight).
He is acyanotic with a normal temperature, but exam reveals tachypnea, an
active precordium,
Grade III holosystolic murmur, and hepatomegaly.
With your summary statement in mind, what etiologies now remain in your
differential diagnosis?
Question:
,Answer:
CHF
Question:
What is the most common cause of a murmur in childhood? Choose the
single best answer -
Answer:
Innocent murmur
Question:
What congenital heart defects are more likely to be detected in school-age
children than in
neonates? Select all that apply.
Answer:
ASD, bicuspid aortic valve
Question:
Which of these sounds most like Tyler's murmur? Choose the single best
answer.
Answer:
VSD
Question:
, What other common congenital heart defects can present with signs of
congestive heart failure
and a murmur? Select all that apply.
Answer:
Aortic stenosis, Coarctation of Aorta, PDA
Question:
Which of these diagnostic tests should you order to help you assess Tyler's
clinical status? Select
all that apply.
Answer:
ECG, Echo, CXR
Question:
This is the chest x-ray you ordered on Tyler. What do you think this film
shows? Choose the single
best answer.
Answer:
Increased heart size, increased pulmonary vascular markings
Question:
While Tyler was in the newborn nursery, his parents were told that the initial
exam was normal,
with no murmur noted. They ask why the murmur was not noted in the
nursery.
