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CMN 574 CHEST AND HEART FAILURE UNIT 2 EXAM. QUESTIONS WITH 100% CORRECT ANSWERS.

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What are manifestations of sexual abuse? Sexual knowledge, play, behavior Sleep disturbances Appetite disturbances Depression/Anxiety/Social withdraw Guilt, low self esteem, mistrust Runaway Excessive masturbation Recurrent abdominal pain Frequent somatic complaints Genital/anal/urethral trauma Enuresis/Encopresis STI's Promiscuity/prostitution/sexual dysfunction Truancy/problems at school Substance abuse How do you diagnose sexual abuse? -rarely need to perform internal examination -Use supine frog leg or knee to chest position with labial separation to exam structures -GOOD HISTORY TAKING How do you treat sexual abuse? -test for and treat any STI's (Ceftriaxone+Metronidazole+Azithromycin) -Contraception -follow-up exam to assess for HIV/HEPB -psychosocial support How is neglect manifested, diagnosed, and treated in children? -Failure to provide the necessary food, clothing, and shelter and a safe environment (not associated with poverty alone) -child will usually gain weight when placed in care that is not primary caretaker (foster care/hospital) -older children may be depressed and have a short stature What is Wolf parkinson white syndrome (WPW)? -Short P-R interval, delta wave, and a prolonged QRS complex -Can not be identified when pt is in SVT

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CMN 574 UNIT 2 EXAM
What should all children born with Trisomy 21 receive? What structural cardiac
lesions are associated with downs syndrome?
An echo
40% of the babies are born with a structural cardiac lesion
Atrial ventricle septal defect
ventricular septal defect
patent ductus arteriosus
subcl artery




What cardiac abnormalities is associated with mar fans?
aortic/mitral valve regurgitation




What cardiac abnormality is associated with turners syndrome?
coarctation of the aorta




What cardiac abnormalities is associated with Noonan?
pulmonary stenosis
Atrial septal defect

,cardiomyopathy




What cardiac abnormalities is associated with fetal alcohol syndrome?
Ventricle septal defect




What are the 4 abnormalities associated with tetralogy of Fallot?
Ventricle septal defect
Stenosis of pulmonary valve
Misplacement of aorta
Right ventricle hypertrophy




What physical exam finding is associated with coarctation of the aorta?
Discrepancy between the upper and lower extremities
Higher in the uppers than the lowers
Absent femoral pulses




What physical exam finding is associated with supraventricular aortic stenosis?
Higher blood pressure in the right arm than the left arm

, What physical exam finding is associated with aortic valve stenosis?
Narrow pulse pressure
(the systolic and diastolic numbers are not far apart ex. 90/73 less than 29 mmhg)




What physical exam finding is associated with aortic regurgitation of aortic
insufficiency?
Wide pulse pressure
(the systolic and diastolic numbers are far apart ex. 120/64 standard pulse pressure
is around 40 mmhg)




What is a newborn heart murmur?
heard in the first few days of life
heard at the left lower sternal boarder
short systolic
grade II-III/VI
innocent heart murmur




What is a still heart murmur?
most common innocent murmur of childhood
heard between 2-7 years of age

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