All Actual and Detailed Answers 2026-
2027 Updated.
Patent ductus areteriosus - Answer administer indomethacin to close PDA
<1% mortality
surgical: thoroscopic procedure
Limbic system - Answer reward centre
emotional centre
drive centre
-develops faster than prefrontal cortex
Asthma rates - Answer higher in poor, obese, and indigenous youth
-chronic inflammatory disease that causes hyperresponsiveness, mucosal edema, and mucus
production
-inflammation causes cough, chest tightness
-allergy is the strongest factor
-first asthma attack is usually before age 5
coarctation of the aorta - Answer narrowing of aorta near the ductus arteriosus
s/s high bp, bounding pulse,
Tx: surgical repair, balloon angioplasty for older kids
Prefrontal cotex - Answer "thinking" centre
allows-
consequence, judgement, impulse, identity, organizing/problem solving, growing and changing
asthma assess - Answer exercise induced bronchospasm
nocturnal asthma
allergen triggers
resp infection
dx: hx, physical, CXR, PRFT, FEV1/FVC ration (less than 0.08 consistent with asthma)
,watch for: rhinorrhea, cough, low fever, irritability, apathy, anxiety, sleep disturbance,
abdominal discomfort, loss of appetite
IgE antibody is implicated
tetralogy of fallot - Answer VSD, pulmonary valve stenosis, overriding/misplaced aorta,
thinkened right ventricular wall
cyanotic or blue babies
tx: temp/complete surgical repair procedures, if child is not ready we place a shunt
<3% total repair
recovery model - Answer focuses on pt strength for depression
mutually developed
3 phase
acute
continuation
maintenance
Mild asthma - Answer SpO2 > 92%
RR <30 over 5
no or minimal accessory muscle use
feeding well or talking in full sentences
wheeze (may only be audible by stethescope)
Severe asthma - Answer SpO2 <92%
PEFR 33-50% predicted (peak expiratory flow)
RR >30
too breathless to talk
,HR >125
use of accessory muscles
audible wheeze
lithium - Answer bipolar
narrow therapeutic window
8-10 glasses of water per day
95% excreted unchanged in urine
levels increased by: NSAIDS, ACE, Angiotensin II antagonists, salt restriction
levels decreased by:
citalopram, mirtazepine, lorazepam, oxazepam, clonazepam
tricuspid atresia - Answer Tricuspid Valve fails to develop. No communication between rt atria
and ventricle
blood flows through ASD, complete mixing of oxyganated and deoxygenated blood
s/s cyanosis, tachycardia, older kids have clubbing
tx: prostaglandin until surgery - various procedures and stages
shunt to increase blood flow to lung
<5% mortality
transportation of the great arteries or great vessels - Answer pulmonary artery leaves the left
ventricle, and the aorta exits the right ventricle with no communication between systemic and
pulmonary circulations
s/s cardiomegaly, heart failure, murmurs, cyanosis
tx: atrial switch procedure. other procedures require redos as child grows
, <2% surgical morality
mesolimbic pathway - schiz - Answer positive symptoms
-hallucinations/dellusions
Life threatening asthma - Answer SpO2<92%
PEFR 33-50%
silent chest
poor resp effort
altered conciousness
agitation/confusion
exhaustion
cyanosis
hypoplastic left heart syndrome - Answer underdeveloped left heart, hypoplastic left ventricle
and aortic atresia
s/s mild cyanosis, progressive deterioration, decreased .cardiac output leading to cardiac
collapse, fatal in first months of life with no intervention
tx: newborns requires stabilization, ventillation, balloon pumps
surgical
heart transplant, in newborn period
prognosis: 5-30% survival
"single ventricle defect"
mesocortical pathway - schiz - Answer negative symptoms
flat affect, apathy
quick relief Medications for asthma - Answer -treat symptoms and exaserbations