AHN 548 EXAM 1 QUESTIONS & ANSWERS
Neural tube defects r/t - Answer -Alpha fetal protein (AFP)
Turner syndrome: Males or females? - Answer -Females
Most common inherited intellectual disability - Answer -Fragile X
AFP Screening (Done as part of quad screen).. When and for what? - Answer -16-21
weeks to check for spina bifida and anencephaly and some other chromosomal
abnormalities
Aniridia - Answer -Bilateral eye disorder that results in the absence of the majority of
the iris.
Optic neuritis.. one or both eyes? - Answer -Unilateral
Papilledema.. one or both eyes? - Answer -Bilateral
Molluscum cause and tx? - Answer -Viral. Tx w/ Topical cantharidin
most common primary malignant tumor of the orbit? - Answer -rhabdomyosarcoma
Jaundice w/in 1st 24hrs post birth r/t? - Answer -Hyperbilirubinemia r/t Congenital
hepatitis or hemolytic issue
what is plethora and what could it indicate in a neonate? - Answer -Polycythemia as in
twin twin transfusion
1st PAP recommendations - Answer -21 despite sexual activity; earlier if indicated
What meds due at time of birth to baby? (3 things) - Answer -Hep B vax, Erythromycin
ointment, and Vitamin K
1st peds flu shot.. how many doses? how far apart? and until what age do you give 2? -
Answer -2 doses; 1 month apart; until age 9
Live attenuated nasal flu administration contraindicated in... - Answer -pregnant
women, immunocompromised pts.. can get injection though as it is not live vaccine
Teaching to prevent SIDS.. - Answer -baby sleeps supine.. no co-sleeping
What is DRESS syndrome? What drug classes cause it? - Answer -drug eruptions
fever eosinophilia and systemic symptoms; anti-convulsants
, potential causes of late-onset (7-10 days after birth) hypocalcemia? - Answer -1..infants
receiving cow's milk rather than infant formula (high phosphorus intake), 2..
hypoparathyroidism (DiGeorge syndrome), 3.. infants born to mothers with severe
vitamin D deficiency.
Thrombocytopenia, hyperglycemia, and subtle clinical deterioration in infants would lead
you to dx of? - Answer -Fungal sepsis
Most common cause of neonatal seizure? - Answer -hypoxic-ischemic encephalopathy
Necrotizing enterocolitis- radiology findings.. - Answer -Pneumatosis intestinalis (air in
the bowel wall) seen on a CT scan. Or biliary tract air on a plain abdominal x-ray.
Tx of patent ductus arteriosis or PDA? - Answer -Indomethacin 0.2-0.3 mg/kg ... can be
repeated q12-24h for a total of 3 doses.
What condition would you suspect in an infant that had good color and a good heart rate
while crying at delivery, but become cyanotic and bradycardic when they resumed
normal nasal breathing? - Answer -bilateral choanal atresia
In infants of mothers suspected of abusing drugs, what should be sent for drug
screening as it enhances dx by indicating cumulative drug exposure from 1st trimester
forward? - Answer -Meconium
3 meds for infant withdrawal symptoms? - Answer -(1) phenobarb 16mg/kg loading
dose, then 2.5 mg/kg BID (2) morphine 0.1-0.5 mg/kg/dose q 6-12 hours; (3)
methadone 0.05-0.1 mg/kg q6h!
Infants with respiratory distress need what to rule out PNA? 2 correct answers.. 1 is
diagnostic - Answer -Xray and Blood Cultures. May give broad spectrum ABX until
bacterial dx is eliminated
The most common presenting sign in the (lol) most common primary Intraocular
malignancy of childhood? - Answer -Leukocoria
Which vaccine can cause intussusception? - Answer -Rotavirus
What is the most critical aspect of fluid management in the premature infant? - Answer
-Monitoring
For a baby 5 days old or older, how many wet diapers a day signifies adequate urine
output? - Answer -6-8/ day and 4 BMs, 8-10 feedings/day
What type of injectable, local anesthetic can be used for circumcision block? - Answer -
LIDO without epi (none in fingers, nose, ears, toes, & penis)
Neural tube defects r/t - Answer -Alpha fetal protein (AFP)
Turner syndrome: Males or females? - Answer -Females
Most common inherited intellectual disability - Answer -Fragile X
AFP Screening (Done as part of quad screen).. When and for what? - Answer -16-21
weeks to check for spina bifida and anencephaly and some other chromosomal
abnormalities
Aniridia - Answer -Bilateral eye disorder that results in the absence of the majority of
the iris.
Optic neuritis.. one or both eyes? - Answer -Unilateral
Papilledema.. one or both eyes? - Answer -Bilateral
Molluscum cause and tx? - Answer -Viral. Tx w/ Topical cantharidin
most common primary malignant tumor of the orbit? - Answer -rhabdomyosarcoma
Jaundice w/in 1st 24hrs post birth r/t? - Answer -Hyperbilirubinemia r/t Congenital
hepatitis or hemolytic issue
what is plethora and what could it indicate in a neonate? - Answer -Polycythemia as in
twin twin transfusion
1st PAP recommendations - Answer -21 despite sexual activity; earlier if indicated
What meds due at time of birth to baby? (3 things) - Answer -Hep B vax, Erythromycin
ointment, and Vitamin K
1st peds flu shot.. how many doses? how far apart? and until what age do you give 2? -
Answer -2 doses; 1 month apart; until age 9
Live attenuated nasal flu administration contraindicated in... - Answer -pregnant
women, immunocompromised pts.. can get injection though as it is not live vaccine
Teaching to prevent SIDS.. - Answer -baby sleeps supine.. no co-sleeping
What is DRESS syndrome? What drug classes cause it? - Answer -drug eruptions
fever eosinophilia and systemic symptoms; anti-convulsants
, potential causes of late-onset (7-10 days after birth) hypocalcemia? - Answer -1..infants
receiving cow's milk rather than infant formula (high phosphorus intake), 2..
hypoparathyroidism (DiGeorge syndrome), 3.. infants born to mothers with severe
vitamin D deficiency.
Thrombocytopenia, hyperglycemia, and subtle clinical deterioration in infants would lead
you to dx of? - Answer -Fungal sepsis
Most common cause of neonatal seizure? - Answer -hypoxic-ischemic encephalopathy
Necrotizing enterocolitis- radiology findings.. - Answer -Pneumatosis intestinalis (air in
the bowel wall) seen on a CT scan. Or biliary tract air on a plain abdominal x-ray.
Tx of patent ductus arteriosis or PDA? - Answer -Indomethacin 0.2-0.3 mg/kg ... can be
repeated q12-24h for a total of 3 doses.
What condition would you suspect in an infant that had good color and a good heart rate
while crying at delivery, but become cyanotic and bradycardic when they resumed
normal nasal breathing? - Answer -bilateral choanal atresia
In infants of mothers suspected of abusing drugs, what should be sent for drug
screening as it enhances dx by indicating cumulative drug exposure from 1st trimester
forward? - Answer -Meconium
3 meds for infant withdrawal symptoms? - Answer -(1) phenobarb 16mg/kg loading
dose, then 2.5 mg/kg BID (2) morphine 0.1-0.5 mg/kg/dose q 6-12 hours; (3)
methadone 0.05-0.1 mg/kg q6h!
Infants with respiratory distress need what to rule out PNA? 2 correct answers.. 1 is
diagnostic - Answer -Xray and Blood Cultures. May give broad spectrum ABX until
bacterial dx is eliminated
The most common presenting sign in the (lol) most common primary Intraocular
malignancy of childhood? - Answer -Leukocoria
Which vaccine can cause intussusception? - Answer -Rotavirus
What is the most critical aspect of fluid management in the premature infant? - Answer
-Monitoring
For a baby 5 days old or older, how many wet diapers a day signifies adequate urine
output? - Answer -6-8/ day and 4 BMs, 8-10 feedings/day
What type of injectable, local anesthetic can be used for circumcision block? - Answer -
LIDO without epi (none in fingers, nose, ears, toes, & penis)
