NNP-BC NCC Board Review Exam
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Normal WBC count - ✔✔5,000-10,000
ANC - ✔✔1500-8000
<1500- neutropenic
Amphotericin B - ✔✔Antifungal for candida sepsis
Flucystosine - ✔✔Analog of the nucleotide cytosine
Can be used to treat certain cutaneous mycoses
Usually combined with amphotericin B for CNS infection.
Fanconi anemia - ✔✔FANCA, B, C, D2, E, F, G Mostly Ar but some X-
linked
short stature, abnl pigmentation, , AML, tumors of head and neck, radial
polydactyly
Cafe au lait spots
oxyhemoglobin dissociation curve - ✔✔Relationship between available
oxygen and amount of oxygen carried by hemoglobin.
Left: fetal HgB, alkalosis, heat, increased 2,3 DPG
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Right: adult HgB, acidosis, cool, decreased 2,3 DPG
Ballard Exam - ✔✔for gestational age
assessment of passive flexor tone via
- passive flexion
- resistance to passive flexion
- angles of recoil
physical assessment
- skin texture
- lanugo
- plantar surfaces creases (appear from 28 weeks-term)
- breast
- ear/eyes (eyes fuse @ 23 weeks, open btwn 26-28 weeks)
- genitals
Bradykinin - ✔✔a powerful vasodilator that increases capillary permeability
and constricts smooth muscle
Ortolani maneuver (checks if OUT) - ✔✔check hips for congenital
dislocation, done until 1 yr old, should be smooth with no sounds
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, abnormal= feels like a clunk as head of femur pops back into place-
positive ortolani sign
Barlow maneuver - ✔✔newborn hip evaluation - adduction of hip -
evaluates for congenital dislocation, dislocates head of femur
Fractional Excretion of Sodium (FENa) - ✔✔(urine Na * serum Cr) / (serum
Na * urine Cr) * 100
endocardial cushion defect - ✔✔Abnormality in the walls between all four
heart chambers. Associated with down syndrome. Separates atria and
ventricles
Tetralogy of Fallot - ✔✔congenital malformation involving four (tetra-)
distinct heart defects:
Overriding aorta
VSD
Pulmonary stenosis
RV hypertrophy
**Cyanosis depends on degree of PS
5 T's of Cyanotic Heart Disease - ✔✔TOF (VSD, pulmonic stenosis,
overriding aorta, R. Ventricle hypertrophy)
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Transposition of Great Vessels (shows thin mediastinum on CXR ("egg on
string"))
Snow storm CXR? -lots of fluid, total anomalous venous return
DiGeorge is associated with? Truncus arteriosis.
Tricuspid Atresia
Ampicillin - ✔✔A penicillin that is effective against gram-negative and
gram-positive bacteria
Gentamicin - ✔✔Aminoglycoside prototype: bactericidal inhibitor of protein
synthesis (30S); active against many aerobic gram−negative bacteria.
Narrow therapeutic window; dose reduction required in renal impairment.
Tox: renal dysfunction, ototoxicity; once−daily dosing is effective
(post−antibiotic effect) and less toxic
Gentamicin levels - ✔✔Trough < 2
Peak 5-12
Vancomycin levels - ✔✔Trough <10
Peak 20-40