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ENPC 5TH EDITION EXAM BRAND NEW
ACTUAL EXAM WITH ANSWERS.
Myocarditis - correct amswer -inflammation of the heart muscle
that has significant mortality and morbidity in peds
viral, bacterial, toxic and autoimmune etiologies
s/s include fever, malaise (general unwell) and myalgia
(soreness/achiness in muscles); SHOB at rest and crackles on
auscultation; dysrhytmias; HF; elevated enxymes; syncope
Percarditis - correct amswer -inflammation of pericardial sac of
heart
infectious (viral/bacterial) or dug (PCN, phenytoin), post cardiac
surg, metabolic or immune mediated
tx NSAIDS and possible pericardiocentesis
Marfan Syndrome - correct amswer -inherited autosomal
dominant dx
connective tissue dx
s/s - thin, tall with long extremities, flat feet, pectus excavatum
(caved-in chest) or pectus carinatum (protruding "pigeon" chest)
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tx with BB or angiotensin-receptor blocker
Kawaski Disease - correct amswer -vasculitis of unknown cause
may be r/t infection (viral/bacterial)
L/T coronary artery aneurysms, progressive stenosis, ischemic
heart disease, myocardial infarction, HG or sudden cardiac death
Reversible causes of peds cardiac arrest - correct amswer -
Hypovolemia
hypoxia
hydrogen ion (acid-base illness)
hypokalemia/hyperkalemia (glucose also)
hypothermia
tension pneumothorax
tamponade (cardiac)
toxins/tablets
thrombosis (PE, MI)
hypovolemic shock - correct amswer -decreased intravascular
volume
ENPC 5TH EDITION EXAM BRAND NEW
ACTUAL EXAM WITH ANSWERS.
Myocarditis - correct amswer -inflammation of the heart muscle
that has significant mortality and morbidity in peds
viral, bacterial, toxic and autoimmune etiologies
s/s include fever, malaise (general unwell) and myalgia
(soreness/achiness in muscles); SHOB at rest and crackles on
auscultation; dysrhytmias; HF; elevated enxymes; syncope
Percarditis - correct amswer -inflammation of pericardial sac of
heart
infectious (viral/bacterial) or dug (PCN, phenytoin), post cardiac
surg, metabolic or immune mediated
tx NSAIDS and possible pericardiocentesis
Marfan Syndrome - correct amswer -inherited autosomal
dominant dx
connective tissue dx
s/s - thin, tall with long extremities, flat feet, pectus excavatum
(caved-in chest) or pectus carinatum (protruding "pigeon" chest)
, Page | 2
tx with BB or angiotensin-receptor blocker
Kawaski Disease - correct amswer -vasculitis of unknown cause
may be r/t infection (viral/bacterial)
L/T coronary artery aneurysms, progressive stenosis, ischemic
heart disease, myocardial infarction, HG or sudden cardiac death
Reversible causes of peds cardiac arrest - correct amswer -
Hypovolemia
hypoxia
hydrogen ion (acid-base illness)
hypokalemia/hyperkalemia (glucose also)
hypothermia
tension pneumothorax
tamponade (cardiac)
toxins/tablets
thrombosis (PE, MI)
hypovolemic shock - correct amswer -decreased intravascular
volume
