CMN 574 EXAM 1 STUDY GUIDE 2025/2026
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hought to be the most common proximal cause of death with AN
......ANSWER........Conduction abnormalities
may occur as a result of myocardial atrophy
What conditions can mimic sexual abuse in children?
......ANSWER........anal fissures
enlarged hymenal opening
failure of midline fusion
Lichen Sclerosis
,age 2 of 139
Molloscum
Mongolian spots
Nevi
Even before mild desaturation is detectable, early clubbing and
cyanosis may be seen. The base of the nail, especially the
thumbnail, may show loss of the angle as early as __ months of
age ......ANSWER........3
A transient systolic murmur at the middle-low left sternal border
in the normal newborn can be due to ______________
____________ ......ANSWER........tricuspid regurgitation
a soft systolic ejection murmur at the upper left sternal border
may arise from what? ......ANSWER........A closing PDA
,age 3 of 139
A large _____ does not produce a murmur in the newborn
period because the initially high pulmonary vascular resistance
results in minimal shunting across the defect ......ANSWER........VSD
What is implicated in newborns who present with possible
pathologic systolic murmur? ......ANSWER........Echo
Examination of the skin in a patient with __________
______________ ____________may reveal the typical rash of
erythema marginatum, although this rash is not specific for
rheumatic fever. It is evanescent, nonpruritic, has sharp
serpiginous margins, and is found on the inner aspects of the
upper arms and thighs and on the trunk ......ANSWER........acute
rheumatic fever
The classic skin lesions include petechiae, splinter hemorrhages of
the nails, conjunctival hemorrhages, and Janeway lesions. Osler's
, age 4 of 139
nodes, which present as small tender erythematous nodules, are
found in the intradermal pads of the fingers and toes
......ANSWER........Bacterial endocarditis; Osler's nodes
the most common form of acquired heart disease in children. It is
characterized by fever, conjunctivitis, erythema of the lips and
oral mucosa, extremity changes, rash, and cervical adenopathy
......ANSWER........Kawasaki's disease
____ __________ is a distinct radiographic finding in patients
older than 5 to 10 years of age with coarctation of the aorta
......ANSWER........rib notching
___________ is a common finding in teenage patients with
cyanotic congenital heart disease ......ANSWER........scoliosis
The most common irregularity of heart rhythm seen in children is
a ______ _________. This is a normal variant that reflects a