Exam 39: Congenital Diaphragmatic Hernia

The prognosis of an infant with a diaphragmatic hernia depends on which of the following factors? 1) Success of the surgical diaphragmatic closure 2) Size of the diaphragmatic defect 3) Condition of the lung on the unaffected side 4) Degree of hypoplasia

What is the medical term for the condition associated with some cases of CDH in which the heart is pushed to the right side of the chest?

Which of the following is described as abnormal elevation of an intact diaphragm into the chest cavity?

Why would bag and mask ventilation be contraindicated in resuscitation of a neonate with CDH?

All of the following anatomic alterations may be found in a patient with a congenital diaphragmatic hernia EXCEPT:

What additional procedures or treatments might be required for a patient with a CDH and significant pulmonary hypoplasia?

All of the following chest radiograph findings would be associated with a CDH EXCEPT:

Which of the following auscultation findings would be associated with a CDH? 1) Bilateral bruits 2) Apical heartbeat heard over the unaffected side 3) Absent breath sounds over the affected area 4) Bowel sounds over the affected area

When does respiratory distress normally develop in a newborn with a CDH?

A newborn infant shows respiratory distress upon delivery. He is observed to have a scaphoid abdomen. Auscultation reveals diminished breath sounds with heart sounds on the right side of the chest. What is the infant's most likely diagnosis?

Which of the following are major pathologic and structural changes associated with a CDH? 1) Reduced numbers of bronchial generations and alveoli 2) Complete lung collapse 3) Atelectasis 4) Mediastinal shift

What pulmonary change is associated with a Bochdalek hernia?

What initial ventilator setting(s) would be recommended for a newborn with a CDH? 1) PEEP of 2-3 cm H₂O 2) FIO₂ of 1.0 3) Peak inspiratory pressure of 18-20 cm H₂O 4) Respiratory rate of 40 breaths/min

An infant with a CDH also has pulmonary hypertension. Which of the following can be administered to relieve this problem?

What happens as an infant with a CDH creates an increased negative inspiratory pressure in order to breathe?

What effect would a substantial left-sided CDH have on pulmonary function test findings?

In the delivery room, which of the following are recommended to manage a newborn with a CDH? 1) Administer oxygen. 2) Begin bag and mask manual ventilation. 3) Intubate and ventilate the neonate. 4) Place the newborn in the Trendelenburg position.