Question 1

In left ventricular outflow obstructions, systemic blood flow depends on patency of the ductus arteriosus.

Accepted Answer

A) True 
 B)False

Question 2

Which of the following factors may stimulate pulmonary vascular spasm and cause persistent pulmonary hypertension in the newborn?
I.hypoxemia
II.hypoglycemia
III.hypotension
IV.pain

Accepted Answer

A) I only 
B) I and II 
C) I, II, III, and IV 
D) IV only 
A) I only 
B) I and II 
C) I, II, III, and IV 
D) IV only

Question 3

How soon after birth does the ductus typically close?

Accepted Answer

A) 1 to 2 days 
B) 3 to 4 days 
C) 5 to 7 days 
D) 10 days 
A) 1 to 2 days 
B) 3 to 4 days 
C) 5 to 7 days 
D) 10 days

Question 4

Most infants with transient tachypnea are born premature.

Accepted Answer

A) True 
 B)False

Question 5

Sudden infant death syndrome (SIDS) is the most common cause of death in infants under the age of 1 year.

Accepted Answer

A) True 
 B)False

Question 6

Clinical findings associated with congenital diaphragmatic hernia include all the following except:

Accepted Answer

A) severe cyanosis 
B) decreased breath sounds 
C) displaced heart sounds 
D) hepatomegaly 
A) severe cyanosis 
B) decreased breath sounds 
C) displaced heart sounds 
D) hepatomegaly

Question 7

What radiographic finding is common in infants with transient tachypnea?

Accepted Answer

A) low lung volumes 
B) bilateral perihilar lymphadenopathy 
C) hyperinflation 
D) mucus plugging 
A) low lung volumes 
B) bilateral perihilar lymphadenopathy 
C) hyperinflation 
D) mucus plugging

Question 8

Which of the following defects is not associated with tetralogy of Fallot?

Accepted Answer

A) ventricular septal defect 
B) right ventricular hypoplasia 
C) pulmonary stenosis 
D) dextroposition of the aorta 
A) ventricular septal defect 
B) right ventricular hypoplasia 
C) pulmonary stenosis 
D) dextroposition of the aorta

Question 9

Which of the following should be done early in the treatment of the non-vigorous infant with meconium aspiration syndrome?

Accepted Answer

A) suctioning 
B) mask CPAP 
C) antibiotics 
D) vasopressors 
A) suctioning 
B) mask CPAP 
C) antibiotics 
D) vasopressors

Question 10

Which of the following is not associated with apnea episodes in premature infants?

Accepted Answer

A) Apnea lasts longer than 15 seconds. 
B) Apnea is associated with cyanosis. 
C) Apnea is associated with bradycardia. 
D) Apnea lasts longer than 1 minute. 
A) Apnea lasts longer than 15 seconds. 
B) Apnea is associated with cyanosis. 
C) Apnea is associated with bradycardia. 
D) Apnea lasts longer than 1 minute.

Question 11

Which of the following blood gas alteration is usually seen in meconium aspiration syndrome?

Accepted Answer

A) hypoxemia and respiratory acidosis 
B) hypoxemia and mixed respiratory and metabolic alkalosis 
C) hypoxemia and normal acid-base balance 
D) hypoxemia and mixed respiratory and metabolic acidosis 
A) hypoxemia and respiratory acidosis 
B) hypoxemia and mixed respiratory and metabolic alkalosis 
C) hypoxemia and normal acid-base balance 
D) hypoxemia and mixed respiratory and metabolic acidosis

Question 12

What are the major factors in the pathophysiology of RDS?
I.qualitative surfactant deficiency
II.increased alveolar surface area
III.increased small airways compliance
IV.presence of the ductus arteriosus

Accepted Answer

A) I and II 
B) I and III 
C) I, III, and IV 
D) I, II, III, and IV 
A) I and II 
B) I and III 
C) I, III, and IV 
D) I, II, III, and IV

Question 13

Which of the following maternal characteristics is NOT associated with an increased frequency of SIDS?

Accepted Answer

A) younger than 20 years 
B) low socioeconomic status 
C) cigarette smoking 
D) history of asthma 
A) younger than 20 years 
B) low socioeconomic status 
C) cigarette smoking 
D) history of asthma

Question 14

Which of the following diagnostic tools serves to confirm the diagnosis of CDH?

Accepted Answer

A) sweat test 
B) fluoroscopy 
C) chest radiography 
D) ultrasound 
A) sweat test 
B) fluoroscopy 
C) chest radiography 
D) ultrasound

Question 15

What therapy has been shown to reduce the incidence of bronchiectatic exacerbations in the patient with cystic fibrosis?

Accepted Answer

A) autogenic lung drainage 
B) inhaled tobramycin 
C) chest physical therapy 
D) bronchodilator therapy 
A) autogenic lung drainage 
B) inhaled tobramycin 
C) chest physical therapy 
D) bronchodilator therapy

Question 16

Which statements about TTN are true?
I .TTN and neonatal pneumonia have similar clinical signs.
II.The need for mechanical ventilation in TTN is rare.
III.A small number of infants with TTN eventually have persistent pulmonary hypertension.
IV.Intravenous administration of antibiotics should be considered.

Accepted Answer

A) I and II 
B) I and III 
C) I, II, and III 
D) I, II, III, and IV 
A) I and II 
B) I and III 
C) I, II, and III 
D) I, II, III, and IV

Question 17

Which of the following therapies has little effect on long-term outcome such as mortality and duration of oxygen therapy in infants with BPD?

Accepted Answer

A) diuretics 
B) steroids 
C) antibiotics 
D) bronchodilators 
A) diuretics 
B) steroids 
C) antibiotics 
D) bronchodilators

Question 18

The current standard of care is delivery surfactant replacement to all infants with RDS.

Accepted Answer

A) True 
 B)False

Question 19

Which of the following clinical findings is NOT usually seen in meconium aspiration syndrome?

Accepted Answer

A) tachypnea and grunting 
B) irregular pulmonary densities on the chest film 
C) metabolic acidosis 
D) respiratory alkalosis 
A) tachypnea and grunting 
B) irregular pulmonary densities on the chest film 
C) metabolic acidosis 
D) respiratory alkalosis

Question 20

Mothers of infants with transient tachypnea tend to have longer labor intervals and a higher incidence of failure to progress in labor.

Accepted Answer

A) True 
 B)False

Exam 31: Neonatal and Pediatric Respiratory Disorders

In left ventricular outflow obstructions, systemic blood flow depends on patency of the ductus arteriosus.

Which of the following factors may stimulate pulmonary vascular spasm and cause persistent pulmonary hypertension in the newborn? I.hypoxemia II.hypoglycemia III.hypotension IV.pain

How soon after birth does the ductus typically close?

Most infants with transient tachypnea are born premature.

Sudden infant death syndrome (SIDS) is the most common cause of death in infants under the age of 1 year.

Clinical findings associated with congenital diaphragmatic hernia include all the following except:

What radiographic finding is common in infants with transient tachypnea?

Which of the following defects is not associated with tetralogy of Fallot?

Which of the following should be done early in the treatment of the non-vigorous infant with meconium aspiration syndrome?

Which of the following is not associated with apnea episodes in premature infants?

Which of the following blood gas alteration is usually seen in meconium aspiration syndrome?

What are the major factors in the pathophysiology of RDS? I.qualitative surfactant deficiency II.increased alveolar surface area III.increased small airways compliance IV.presence of the ductus arteriosus

Which of the following maternal characteristics is NOT associated with an increased frequency of SIDS?

Which of the following diagnostic tools serves to confirm the diagnosis of CDH?

What therapy has been shown to reduce the incidence of bronchiectatic exacerbations in the patient with cystic fibrosis?

Which of the following therapies has little effect on long-term outcome such as mortality and duration of oxygen therapy in infants with BPD?

The current standard of care is delivery surfactant replacement to all infants with RDS.

Which of the following clinical findings is NOT usually seen in meconium aspiration syndrome?

Mothers of infants with transient tachypnea tend to have longer labor intervals and a higher incidence of failure to progress in labor.

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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