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Aquifer Peds 2024/2025 Questions And Answers Latest |Update| Verified Answers
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Aquifer Peds Questions And Answers Latest |Update| Verified Answers
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Aquifer PedsWhat is your assessment of Tyler's feeding? Choose the single best
answer. - ANS>The feeding history suggests a problem with Tyler's
ability to feed adequately.
What would you tell the mother now, in answer to her question?
Choose the single best answer. - ANS>I am concerned that Tyler's
feedings do not seem to be going well. Can I ask you a few more
questions about Tyler to help us find out if there is a problem?
Based on the history, it sounds as if Tyler is having some real difficulties
with his feeds. Which of the following might be causing Tyler's difficulty
feeding, respiratory distress, and diaphoresis? Select all that apply. -
ANS>CHD/CHF, respiratory infection, sepsis, metabolic disorder
Which of his vital signs is abnormal? Choose the single best answer. -
ANS>RR
What do you hear in the audio of Tyler's heart sounds? Choose the
single best answer. - ANS>Holosystolic murmur
Based on what you know about the patient so far, write a one- to three-
sentence summary statement to communicate your understanding of
,the patient to other providers. - ANS>Tyler is a 6-week-old former term
infant who has recent onset of progressive dyspnea with feedings,
diaphoresis, and poor weight gain (having only gained 300 grams from
his birth weight). He is acyanotic with a normal temperature, but exam
reveals tachypnea, an active precordium, Grade III holosystolic murmur,
and hepatomegaly.
With your summary statement in mind, what etiologies now remain in
your differential diagnosis? - ANS>CHF
What is the most common cause of a murmur in childhood? Choose the
single best answer - ANS>Innocent murmur
What congenital heart defects are more likely to be detected in school-
age children than in neonates? Select all that apply. - ANS>ASD, bicuspid
aortic valve
Which of these sounds most like Tyler's murmur? Choose the single
best answer. - ANS>VSD
What other common congenital heart defects can present with signs of
congestive heart failure and a murmur? Select all that apply. -
ANS>Aortic stenosis, Coarctation of Aorta, PDA
,Which of these diagnostic tests should you order to help you assess
Tyler's clinical status? Select all that apply. - ANS>ECG, Echo, CXR
This is the chest x-ray you ordered on Tyler. What do you think this film
shows? Choose the single best answer. - ANS>Increased heart size,
increased pulmonary vascular markings
While Tyler was in the newborn nursery, his parents were told that the
initial exam was normal, with no murmur noted. They ask why the
murmur was not noted in the nursery. - ANS>There is elevated
pulmonary vascular resistance in a newborn
What medications might be effective at improving Tyler's symptoms of
heart failure? - ANS>Furosemide, digoxin, elanapril
A 5-week-old infant is brought to the pediatrician for failure to thrive
with a history of prolonged feeding time and tachypnea. What other
features does this infant most likely have? - ANS>Hyperdynamic
precordium with holosystolic murmur
You have accepted a part-time tutoring job for first-year medical
students. One of your students asks if you would please clarify the
details of normal fetal circulation. Which of the following best describes
the path oxygenated blood takes to reach the fetal brain? - ANS>RA >
foramen ovale > LA > LV > systemic circulation
, A 5-year-old boy is noted to have a grade II systolic murmur and a
widely split S2 murmur on cardiac exam. His vital signs are stable and he
has been asymptomatic. Which of the following statement is accurate
regarding this child's presentation and likely condition? - ANS>This
patient's murmur is caused by excessive flow through the pulmonary
outflow tract and should be evaluated
A 6-week-old infant presents to your office for a check-up. The baby was
born full-term by NSVD to a 29-year-old G1P0 mother with no
complications. Mother states the baby was feeding well until a week
ago, when he developed increased sleepiness, prolonged feeding, and
greater duration between feeds. His mother notes he stops to take
breaks during feeds because he seems to be trying to catch his breath.
He has four to six wet diapers per day and stools three or four times per
day. Vital signs: Temperature is 37.6 C (99.7F), respiratory rate is 68
breaths/minute, pulse is 138 beats/minute, blood pressure is 88/58
mmHg, and oxygen saturation is 98%. The physical examination is
notable for increased respiratory effort and retractions, and, upon
cardiac examination, a murmur with a hyperactive precordium and no
cyanosis. Abdominal exam reveals a liver edge palpable to 4 cm below
the right costal margin. Which condition wo - ANS>ASD
After reviewing the chart, what are some of the important details that
you already know about Sunita? - ANS>Chronic cough, Sunita's age, new
to the practice and presently on no meds, appropriate growth
parameters, normal vitals
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