NU 645 Module 3 Exam Questions and Answers All Correct
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Course
NU 645
Institution
NU 645
NU 645 Module 3 Exam Questions and Answers All Correct
What type of disorder is CF? - Answer- Autosomal recessive disorder caused by mutation of CF transmembrane conductance regulator
What does CF cause? - Answer- Excessive loss of sodium through sweat. this results in alteration of the mucus ...
NU 645 Module 3 Exam Questions
and Answers All Correct
What type of disorder is CF? - Answer- Autosomal recessive disorder caused by
mutation of CF transmembrane conductance regulator
What does CF cause? - Answer- Excessive loss of sodium through sweat. this results in
alteration of the mucus secreted in the lungs, pancreas, sweat glands, and digestive
tract. (thick mucus).
CF is the most common inherited disorder among who? - Answer- Caucasians.
CM of CF - Answer- Thick mucus/inflammation, diminished breath sounds, digital
clubbing, pancreatic disease (unable to digest fat), rectal prolapse, hepatobiliary
disease, pansinusitis/polyps, infertility in males, decreased fertility in females
How to dx CF? - Answer- Sweat chloride test is gold standard.
Management of CF - Answer- Comprehensive multidisciplinary therapy. Smoke free
environment. Percussion for postural drainage <2yrs old. PEEP and high-frequency
chest wall oscilation vest for older children. Children >6 get inhaled daily recombinant
human Dnase and BID 7% hypertonic saline in broncodilator tx. PFTs. Exercise.
Infection prevention (flu vax, cultures Q3mo). Pancreatic enzyme replacement
(nongeneric). Lung transplant.
Life expectancy of patients with CF? - Answer- 30-40yrs.
Another term for Wilm's tumor? - Answer- Nephroblastom
when is the wilms tumor usually detected - Answer- 2-5 years but can occur up to 15yrs
old.
What is the most common renal malignancy in children? - Answer- Nephroblastoma
(Wilms).
The highest incidence of nephroblastoma is in? - Answer- AA and lower in Asian
children.
What type of tumor is Wilm's tumor? - Answer- Embryonal malignancy.
What is the most common asymptomatic upper abdominal mass? - Answer- Wilms
tumor.
, CM of Wilms tumor? - Answer- Asymptomatic abdominal mass, abdominal pain,
hematuria, fever, HTN, anemia.
CT and MRI will show what with Wilms tumor? - Answer- Encapsulated without
calcifications
Tests to consider with Wilms tumor? - Answer- CBC, CMP, UA, CT/MRI, U/S, CT, CXR
Tx of Wilms tumor (nephroblastoma) - Answer- Complete excision and chemo
Down's Syndrome (Trisomy 21) - Answer- A genetic disorder where an individual has 3
versions of chromosome 21 rather than the normal 2. Incidence higher in mothers
>35yo.
CM of Down's Syndrome - Answer- Hypotonia, wide gap between first and second toe,
simian crease, epitanthal folds and upward slanting palpebral fissures, craniofacial
abnormalities (bradycephaly), flat nasal bridge, speckled white spots on iris (Brushfield
spots)
When should a child stop walking on their toes? - Answer- By age 2.
Term for turning in of the front part of the foot? - Answer- Metatarsus adductus.
When does intoeing (pigeon toes) usually resolve? - Answer- Will usually resolve by a
child's first birthday.
When a child is intoeing during their second year, it is likely due to what? - Answer-
Inward twisting of the shinbone (internal tibial torsion).
What a child between ages 3 and 10 has intoeing, it is likely due to what? - Answer- An
inward turning of the femur (medial femoral torsion).
Treatment in infancy for intoeing? - Answer- If mild and <6mo of age, no tx. If severe,
casting may be useful.
If intoeing persists after 6mo. of age and is difficult to straighten out, then? - Answer-
Refer to orthopedist.
Treatments of intoeing to avoid? - Answer- Night/day braces, corrective shoes, twister
cables, exercises, shoe inserts, or back manipulations.
If intoeing remains by the age of 9-10 years, then? - Answer- Surgery may be required
to correct this.
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