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PNCB Prep: Respiratory – Questions With A+ Solutions
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PNCB Prep: Respiratory – Questions With A+ Solutions
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PNCB Prep: Respiratory – Questions With A+ SolutionsIn providing education and anticipatory guidance to parents about infant care
and illness prevention, it is MOST important for the PCP to stress: Right
Ans - Keeping the infant away from cigarette smoke. - Exposure to cigarette
smoke bas been associated with increased incidence of illnesses including
asthma, bronchiolitis, and otitis media
In the management of a child with bronchiolitis, early use of which
intervention is the most beneficial? Right Ans - Fluids and nutritional
support
Which cells present in the alveoli produce surfactant? Right Ans - Type II
cells
When taking a neonatal history, the PCP should keep in mind that the greatest
risk factor for chronic lung disease is.... Right Ans - Prematurity
It is normal for infants to have an A:P chest diameter of.... Right Ans - 1:1
- It is normal for infants to have a barrel-shaped chest
At what age can you reliably use a peak flow meter in patients with asthma?
Right Ans - School-age
What lung sounds are a hallmark finding of Asthma? Right Ans - Wheezing
Percussion of lung fields during PE is useful in determining: Right Ans - -
Areas of consolidation (air-filled, fluid-filled or solid structures underlying the
chest wall)
Hyperresonance on percussion is evidence of: Right Ans - Air-filled
consolidation
What is the most common virus that causes Croup? Right Ans -
Parainfluenza virus
What is the treatment of choice for an infant with RSV bronchiolitis? Right
Ans - Fluids and nutritional support and close monitoring
, What is the most common agent for nonviral pneumonia from school age to
young adulthood? Right Ans - Mycoplasma pneumoniae
The most common clinical features of pneumonia include: Right Ans -
Cough, fever, tachypnea and abdominal pain
The classic radiographic finding in croup is: Right Ans - "Steeple sign"
Unilateral wheezing is a finding suggestive of: Right Ans - Foreign body
aspiration
What is the appropriate management of a child with asthma who presents
with acute wheezing and/or coughing? Right Ans - Administer a short-
acting beta agonist
What is the most common trigger for an acute asthma episode in a very young
child? Right Ans - Viral respiratory infections
Appropriate daily medication for a child with mild persistent asthma should
include: Right Ans - An inhaled low-dose corticosteroid
What is the most typical chest radiographic finding consistent with the
diagnosis of asthma? Right Ans - Hyperinflation - due to air trapping
What are the most significant major contributor(s) to asthma morbidity and
mortality? Right Ans - - Underdiagnosis of Asthma
- Inappropriate treatment of Asthma
What is the primary treatment for bronchopulmonary dysplasia? Right Ans
- Adequate oxygenation
What is the greatest risk factor in the development of bronchopulmonary
dysplasia? Right Ans - Birth weight
Common presenting symptoms of an apparent life-threatening event (ALTE)
include: Right Ans - - Change in muscle tone
- Change in skin color/pallor
- Apnea
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