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CMN 568 Unit 3 questions with complete solutions.
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  • August 25, 2024
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CMN 568 Unit 4 questions with
complete solutions

When \does \malrotation \occur? \- \correct \Answers \✔✔ \-at \about \the \10th \week \of \gestation

What \is \a \malrotation? \- \correct \Answers \✔✔ \-a \congenital \abnormality \that \occurs \during \the \
embryonic \phase \of \development \when \the \midgut \retracts \into \the \abdominal \cavity. \The \
midgut \rotates \counterclockwise

When \do \infants \typically \become \symptomatic \with \a \malrotation? \- \correct \Answers \✔✔ \-at \3 \
weeks \of \life

What \is \the \classic \sign \of \a \malrotation? \- \correct \Answers \✔✔ \-bilious \vomitting

How \is \a \malrotation \diagnosed? \- \correct \Answers \✔✔ \-upper \GI \study

What \are \some \radiologic \findings \that \are \indicative \of \a \malrotation? \- \correct \Answers \✔✔ \-
corkscrew \appearance \with \barium \swallow; \Signs \of \obstruction \(air-fluid \levels) \may \be \
present, \along \with \an \abnormal \gas \pattern \at \the \stomach \and \duodenum.

What \is \pyloric \stenosis? \- \correct \Answers \✔✔ \-results \from \hypertrophy \of \the \pyloric \
sphincter \(muscle \in \the \distal \stomach), \which \leads \to \poor \gastric \emptying \into \the \
duodenum.

When \does \pyloric \stenosis \usually \present? \- \correct \Answers \✔✔ \-At \2-4 \weeks \of \age

What \are \the \symptoms \of \pyloric \stenosis? \- \correct \Answers \✔✔ \-vomiting \that \becomes \
projectile; \typically \occurs \immediately \after \feeding, \is \nonbilious, \and \the \infant \is \hungry \after \
vomiting. \The \parents \may \also \report \constipation, \excessive \crying \and \weight \loss, \or \failure \
to \gain \weight

What \can \delay \symptoms \of \pyloric \stenosis? \- \correct \Answers \✔✔ \-breastfeeding

What \is \pyloric \stenosis \usually \mistaken \for? \- \correct \Answers \✔✔ \-reflux \or \formula \
intolerance

What \is \the \hallmark \finding \of \pyloric \stenosis? \- \correct \Answers \✔✔ \-an \olive-shaped \mass \
in \RUQ

, What \are \typical \lab \and \radiologic \findings \of \a \baby \with \pyloric \stenosis? \- \correct \Answers \
✔✔ \-hypochloremia, \metabolic \alkalosis, \Hypokalemia. \KUB \imaging \reveals \a \dilated \gastric \
silhouette. \An \ultrasound \typically \reveals \a \thickened \and \elongated \pylorus, \measuring \greater \
than \4 \mm.

What \is \intussusception? \- \correct \Answers \✔✔ \-involves \the \invagination \of \a \section \of \the \
intestine \into \itself. \The \most \frequent \site \is \at \the \terminal \ileum.

What \is \often \a \predisposing \factor \of \intussusception? \- \correct \Answers \✔✔ \-A \recent \viral \
illness, \mesenteric \lymphadenitis, \Henoch-Schonlein \purpura, \and \cystic \fibrosis

What \is \the \typical \age \of \onset \of \idiopathic \intussusception? \- \correct \Answers \✔✔ \-6 \to \18 \
months, \with \an \average \age \of \7 \to \8 \months

If \intussusception \occurs \beyond \36 \mths, \it \is \typically \due \to \a \physical \abnormality \such \
as? \- \correct \Answers \✔✔ \-meckel's \diverticulum \or \polyps

Is \intussusception \more \common \in \girls \or \boys? \- \correct \Answers \✔✔ \-boys

What \is \the \classic \presentation \of \intussusception? \- \correct \Answers \✔✔ \-colicky \abdominal \
pain, \recent \viral \illness \with \some \vomiting \and \perhaps \diarrhea. \The \child \begins \to \have \
episodes \of \colicky \abdominal \pain, \draws \up \the \knees \or \stiffens \the \legs \for \a \brief \period, \
and \then \becomes \quiet \for \several \minutes. \The \series \of \events \recurs, \typically \every \15 \to \
20 \minutes, \and \continues \for \several \hours. \The \child \may \have \blood \in \his \or \her \stools, \
prompting \the \"currant \jelly" \descriptor

What \is \typically \present \on \palpation \with \intussusception? \- \correct \Answers \✔✔ \-A \sausage \
shaped \mass \typically \in \the \right \lower \quad

What \interventions \should \be \considered \when \intussusception \is \suspected? \- \correct \Answers \
✔✔ \-consult \a \pediatric \surgeon. \Initiate \intravenous \hydration \and \order \an \air-contrast \
enema. \Consider \an \abdominal \ultrasound \as \well

What \will \often \diagnose \and \cure \intussusception? \- \correct \Answers \✔✔ \-an \air \contrast \
enema

What \are \contraindication \s \to \an \air \contrast \enema? \- \correct \Answers \✔✔ \-perforation, \shock,
\and \peritonitits


What \is \usually \classic \hx \of \appendicitis? \- \correct \Answers \✔✔ \-abd \pain \that \starts \in \the \
periumbilical \area \and \migrates \to \the \right \lower \quadrant, \along \with \low-grade \fever, \a \small \
amount \of \emesis, \and \anorexia

What \exacerbates \the \pain \associated \with \appendicitis? \- \correct \Answers \✔✔ \-movement \and \
the \child \frequently \walks \stooped \over

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