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2024 ENPC 5TH EDITION EXAM WITH CORRECT ANSWERS
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2024 ENPC 5TH EDITION EXAM WITH CORRECT ANSWERS
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2024 ENPC 5TH EDITION EXAMWITH CORRECT ANSWERS
Neonate characteristics: - CORRECT-ANSWERSBirth to 4 weeks
If preterm neonate until original due date plus 28 days
Loses 5-10% weight by 3-4th day of life
Flexion normal posture
Limited glycogen store
Nose breathers
Infant characteristics: - CORRECT-ANSWERSNose breather until 6months
And muscle to breathe
Metabolic rate 2x adult (increased need for oxygen and glucose)
Laryngotracheobronchitis (Croup) - CORRECT-ANSWERSviral illness that
account 90% peds stridor
inflammation, exudates and edema of larynx l/d narrowing of upper airway
tx with dexamethasone and racemic epi (nebulized epinephrine)
tx with antipyretics for fever
Pertussis (whooping cough) - CORRECT-ANSWERSacute bacterial infection of
the respiratory tract that is highly contagious
characterized by spasmodic, hacking cough followed by whooping noise
upon breath intake
tx with erythromycin, azithromycin, clarithromycin or trimethoprim-
sulfamethoxazole
cystic fibrosis (CF) - CORRECT-ANSWERSgenetic condition r/t exocrine
dysfunction
result in thick mucous production
persistent productive cough, hyperinflated lungs, diminished pulmonary
function and increased susceptibility to ch. bacterial resp infections
tx with abx, steroids for asthma-like s/s, brochodilator followed by nebulized
hypertonic saline and dornase alfa
Pneumothorax - CORRECT-ANSWERSsimple - when air enters pleural space
(monitor)
large - s/s hypotension, distended neck veins, pale and diaphoretic skin,
decreased or absence BS on affected side, hyper-resonance to percussion
(Chest tube)
spontaneous - no known trauma or injury (most cases is ruptured bleb)
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