NR 602 Mid-term Latest Update -

NR 602 Mid-term Latest Update - Exam from Credible Sources with 60 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor (coartication) of the aorta (COA) - CORRECT ANSWER: - Narrowing of a small or long segment of the aorta

- Risk: male, other L heart abnormalities

• Sx: Severe: may be apparent in first 6 weeks. might have no sx until 3-5 yo. Upper

extremity HTN, lower ext hypo., delayed timing or weak distal arterial pulses, bounding or bounding brachial radial & carotid pulse, CHF signs, Systolic murmur, gallop

- Dx: Echo will confirm, MRI defines location & severity.

- Tx: PGE1 used in sev. neonates, surgery (restenosis likely if done <1yo),

Acyanotic Defects - CORRECT ANSWER: - ASD, VSD,A/VSD/ PDA, PVS, coarctation

of the aorta, AS

Asthma - CORRECT ANSWER: - Step 1 (intermittent): sx <2x/week, normal PFts, nighttime sx <2/month, exacerbations brief, no interference with normal activity

• Step 2 (mild persistent): >2x/week but not more than 1 per day, 3-4 nighttime

sx/month, FEV >80%

• Step 3 (mod persistent): daily sx, daily SABA, some limitations, exacerbations affect

activity and may last days. FEV >60 but <80

• Step 4 (severe persistent): Continual sx, requires SABA several x's/day, extremely

limited physical activity, frequent exacerbations, nightly sx, FEV <60%

Asthma treatment steps - CORRECT ANSWER: - Step 1: SABA PRn

- Step 2: Low-dose ICS, OR LTRA, Cromolyn

- Step 3: Low-dose ICS + LABA OR Med- dose ICS

- Step 4: Med- dose ICS + LABA OR med-dose ICS + LTRA

• Step 5: High-dose ICS + LABA AND omalizumab for pts who have allergies 1 / 2

- Step 6: High-dose ICS + Laba + Oral steroid AND omalizumab for allergies

• consult asthma specialist after step 3-4( for sure at 4)

atrial septal defect - CORRECT ANSWER: - hole in atrial septum (5-10% OF CHD)

• Sx: easily fatigued, no murmur till 2-3yo, murmur at pulmonic area split S1 sometimes,

split S2,

- Tx: may close spontaneously, or need surgery, ASA x 6m post surgery

Blepharitis - CORRECT ANSWER: - acute or chronic bacterial (staph) inflammation of eyelash follicle or sebaceous gland of eyelid. bilateral usually -flaky, scaly debris over eyelid margin when awakening

• tx: warm compress, scrub with weak shampoo, sometimes bacitracin or erythromycin,

-no contacts during tx

• diff - CORRECT ANSWER: - unknown incubation, duration: after several weeks of

ATB

- Sx: explosive diarrhea, bloody stools, abd pain, fever, n/v

• acquired from the environment or oral-fecal route

-Test: stool culture, enzyme immunoassay for toxin a or a and B

• Tx: d/c ATB (esp. clinda, ampa, or cephalosporins), fluid & lyte replacement. ** If ATB

still needed, treat with oral Metronidadole or Vanco for 7-10 days, probiotic

Cafe au lait spots - CORRECT ANSWER: - First sign of Neurofibromatosis

-Tan to brown macules found anywhere on skin.

Celiac Disease - CORRECT ANSWER: - Gluten-sensitivity. Immune mediated systemic

disorder

• Frequently occurs with other autoimmune diseases (DM 1, liver disease, IgA

nephropathy, juvenile chronic arthritis) -Risk: immigration from another country, born by c-section, 6m-2years, female,

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