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Neo Practice Generated AI questions
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random questions generated through AI for practice purposes only
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Read Below
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READ Picture
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What is Laryngotracheobronchitis also known as?
Stridor
TTN
PPHN
Croup
4
Read Below
1, 2, 4
1, 4
2, 3
2, 3, 4
5
A common finding in a neonate with MAS is a respiratory rate that is:
cyclical with faster and then slower breaths.
well over 60/min.
between 40 and 60/min.
under 40/min.
6
Acute, potentially life-threatening upper airway bacterial infection
Epiglottery
Epiglottis
Epiglottitis
Epiglottities
7
Central cyanosis is a sign of severe hypoxemia, true or false:
False
True
8
What is the consequence of meconium aspiration if there is a “ball-valve” effect in the small airways
Bronchiectasis
Air trapping on exhalation
Air trapping on inhalation
Apnea of prematurity
9
How may a fetus respond when he/she becomes hypoxemic?
The fetus stops making breathing efforts
The fetus makes very deep, gasping inspiratory movements.
The fetus makes rapid, shallow chest movements.
The fetus shows Kussmaul respirations
10
Atelectrauma, Volutrauma and oxygen toxicity are all initiating factors in which pathophysiology;
MAS
TTN
BPD
RDS
11
What is the most common airway obstruction in infants 6 months to 6 years?
Crop
Crup
Croup
Coup
12
Dornase alfa, Tobramycin and Cayston are all used in the treatment of.
Pleural effusion
People with CHF
Pulmonary fibrosis
Cystic Fibrosis
13
Which are caused by a viral infection?
HPV
Croup
Measles
Influenza
14
Read Below
Croup
Croup
Croup
Croup
15
Which disease is associated with the “thumb sign” on a lateral neck radiograph?
Epiglotititis
Epiglottitis
Epiglowttitis
Epiglottitties
16
Which disease is associated with the movement of chloride ions?
Fibrosis of the liver
Cystic kyphosis
Cystic fibrosis
Cystic triphosis
17
Read below
1, 2, 4
2, 3, 4
1, 3
1, 2, 3
18
How soon will TTN begin to resolve after birth?
4 to 6 hours after birth
72 to 96 hours after birth
48 to 72 hours after birth
12 to 24 hours after birth
19
A patient has meconium aspiration syndrome (MAS) and a chemical pneumonitis as a result. What effects can this have?
3. Edema of bronchial mucosa 4. Excessive bronchial secretions
1. Increased surfactant production 2. Increased bacterial growth
2. Increased bacterial growth 3. Edema of bronchial mucosa
. Excessive bronchial secretions
20
At what gestational age is TTN most common?
28 to 30 weeks’ gestational age
38 to 40 weeks’ gestational age
26 to 28 weeks’ gestational age
34 to 36 weeks’ gestational age
21
Read Below
8
5
6
2
22
In reviewing the chart of a neonate who has developed TTN, what is a likely finding related to the Apgar score?
Both scores are bad.
The 1- and 5-minute scores are good.
The 1-minute score is good and 5-minute score is bad.
The 1-minute score is bad and 5-minute score is good.
23
Congenital heart diseases are divided into what two classes?
Cyanotic, Acklotic
Cinamon, Acylote
Cinanotic, Ainanotic
Cyanotic, Acyanotic
24
airway disease is associated underdeveloped cartilage in the trachea which causes the walls of the trachea to be floppy.
Trachkeomalacia
Tracheomalasha
Tracheomalacia
Tracheomalancia
25
The causes of TTN include:
- mother’s diagnosis of cystic fibrosis. -mother’s hypoxemia.
-mother’s diagnosis of cystic fibrosis-infants hypoxemia-mother’s hypoxemia
- infants hypoxemia.- mother’s hypoxemia.- infant’s inadequate insp effort
- infant’s hypoxemia. - infant’s inadequate inspiratory effort
26
Which disease is associated with the “thumb sign” on a lateral neck radiograph?
Epiglotic
Epiglottitties
Epiglottitis
Epiglowttitis
27
Persistent Pulmonary Hypertension of the Newborn can be treated with caffeine.
TRUE
NONE OF THE ABOVE
FALSE
MAYBE
28
It is highly suspected that a newborn has aspirated meconium. What actions should be immediately undertaken?
2. PRN suctioning of the airways 3. Gentle oral suctioning
4. Elective intubation for the clearance of meconium stained fluid
3. Gentle oral suctioning
1. Instill exogenous surfactant 2. PRN suctioning of the airways
29
This airway disease is also known as type II RDS
Meconium aspiration syndrome (MAS)
Respiratory distress syndrome (RDS)
Bronchopulmonary dysplasia (BPD)
Transient tachypnea of the newborn (TTN)
30
Hyaline membrane disease is also known as:
Respiratory Distress Syndrome
Transient Tachypnea of the newborn
Meconium Aspiration Syndrome
Bronchopulmonary dysplasia
31
A neonate with MAS has hypoxemia. Which of the following can be a pulmonary effect of this?
Persistent pulmonary hypertension of the newborn (PPHN)
Pulmonary fibrosis
Status asthmaticus
Bronchopulmonary dysplasia (BPD)
32
CPAP pressures should be started at what levels:
5-7 cmH2O
4 cmH2O
10 cmH2O
2-3 cmH2O
33
The major pathologic and structural changes associated with TTN include:
- air trapping. - pleural effusion. - atelectasis.
- decreased removal of fluid by pulmonary lymphatics. - air trapping.
- pleural effusion. - atelectasis.
- decreased removal of fluid by pulmonary lymphatics.- air trapping.
34
Regurgitation of stomach contents into the esophagus is considered what type of respiratory disorder?
Gastroesophageal reflux disease
Gastroesophageal reflux Syndrome
GERS
Gord
35
About how many neonatal patients with MAS will require mechanical ventilation or CPAP?
50% to 70%
10% to 15%
Less than 10%
30% to 50%
36
Initially, TTN will have a clinical presentation similar to:
the early stage of respiratory distress syndrome (RDS).
the late stage of respiratory distress syndrome (RDS).
meconium aspiration syndrome (MAS).
bronchial pneumonia
37
read below
1, 2, 3
2, 3
1, 3, 4
2, 4
38
Ventricular septal defect, overriding aorta, pulmonary stenosis and right ventricular hypertrophy are all examples of.
Tetralogy of croup
Tetralogy of 4 signs
Tetralogy
Tetralogy of Fallot
39
What are the radio findings anticipated on a cxr taken 2 hours after delivery in a newborn suspected of having TTN?
Flattened diaphragms
Bulging intercostal spaces
Hyperlucency
Normal lung fields
40
Refusing to eat, recurrent vomiting and persistent cough may be a sign of?
GURD
HERD
GERD
GORD
41
Read below
1, 4
2, 3
1, 2, 3
2, 3 ,4
42
Indications that a newborn has aspirated meconium include:
4. meconium staining on skin.
1. a high Apgar score. 2. meconium in amniotic fluid.
2. meconium in amniotic fluid. 3. newborn is not actively breathing.
2. meconium in amniotic fluid. 3. newborn is not actively breathing
43
95% of infants with inhaled meconium clear their lungs spontaneously.
TRUE
FALSE
MAYBE
ALL OF THE ABOVE EXCEPT FOR FALSE AND MAYBE
44
What risks are there in positive-pressure ventilation before all meconium has been removed from the airways?
4.Triggering an asthma attack 1. Forcing meconium into the lower airways
1. Forcing meconium into the lower airways 2. Pneumothorax
2. Pneumothorax 4. Triggering an asthma attack
3. Triggering persistent pulmonary hypertension of the neonate (PPHN)
45
A condition in which the larynx contains web-like tissue that limits the volume of air flowing in and out of the trachea
Laryngeal webber
Laryngeal web
Laryngeally web
Laryngeal webin
46
Read Below
Epiglottitis
All of the above
Croup
Cystic fibrosis
47
Which of the following breathing patterns are associated with TTN?
2. Rapid rate4. Shallow tidal volume
1. Normal rate3. Higher than normal tidal volume
1. Normal rate4. Shallow tidal volume
2. Rapid rate3. Higher than normal tidal volume
48
Bronchodilators are used to
Decrease RAW
To treat RAW
Increase RAW
To stop RAW
49
Read below
MAS
RDS
BPD
TTN
50
Signs of RDS include
Retractions
Tachypnea
Paradoxical breathing
Grunting
51
Risk factors for the development of MAS include:
3. a mother who is toxemic. 4. being the first twin born.
being post term, a mother who is hypertensive., a mother who is toxemic.
3. a mother who is toxemic. 4. being the first twin born.
1. being postterm. 2. a mother who is hypertensive.
52
Infants who are older than 42 weeks’ gestation are at greater risk for MAS because they have
2. strong peristalsis. 4. sphincter tone.
2. strong peristalsis. 3. amniotic fluid in their stomach
3. amniotic fluid in their stomach. 4. sphincter tone.
1. a full bowel. 2. strong peristalsis.
53
Weak muscle tone, club foot, breathing problems, delayed development are all examples of.
Cystic fibrosis
Croup
Myotonic dystrophy
RDS
54
Which is caused by a viral infection?
croup
corope
coup
croupe
55
Read below
1,3,4
2,3
1, 4
3,4
56
Risk factors for the development of TTN include:
1. maternal diabetes.3. maternal bleeding.
2. male gender.4. breech delivery.
1. maternal diabetes.2. male gender.3. maternal bleeding.
1. maternal diabetes.3. maternal bleeding.4. breech delivery.
57
On a chest radiograph, starbursts are indicative of:
pulmonary vascular congestion.
carinal carcinoma.
bacterial pneumonia.
foreign body aspiration.
58
Read Below
Congenital diaphragmatic bunionectomy
Congenital diaphragmatic ulcer
Congenital diaphragmatic hemidiaphragm
Congenital diaphragmatic hernia
59
Read Below
Do not suction this patient tomorrow
Do not suction this patient
Do not suction oropharyngeal
Do not suction the nasopharyngeal
60
Initially, a mild case of TTN manifests itself clinically as a(n) _____ disorder.
obstructive pulmonary
initially obstructive and then a progressively restrictive
equally restrictive and obstructive
restrictive pulmonary
61
Which of the following is not typically performed in the general management of a patient with TTN?
Administration of diuretics
Proper stabilization
Ruling out other serious conditions
Oxygen therapy administration
62
SIDS patients should be placed on their stomach for first 6 mons.
ALL OF THE ABOVE
TRUE
FALSE
MAYBE
63
Curosurf, Infasurf, Survanta and Surfaxin are all used in the treatment of?
TTN
BPD
RDS
MAS
64
Read Below
RDS
MAS
BPD
TTN
65
Which of the following radiologic findings would not be expected in a 12-hour-old neonate with TTN?
Air bronchograms
Prominent perihilar streaking
Elevated diaphragms
Fluid in the interlobular fissures
66
A viral infection of upper airways resulting in swelling below the glottis/obstruction
Crop
Croup
Crouop
Croupe
67
Chloride sweat test is used to identify what clinical manifestation?
cystic florest
cycstic bychoses
cicis fatpizzas
cystic fibrosis
68
Considered a disease of prematurity and associated with a lack of surfactant;
Transient tachypnea of the newborn (TTN)
Respiratory distress syndrome (RDS)
Meconium aspiration syndrome (MAS)
Bronchopulmonary dysplasia (BPD)
69
You are presented with a patient that has stridor at rest, cyanosis on room air and has harsh breath sounds
Your interpretation would be pneumomediastinum
Your interpretation would be PPHN
Your interpretation would be Croup
Your interpretation would be pneumothorax
70
Which of the following oxygenation indices would be elevated in TTN?
Mixed venous oxygen saturation
Arterial-venous oxygen content difference
Pulmonary shunt fraction
Oxygen consumption
71
CPAP/PEEP in treatment of RDS causes the patients FRC to do what?
Decrease's FRC
Nothing at all
Increase’s FRC
Increase’s FRC and Decreases VC
72
A patient with MAS has had a chest radiograph taken. What findings can be expected?
Elevated diaphragms
Mediastinal shift
Air bronchograms
Irregular densities throughout the lungs
73
Surfactant is produced by:
Type I pneumocyte
Type III pneumocyte
Type A pneumocyte
Type II pneumocyte
74
READ BELOW
Apnea of Prematurity (AOP)
Apnea of Term (AOT)
Apnea of Fetus (AOF)
Apnea of Infant (AOI)
75
What disease is associated with the steeple sign X-ray?
Croup
PPHN
Gerd
RDS
76
An abdominal wall defect that involves the insertion of the umbilical cord is called:
omniolphates
Omphalocele
Ompalompacell
omphlalaocele
77
This airway diseases are associated with congenital softening of the tissues of the larynx above the vocal cords.
Laryangomelacia
Laryngomalancias
Laryngolomalacia
Laryngomalacia
78
Surfactant production depends on:
Presence of ductus arterioles
decreasing gestational age
Adequate fetal perfusion
Lung Maturity
79
Hyaline membrane disease is also known as?
RDS
MAS
BPD
TTN
80
Pediatric respiratory disorders typically result from airway obstructions caused by viral or bacterial infections?
True
False
Maybe it's true
Maybe it's false
81
What respiratory rate would be expected during the physical examination of a patient with TTN?
60 to 100 breaths/min
20 to 40 breaths/min
40 to 60 breaths/min
Less than 20 breaths/min
82
If mechanical ventilation is needed to support a neonate with MAS, which of the following is especially important?
High positive end-expiratory pressure (PEEP) level.
Give no more than 50% oxygen.
Long exhalation time.
High humidity level.
83
Surfactant does what to surface tension?
Increase surface tension and RAW
Decrease surface tension
Increase surface tension
Decrease surface tension and RAW
