Nokea
Closure of ductus will worsen following conditions
- A. Coarctation of Aorta
- B. TGA without VSD
- C. Pulmonary Atresia
- D. Hypoplastic left heart
Correct Answer: C
Rationale: Closure of the ductus arteriosus worsens pulmonary atresia by cutting off pulmonary blood flow.
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Bronchoconstriction is a recognised side effect of:
- A. Captopril
- B. Salbutamol
- C. Ibuprofen
- D. Paracetamol
Correct Answer: B
Rationale: Salbutamol can cause bronchoconstriction in some cases due to its paradoxical effect, especially if overused or misused.
The following are characters of venous hum EXCEPT
- A. continuous murmur heard in infraclavicular region
- B. grades louder with mane compression
- C. l-lll/Vl in supine position
- D. with jugular vein changes in patient position
Correct Answer: B
Rationale: Venous hums are continuous murmurs that change with position and compression but do not grade louder with mane compression.
Features of severe haemophilia A include:
- A. Retroperitoneal bleed
- B. Chronic arthropathy
- C. Prolonged bleeding time
- D. Increased APTT
Correct Answer: D
Rationale: Increased activated partial thromboplastin time (APTT) is a characteristic feature of haemophilia A due to the deficiency of clotting factor VIII.
A 7-year-old child who has a history of a repaired congenital heart defect (CHD)has many dental caries along with gingival erythema and irritation and a temperature of 102.5°F. What will the primary care pediatric nurse practitioner do next?
- A. Admit to the hospital with a pediatric cardiology consult.
- B. Obtain blood cultures and a CBC and consult a pediatric cardiologist.
- C. Refer the child to a pediatric dental surgeon immediately.
- D. Start prophylactic antibiotics such as penicillin twice daily for 2 weeks.
Correct Answer: A
Rationale: Children who are suspected of having SBE should be admitted to the hospital and referred to pediatric cardiology.
Absent jugular venous pulsations are described in patients with
- A. Atrial paralysis
- B. Budd Chiari syndrome
- C. Endomyocardial fibrosis with giant right atrium
- D. Fontan procedure
Correct Answer: D
Rationale: Absent jugular venous pulsations are described in patients with the Fontan procedure due to the absence of a right atrial pump.