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44 Cards in this Set
- Front
- Back
prematurity is defined as
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infants born before completion of the normal gestational period
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what are the leading causes of death in the first twelve months of life?
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congenital anomalies, disorders relating to short gestation and low birth weight SIDS
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Grossly immature lungs or lungs from an infant are
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unexpanded, red and meaty
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What anatomic feature is present in immature kidneys
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incomplete formation of glomeruli
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transient physiologic jaudince in the neonate is the result of
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breakdown of fetal red cells and inadequacy of biliary excretory function of liver cells
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the five clinical signs used in Apgar scoring are
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Heart rate, respiratory effort, muscle tone, response to catheter in nostril, color
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birth injuries most commonly involve what parts of the body
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head, skeletal system, liver, adrenals, and peripheral nerves
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Caput succedaneum
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progressive accumulation of interstitial fluid in the soft tissues of the scalp giving rise to circular area of edema and congestion where the head begins to enter the lower uterine wall
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Cephalhematoma
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hemorrhage occurring in the scalp
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what is the most common important pathologic finding associated with birth head injuries?
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intracranial hemorrhage
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malformations known to be genetic in origin can be divided into what two groups?
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those associated with karyotypic aberrations, those arising from single gene mutation
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list four of the most common chromosomal syndromes in order of frequency
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Trisomy 21, Klinefelter syndrome, turner syndrome, Trisomy 13
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LIst three of the most common environmental influences that produce malformations in the fetus and infant
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Viral infections, drugs, irradiation
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the two most common viral infections of the newborn are
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Rubella Virus, and cytomegalovirus
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the major clinical triad seen in rubella syndrome is composed of
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cataracts, heart defects, and deafness
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the classic histologic finding associated with cytomegalic inclusion disease is
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markedly enlarged cells with large purple intranuclear inclusions surrounded by a clear halo and smaller basophilic cytoplasmic inclusions
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congential cytomegalic inclusion disease closely resembles what other childhood condition
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erythroblastosis fetalis
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respiratory distress syndrome in the newborn is also known as
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hyaline membrane diseaes
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the most common pathophysiologic defect in respiratory distress syndrome is
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deficency of pulmonary surfactant
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grossly lungs from a patient with respiratory distress syndrome are
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solid, airless and reddish purple and usually sink in water
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the disease seen as a result of prolonged oxygen toxicity in hyaline membrane disease is
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bronchopulmonary displasia
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erythroblastosis fetalis
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hemolytic disease of the newborn caused by blood group incompatibility btwn mother and child
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what pathological process occurs to allow the development of erythroblastosis fetalis
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immunization of the mother by blood group antigens on fetal red cells and the free passage of antibodies from the mother through the placenta to fetus
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what clincal treatment is used to prevent erythroblastosis fetalis
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Rhesus immune globulin (RhIg) containing anti-D antibodies
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what are the two consequences of excessive destruction of red blood cells in the neonate
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Anemia and jaundice
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the most serious problem in erythroblastosis fetalis is
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damage to the nervous system and is known as Kernicterus
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the most common histologic changes in erythroblastosis fetalis are
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identification of abnormally increased erythropoietic activity increased number of reticulocytes, normoblast and erythroblasts in circulating blood
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Cystic fibrosis
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mucoviscidosis-is a widespread disorder of epithelial transport affecting fluid secretion in exocrine glands and the epithelial lining of the respiratory, GI and repo tracts
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pathologic changes of pancreas in cystic fibrosis patients
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mild accumulations of mucous in the small ducts with some dilation of exocrine glands in advanced stage ducts are totally plugged
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pathologic changes of liver in cystic fibrosis patients
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bile cnaliculi are plugged by mucinous material biliary cirrhosis may develop
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pathologic changes in salivary glands of patients with cystic fibrosis
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progressive dilation of ducts, squamous metaplasia of the lining epithelium and glandular atrophy followed by fibrosis
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pathologic changes in lungs of patients with cystic fibrosis
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viscous mucus secretions of submucosal glands of respiratory tree with secondary obstruction and infection of air passages
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SIDS
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sudden infant death syndrome-the sudden death of an infant under 1yr which remains unexplained after a thorough case investigation
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what is the clincal presentation of SIDS
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infants die at home, usually during the night after a period of sleep 90% during 1st year of life
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list most common features of family profile in patients with SIDS
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young mother, unmarried, shot intergestational intervals low socioeconomic group smoking and drug abuse
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Choristoma (heterotopia)
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applied to microscopically normal cells or tissues that are present in abnormal locations
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Hamartoma
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excessive but focal overgrowth of cells and tissues native to the organ in which it occurs
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the most common tumor of infancy is
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Hemangioma
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name 8 of the most common malignant neoplasms seen in children under 5 yrs
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Leukemia, Retinoblastoma, neuroblastoma, Wilms tumor, hepatoblastoma, soft tissue sarcoma, teratoma, CNS tumors
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what is the most common tumor diagnosed in infants less than one year of age
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Neuroblastoma
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list 3 clinical syndromes associated with an increased incidence of the Wilms tumor
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WAGR syndrome, Denys-Drash syndrome, Beckwith-Wiedemann syndrome
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the development of vaginal adenosis and vaginal adenocarcinoma is associated with
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maternal Diethylstilbestrol (DES) exposure
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the most common form of lymphoma in African Children is
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Burkitts lymphoma
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Burkitts lymphoma is suspected to be caused by which virus
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Epstein Barr Virus
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