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53 Cards in this Set

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The skin incision for a correction of syndactyly is:
X-Z shape

Z-C shape


C-X shape


Z or Modified Z

Z or Modified Z
Dr. Jones is doing a repair of a myelomeningocele, the patient has been born within the last 24 hours. How long does Dr. Jones have to repair the defect to prevent an infection?
48 hours

36 hours


42 hours


28 hours

48 hours
Pediatric surgery is a multidisciplinary field that encompasses many surgical specialties. Most procedures can be classified in one of three groups, including all of the following, EXCEPT:
trauma surgery

treatment of disease


treatment of congenital anomalies


treatment of PID

treatment of PID
Dr. Brown is performing an omphalocele. During the case, the anesthesiologist notices the patient’s temperature is 93° F. This is called:
hypothermia

hyperthermia


thermophiles


mesophiles

hypothermia
During surgery, the pre-warmed operating room (OR), warm air blanket, and overhead lighting contribute to:
intraoperative procedure

intraoperative warming


OR environment


all of the above

intraoperative warming
Infants and children can become rapidly dehydrated. Before surgery begins, an ______________ line is inserted to maintain access to the circulatory system.
endotracheal tube

tube


IV


catheter

IV

An important anatomical difference between the adult and pediatric patient respiratory system is/are the:
bronchus

lungs


airway


thoracic wall

airway

Much of pediatric surgery is performed to correct structural defects that develop during fetal life. Such defects are called:

chromosome


congenital

congenital

The causative agent of measles is:
rubella virus

herpes virus


varicella zoster virus


Treponema pallidum

rubella virus
The causative agent of cerebral calcifications, microcephaly, and heart defects is:
herpes virus

rubella virus


Toxoplasma gondii


varicella zoster virus

Toxoplasma gondii
The causative agent of syphilis is:
varicella zoster virus

Treponema pallidum


herpes virus


rubella virus

Treponema pallidum
The causative agent of chickenpox is:
herpes virus

varicella zoster virus


rubella virus


Treponema pallidum

varicella zoster virus

The causative agent of hydrocephalus and deafness is:
varicella zoster virus

rubella virus


cytomegalovirus


herpes virus

cytomegalovirus

The causative agent of retinal defect, microcephaly, microphthalmia is:
cytomegalovirus

herpes virus


rubella virus


varicella zoster virus

herpes virus

In the timetable of human prenatal development from 1 to 6 weeks, what is stage 1?

morula


early blastocyst


zygote divide


fertilization

fertilization

In the timetable of human prenatal development from 1 to 6 weeks, what is stage 3?
implantation begins

early blastocyst


zygote divide


fertilization

early blastocyst

In the timetable of human prenatal development from 1 to 6 weeks, what is stage 4?
implantation begins

early blastocyst


zygote divide


fertilization

implantation begins
The timetable of human prenatal development from 1 to 6 weeks, what is stage 2?
implantation begins

early blastocyst


zygote divide


fertilization

zygote divide
The greatest fear of young children undergoing surgery is:
fear of the unknown

being away from home

Correct! fear of the unknown
The method of induction depends on all the following, EXCEPT:
sex of child

presence of a parent


child’s age


whether there is IV access

sex of child

Dr. Jones is administering anesthesia to a 9-month-old baby girl. What type of methods might he choose to use?
all of the above

rectal administration


oral administration


mask inhalation

all of the above

Pediatric patients are particularly vulnerable to risk related to their:

age


surgical procedure

age

Pediatric medications are prescribed according to the child’s:

all of the above


weight


age


development stage

weight

Neonates and infants usually are transported to the OR in a:

heated isolette


rib


parent


stretcher

heated isolette

What size are pediatric instruments?
smaller in dimension

micro instrument


all of the above


same as adults

smaller in dimension
Congenital narrowing of the thoracic aorta that restricts blood flow to the lower body:

coarctation of the aorta

A congenital anomaly that includes several types of neural tube defects, including incomplete closure of the bony spinal column around the spinal cord

spina bifida

Congenital anomaly in which large parts of the brain fail to develop

anencephaly

Is a congenital anomaly characterized by a stricture or blockage of the passage between the nasal sinus and the pharyngonasal airways

choanal atresia

The most common primary renal malignancy of children

wilms tumor (nephroblastoma)

A combination of congenital defects.

tetralogy of fallot

Congenital absence of ganglion cells, which control the relaxation and contraction that occur in peristalsis

Hirschsprung disease

These are embryonic remnants or slits in the neck region that persist as cysts or fistulas after birth.

bronchial cleft cyst and clefts

Webbing of the fingers or toes as a result of incomplete separation of the digits in embryonic life

syndactyly

Ductus arteriosus is a fetal heart structure that shunts blood from the right ventricle into systemic circulation. normally close after birth.

patent ductus arteriousus

Congenital cardiac defect; blood from l. ventricle flows into r.

ventricle and lungs leading to congestive heart failure.

ventricular septal defect

An abdominal wall defect in which the viscera forms outside the body. There is no sac surrounding the viscera.

gastroschisis

Congenital cardiac defect in which a hole in the interatrial septum allows blood from the left atrium to flow into the right atrium

atrial septal defect

Complete or partial absence of the esophagus

esophageal atresia

Also called pyloric stenosis

infantile hypertrophic

Partial or complete division of the lip or palate prevents the infant from sucking effectively.

cleft lip or palete

A fistula connecting the esophagus with the trachea

tracheoesophangeal fistula

Pectus excavatum or pectus carinatum

chest wall deformity

Congenital cardiac defect in which the pulmonary valve leaflets are fused, restricting circulation of the blood from the right ventricle to the lungs

pulmonary valve stenosis

A type of abdominal wall deformity in which the viscera develop outside the body, contained within a peritoneal sac

omphalocele

Mouth gags are suspended from the mayo stand for repair of cleft palate

true


false

true

Reduction of a volvulus is

performed to relieve intestinal obstruction by untwisting


detorsion of the affected bowel

true


false

true

An omphalocele is a congenital anomaly in which the abdominal viscera develop outside the body, contained within a peritoneal sac.

true


false

true

The goal of surgery for congenital undescended testicle is to restore the testicle to its normal position in the scrotum. The procedure sometimes is called an

orchioplasty

true


false

false: orchipexy

The ductus arteriosus is a

abnormal anatomical opening in the fetal heart.

true


false

Valvulotomy is performed to release fused valve leaflets and restore circulation from the right ventricle to the lungs.

true


false

true

Age 6 to 12 - Children in this group fear harm and pain but are able to comprehend simple explanations of cause and effect.

true


false

true

3 to 6 years old - Patients in this age group can be comforted by knowing what to expect.

true


false

false