CCP S3

Question 1

What is DKA?

Answer 1

Diabetic ketoacidosis

Question 2

What is a peptide hormone produced in the pancreas?

Answer 2

Insulin

Question 3

What is the definition of DKA?

Answer 3

Ketones in urine, metabolic acidosis, hyperglycemia

Question 4

What is the best way to evaluate dehydration in DKA?

Answer 4

Capillary refill, abnormal skin turgor, abnormal respiration’s

Question 5

Common paralytic dosages in pediatric

Answer 5

Roc 1 mg/kg

Succs 2 mg/kg

Question 6

Ways to determine tube size in peds?

Answer 6

Broselow tape, width of nare, (age/4) +4, width of pinky finger

Question 7

Ways to determine gestational age

Answer 7

First day of last menstrual period, ultrasound

Question 8

What is EGA?

Answer 8

Estimated gestational age

Question 9

What is IUGR?

Answer 9

Intrauterine growth restriction

Question 10

What causes the onset of labour?

Answer 10

Unknown

Question 11

What is the biggest risk factor of pre-term delivery?

Answer 11

Previous pre-term delivery

Question 12

What is the easiest way to determine depth of ET tube insertion in a pediatric patient?

Answer 12

3 x size of ET tube

Question 13

Ways to confirm ETT placement?

Answer 13

Chest rise, bilateral air entry, colourmetric ET, ETCO2, CXR, misting in tube, SpO2

Question 14

Minimum blood pressure in peds?

Answer 14

70 + (age x2)

Question 15

Goals of antihypertensive therapy in obstetrics

Answer 15

Reduce chance of maternal CVA, maximize maternal condition for transfer, gain time for maternal and fetal assessment

Question 16

Common antihypertensives for maternity patients

Answer 16

Nifedipine, labetalol, hydralazine, magnesium sulfate

Question 17

What is the diastolic blood pressure we consider leading to eclampsia?

Answer 17

DBP > 110

Pre-eclampsia >90

Question 18

Dose of magnesium in maternal hypertension

Answer 18

4 g IV over 20 minutes

Question 19

Signs and symptoms of magnesium toxicity

Answer 19

Depressed tone, depressed reflexes, decreased sensorium

Question 20

What is a tetralogy of fallot?

Answer 20

Large VSD
Overriding aorta
Obstructive RVOT
RV hypertrophy

Question 21

Dosing for sedation vs vasopressors

Answer 21

Sedation mcg/kg/hr

Vasopressors mcg/kg/min

Question 22

What is CMV?

Answer 22

Continuous mandatory ventilation

Question 23

What is HELLP syndrome?

Answer 23

Hemolysis,
Elevated Liver Enzymes
Low platelets

Question 24

what are factors that will determine how well a preterm baby will progress post-delivery?

Answer 24

Gestational age
Sex
Weight
Level of hospital
Multiples
Diabetic mother
Maternal drug use
Maternal ETOH, smoking, etc

Question 25

Signs and symptoms of pediatric seizures

Answer 25

ALOC, twitiching eyes, arched back, clenched teeth, tachycardia, deviated eyes, tonic/clinic movements, muscle stiffness

Question 26

Risk factors for pre-term delivery

Answer 26

``` Cervical incompetence Previous pre-term delivery Infection Multiples Placental insufficiency ```

Question 27

RDS signs and symptoms

Answer 27

``` Nasal flaring In drawing Tachypnea Cyanosis Tracheal tug Grunting Apnea ```

Question 28

Contraindications to tocolytics

Answer 28

``` Fetal death Non-reassuring strip Maternal illness Placental insufficency/abruption Severe preeclampsia Allergy Choriamnioniitis PPROM ```

Question 29

Contraindications to fetal fibrinecten?

Answer 29

Vaginal exam in 24 hours Sex in 24 hours PROM Presence of blood

Question 30

TTN

Answer 30

Transient tacypnea of newborn. Related to increased fetal fluid in airways (risk factors decreased GA and c section) Tx is supplemental O2 if required, should resolve within 24 hrs

Question 31

TEF

Answer 31

Tracheoespohageal fistula. Sx excessive secretions, dyspnea from aspiration, poor feeding, unable to pass feeding tube more than 10-15 cm.

Question 32

Bronchiolitis

Answer 32

Results from viral infection in peds < 2 years of age. Tx supplemental oxygen, monitor fluid balance, intubation if necessary

Question 33

BPD

Answer 33

Bronchopulmonary displasia Disruption of lung development causes decreased number of alveoli and thickened distance between alveolar air and capillary causing hypoxemia.

Question 34

DKA Tx

Answer 34

Fluid resus 10-20 ml/kg based on shock status over 30 mins Correct K Insulin after 1-2 hrs 0.05-0.1 U/kg/hr Two bag method to maintain bg

Question 35

CN 4, 5, 6, 7

Answer 35

Trochlear (H) Trigeminal (touch) Abducens (H) Facial (expression)

Question 36

TCA effects

Answer 36

``` Na = wide QRS K = QT prolonged Antihistamine = DLOC Anticholenergic = Alice Alpha receptor = vasodilation GABA receptor = seizures Serotonin + dopamine = antidepressant ```

Question 37

Coagulation cascade

Answer 37

Intrinsic (aPTT): 12 - 11 - 9 (+8) Extrinsic (PT): TF - 7 Common: 10 (+5) - prothrombin - thrombin (2) - fibrinogen - fibrin (1)

Question 38

CaO2

Answer 38

(1.34 x Hgb x SaO2) + (0.0031 x PaO2)

Question 39

DO2

Answer 39

CaO2 x CO

Question 40

RSI plan (peds)

Answer 40

Ketamine 0.5-1 mg/kg Roc 1 mg/kg Morphine maint 5-40 mcg/kg/hr Midaz maint 30-360 mcg/kg/hr