Hyaline Membrane Disease (HMD)

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Questions and Answers

Hyaline Membrane Disease (HMD) is primarily caused by what deficiency in preterm infants?

  • Platelets
  • White blood cells
  • Red blood cells
  • Surfactant (correct)

Hyaline Membrane Disease is also known as Bronchopulmonary Dysplasia.

False (B)

What is the primary physiological effect of surfactant deficiency in the lungs of preterm infants with HMD?

alveolar collapse

The formation of ______ membranes is a characteristic feature of Hyaline Membrane Disease.

<p>hyaline</p> Signup and view all the answers

Which of the following is a major risk factor for Hyaline Membrane Disease?

<p>Prematurity (D)</p> Signup and view all the answers

Infants born at term (40 weeks gestation) are at higher risk for HMD compared to preterm infants.

<p>False (B)</p> Signup and view all the answers

What specific component of the lung is deficient in infants born with Hyaline Membrane Disease?

<p>surfactant</p> Signup and view all the answers

NRDS stands for Neonatal ______ Distress Syndrome.

<p>respiratory</p> Signup and view all the answers

What happens to the alveoli in infants with HMD due to surfactant deficiency?

<p>They collapse (C)</p> Signup and view all the answers

The primary problem in HMD is an overproduction of surfactant in the lungs.

<p>False (B)</p> Signup and view all the answers

In HMD, the alveolar collapse leads to what major respiratory issue?

<p>respiratory distress</p> Signup and view all the answers

HMD primarily affects ______ infants due to their underdeveloped lungs.

<p>preterm</p> Signup and view all the answers

What is the main consequence of alveolar collapse in infants with HMD?

<p>Reduced lung compliance (D)</p> Signup and view all the answers

Hyaline membranes are formed due to an excess of surfactant in the alveoli.

<p>False (B)</p> Signup and view all the answers

What specific gestational age is most commonly associated with higher risk of HMD?

<p>less than 37 weeks</p> Signup and view all the answers

Surfactant reduces the ______ tension in the alveoli, preventing their collapse.

<p>surface</p> Signup and view all the answers

In HMD, the formation of hyaline membranes leads to which of the following?

<p>Reduced gas exchange (A)</p> Signup and view all the answers

HMD primarily affects the cardiovascular system rather than the respiratory system.

<p>False (B)</p> Signup and view all the answers

What is the main function of surfactant in the lungs?

<p>reduce surface tension</p> Signup and view all the answers

Alveolar ______ is a key pathological finding in HMD.

<p>collapse</p> Signup and view all the answers

Which of the following best describes the primary mechanism by which surfactant deficiency leads to respiratory distress?

<p>Increased alveolar surface tension (A)</p> Signup and view all the answers

The presence of hyaline membranes in the alveoli directly enhances gas exchange efficiency.

<p>False (B)</p> Signup and view all the answers

Describe the physiological consequence of reduced lung compliance in infants with HMD.

<p>increased work of breathing</p> Signup and view all the answers

In addition to prematurity, maternal ______ is a risk factor that can indirectly increase the likelihood of preterm birth and subsequent HMD.

<p>diabetes</p> Signup and view all the answers

What is the primary component of surfactant responsible for reducing surface tension?

<p>Phospholipids (B)</p> Signup and view all the answers

Exogenous surfactant administration is contraindicated in preterm infants with HMD.

<p>False (B)</p> Signup and view all the answers

Briefly explain how HMD can lead to hypoxemia.

<p>impaired gas exchange</p> Signup and view all the answers

The appearance of ______ during chest X-rays in preterm infants is indicative of alveolar collapse typical of HMD.

<p>ground glass</p> Signup and view all the answers

Which of the following is a direct consequence of alveolar collapse in HMD?

<p>Pulmonary hypertension (B)</p> Signup and view all the answers

The primary goal of continuous positive airway pressure (CPAP) in HMD is to decrease functional residual capacity (FRC).

<p>False (B)</p> Signup and view all the answers

Explain the role of glucocorticoids administered prenatally in the prevention of HMD.

<p>accelerate lung maturation</p> Signup and view all the answers

HMD can exacerbate the risk of ______, a condition where a patent ductus arteriosus reroutes blood away from the lungs due to increased pulmonary vascular resistance.

<p>left-to-right shunt</p> Signup and view all the answers

What specific cellular process is impaired by the presence of hyaline membranes in the alveoli?

<p>Simple diffusion of gases (C)</p> Signup and view all the answers

Persistent pulmonary hypertension of the newborn (PPHN) is exclusively caused by HMD.

<p>False (B)</p> Signup and view all the answers

Considering the biophysical properties of surfactant, explain how its absence affects the Law of Laplace in the alveoli.

<p>increased collapsing pressure</p> Signup and view all the answers

Due to the inflammatory response in HMD, elevated levels of ______ can be found in the bronchoalveolar lavage fluid of affected infants.

<p>interleukin-8</p> Signup and view all the answers

Match the following terms related to Hyaline Membrane Disease with their descriptions:

<p>Surfactant = Substance that reduces surface tension in the alveoli Alveolar Collapse = Main pathological change in HMD leading to respiratory distress Hyaline Membranes = Protein-rich layers lining the alveolar surfaces in HMD Prematurity = Primary risk factor for HMD due to underdeveloped lungs</p> Signup and view all the answers

Which imaging technique is most commonly used to diagnose HMD in preterm infants?

<p>Chest X-ray (C)</p> Signup and view all the answers

What is the primary mechanism of action of exogenous surfactant in treating HMD?

<p>Decreases surface tension in the alveoli (D)</p> Signup and view all the answers

Flashcards

Hyaline Membrane Disease (HMD)

Respiratory distress syndrome in preterm infants due to surfactant deficiency, leading to alveolar collapse and hyaline membrane formation.

Prematurity

A major factor increasing the likelihood of Hyaline Membrane Disease (HMD) in newborns.

Study Notes

  • Hyaline Membrane Disease (HMD) is also known as Neonatal Respiratory Distress Syndrome (NRDS)
  • HMD is a respiratory distress syndrome
  • HMD is caused by a surfactant deficiency in preterm infants
  • This deficiency leads to alveolar collapse
  • The deficiency also causes the formation of hyaline membranes

Risk Factors

  • Prematurity is a risk factor, especially...

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