Hydrocephalus and Related Conditions Quiz

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Questions and Answers

Which of the following is NOT a cause of acquired hydrocephalus?

  • Tumors
  • Maternal infections (correct)
  • Infection
  • Trauma

Which type of hydrocephalus is characterized by a blockage in the flow of cerebrospinal fluid?

  • Congenital hydrocephalus
  • Communicating hydrocephalus
  • Obstructive hydrocephalus (correct)
  • Extraventricular hydrocephalus

What is the primary cause of hydrocephalus in infants with open cranial sutures?

  • Maternal infections
  • Excess cerebrospinal fluid (correct)
  • Blockage in the ventricles
  • Increased intracranial pressure

Which of the following is NOT a sign or symptom of increased intracranial pressure (IICP)?

<p>Head lag (developmental delay) (C)</p> Signup and view all the answers

What is the typical occurrence rate of hydrocephalus in live births?

<p>3–4 per 1,000 live births (C)</p> Signup and view all the answers

Which of the following is a key symptom of hydrocephalus in infants?

<p>Rapid head enlargement (&gt;1 inch/month) (A)</p> Signup and view all the answers

What is the typical treatment for a mild to moderate curvature of the spine?

<p>Conservative treatment with bracing (D)</p> Signup and view all the answers

Which of the following activities should be avoided during the recovery period after spinal surgery?

<p>Lifting weights over 10 lbs (C)</p> Signup and view all the answers

What is the most common site of metastasis for a malignant bone tumor?

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

Which of the following is NOT a symptom of Candida Albicans infection?

<p>Thin, irritating frothy gray-green discharge (D)</p> Signup and view all the answers

Which of the following is an appropriate treatment for Trichomoniasis?

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

What is the characteristic odor associated with Gardnerella Vaginalis infection?

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

Which of the following treatments is NOT indicated for Herpesvirus Type II infection?

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

What is the most effective treatment for Enterobius Vermicularis (Pinworms)?

<p>Oral antihelminthic (A)</p> Signup and view all the answers

What type of treatment is recommended for a patient with a foreign body in the vagina?

<p>Removal of the foreign body (C)</p> Signup and view all the answers

Which of the following is NOT a common site for osteosarcoma?

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

Which of the following physical features is NOT typically associated with Down syndrome?

<p>Prominent chin (C)</p> Signup and view all the answers

What is a key aspect of developmentally appropriate care for individuals with Down syndrome?

<p>Providing simple and repetitive tasks to enhance understanding (C), Focusing on developmental age rather than chronological age (D)</p> Signup and view all the answers

What is a key principle of managing individuals with Down syndrome?

<p>Encouraging early intervention to promote development (B), Focusing on their individual developmental milestones rather than their chronological age (E)</p> Signup and view all the answers

What is the purpose of routine and structure for individuals with Down syndrome?

<p>To provide them with a sense of comfort and security (B), To provide them with clear expectations and a sense of security (C)</p> Signup and view all the answers

Which of the following is NOT a symptom of the primary stage of Syphilis?

<p>Painful lesion on genitalia (D)</p> Signup and view all the answers

What is the hallmark symptom of the secondary stage of Syphilis?

<p>Generalized macular rash on soles and palms (C)</p> Signup and view all the answers

Which of the following is NOT a potential cause of Amenorrhea?

<p>High ratio of body fat to muscle (D)</p> Signup and view all the answers

Which of the following is a characteristic of Dysmenorrhea?

<p>Symptoms typically start with bloating and light cramping 24 hours before menstrual flow. (B)</p> Signup and view all the answers

What is the main mechanism responsible for the pain associated with Dysmenorrhea?

<p>Prostaglandin release (A)</p> Signup and view all the answers

What is the recommended treatment for Dysmenorrhea?

<p>Anti-inflammatory medications (C)</p> Signup and view all the answers

Which of the following is a common symptom associated with both Syphilis and Hepatitis B/C?

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

Which of the following conditions can be treated with Benzathine penicillin?

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

Which of the following is a characteristic of anorexia nervosa?

<p>All of the above (D)</p> Signup and view all the answers

What is a common manifestation of anorexia nervosa?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary management approach for obesity in adolescents?

<p>Diet and exercise (A)</p> Signup and view all the answers

Which of the following is NOT a special characteristic of anorexia nervosa?

<p>Skin desquamation on palms and soles (C)</p> Signup and view all the answers

What is a potential long-term treatment for anorexia nervosa?

<p>Low-dose aspirin (A)</p> Signup and view all the answers

What is a key element of managing obesity in adolescents?

<p>Both B and C (A)</p> Signup and view all the answers

Which of the following is a potential complication of anorexia nervosa?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary cause of hydronephrosis?

<p>Urine back-pressure from an obstruction (D)</p> Signup and view all the answers

Which of the following statements accurately describes enuresis?

<p>Involuntary urination past the age of expected bladder control (A)</p> Signup and view all the answers

How is polycystic kidney disease typically diagnosed?

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

What is the key characteristic of Prune Belly Syndrome (PBS)?

<p>Severe dilation of the ureters and bladder (C)</p> Signup and view all the answers

Which of the following is a common risk factor for Acute Poststreptococcal Glomerulonephritis?

<p>Recent streptococcal infection (C)</p> Signup and view all the answers

What is the typical treatment for primary nocturnal enuresis?

<p>Desmopressin (DDAVP) (C)</p> Signup and view all the answers

What is the primary goal of management in hydronephrosis?

<p>Surgical correction of the obstruction (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic symptom of hydronephrosis?

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

Flashcards

Newborn Respirations

Initiation and maintenance of breathing in newborns is critical within the first 48 hours.

Extrauterine Circulation

Establishment of circulation outside the womb is vital for newborn survival.

Fluid Balance

Newborns must maintain fluid and electrolyte balance for proper body function.

Body Temperature Control

Regulating temperature is crucial to prevent hypothermia or hyperthermia in newborns.

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Nourishment Intake

Newborns need adequate nourishment to thrive and grow.

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Waste Elimination

Establishing waste elimination is necessary for a newborn's health.

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Infection Prevention

Newborns require measures to reduce the risk of infections.

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Parent-Caregiver Relationship

Forming a bond between infant and caregiver is crucial for emotional development.

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Hydrocephalus

Accumulation of cerebrospinal fluid (CSF) causing increased intracranial pressure (ICP).

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CSF Formation

CSF is created in the 1st and 2nd ventricles and absorbed into the subarachnoid space.

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Types of Hydrocephalus

Includes communicating, obstructive, congenital, and acquired forms.

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Communicating Hydrocephalus

CSF can flow to the spinal cord; there’s no blockage.

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Obstructive Hydrocephalus

Blockage prevents CSF from passing through the brain's pathways.

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Key Symptoms in Infants

Signs include rapid head enlargement and 'sunset eyes'.

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Diagnosis of Hydrocephalus

Head circumference is measured and plotted on growth charts.

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Osteogenic Sarcoma

Most common bone cancer in children, arising from osteoblasts.

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Osteosarcoma

A malignant bone tumor common in adolescent boys, usually affecting the femur, tibia, and humerus.

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Symptoms of Osteosarcoma

Initial signs include pain and swelling in the affected area.

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Diagnostic Imaging for Osteosarcoma

X-rays and CT or MRI scans are used to detect tumors and metastasis.

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Treatment Options for Osteosarcoma

Includes radical resection, amputation, chemotherapy, and lung metastasis surgery.

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Candida Albicans Symptoms

Causes vulvar redness, itching, and thick white discharge.

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Trichomoniasis Diagnosis

Characterized by a thin, frothy gray-green discharge and strong odor.

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Symptoms of Chlamydia Trachomatis

Presents with watery gray-white discharge and vulvar itching.

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Enterobius Vermicularis Treatment

Treatment involves oral antihelminthics like mebendazole for pinworm infection.

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Treponema Pallidum

Bacterium causing syphilis, leading to painless ulcers.

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Syphilis symptoms

Stages include painless lesion, rash, and major organ involvement.

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Tertiary Syphilis

Final stage of syphilis affecting organs, could cause blindness.

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Amenorrhea

Absence of menstrual flow due to various factors.

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Dysmenorrhea

Painful menstruation caused by prostaglandins leading to cramping.

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Prostaglandins

Substances causing uterine pain by contracting smooth muscles.

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Treatment for Dysmenorrhea

Includes analgesics, low-dose contraceptives, and alternative therapies.

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Group B Streptococcus

Bacteria leading to vaginitis and vulvar itching, treated with Amoxicillin.

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Hydronephrosis

Enlargement of kidney pelvis due to urine back-pressure from obstruction.

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Enuresis

Involuntary urine passage past expected bladder control, can be nocturnal or diurnal.

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Primary vs. Secondary Enuresis

Primary: never achieved bladder control; Secondary: control lost after being established.

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Polycystic Kidney Disease

Large, fluid-filled cysts replace normal kidney tissue, often autosomal recessive.

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Prune Belly Syndrome

Syndrome with cardiac, pulmonary, orthopedic, and urologic abnormalities, mainly in boys.

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Acute Poststreptococcal Glomerulonephritis

Inflammation of glomeruli after a streptococcal infection, due to immune complex disease.

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Management of Enuresis

Limit fluids before bed, avoid bladder-stretching exercises, use desmopressin if necessary.

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Assessment for Hydronephrosis

May be asymptomatic or show signs like UTIs, irritability, and abdominal mass.

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Obesity

A condition influenced by genetic and environmental factors, prevalent in adolescents with obese parents.

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Implications of Obesity

Higher rates of suicide, low self-esteem, body image issues, and depression in obese teens.

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Diet for Obesity Management

Adherence to a diet close to 1800 calories/day is recommended for managing obesity.

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Psychological Counseling

Counseling aimed at addressing stress-related overeating is part of obesity management.

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Anorexia Nervosa

Refusal to maintain normal weight due to a distorted body image, leading to self-induced starvation.

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Prevalence of Anorexia

Most common in girls aged 13-20 years, making up 90% of cases.

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Features of Anorexia

Includes self-induced starvation, relentless drive for thinness, and medical symptoms from starvation.

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Treatment for Anorexia

Includes high-dose intravenous immunoglobulin and aspirin for related complications and monitoring.

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Study Notes

Newborn Priorities

  • All newborns have crucial needs in the first few days of life.
  • Initiation and maintenance of respirations is critical in the first 48 hours.
  • Establishing extrauterine circulation is essential. If the heart rate is less than 60 bpm, begin closed-chest massage.
  • Maintenance of fluid and electrolyte balance is important.
  • Fluid replacement includes Ringer's lactate or 10% dextrose.
  • Temperature regulation is vital. Maintaining optimal oxygenation.
  • Prevention of infection is crucial.
  • Establishing an infant-parent relationship should be prioritized.

Initiation and Maintenance of Respirations

  • Respiratory acidosis and severe complications can result from breathing problems.
  • Factors that can predispose newborns to respiratory issues include low birth weight, maternal diabetes, premature rupture of membranes, maternal narcotic use and anomalies of the chest, heart, or respiratory tract.
  • Proper airway management is essential.
  • Suctioning and avoiding unnecessary stimulation is vital.

Resuscitation Process

  • Airway management involves use of bulb syringe for mucus or fluid removal if needed.
  • Avoid rubbing for meconium-stained fluid; gently suction.
  • Keep the newborn dry.
  • Limited suctioning to 10 seconds to prevent trauma.
  • Lung expansion is critical. Crying helps with lung expansion.
  • Respiratory support with oxygen (100%) via bag and mask may be needed.
  • Monitor oxygen levels.
  • Drug therapy (naloxone) may be administered if respiratory depression is from maternal narcotics.

Maintaining Fluid and Electrolyte Balance

  • Dehydration from rapid respirations.
  • Potential for hypoglycemia with energy expenditure during resuscitation.
  • Fluid replacement with Ringer's lactate or 10% dextrose in water.
  • Monitor fluid intake for potential overload.

Regulating Temperature

  • Maintaining optimal oxygenation and minimizing metabolic demand.
  • Chilling increases oxygen consumption.
  • Prolonged vasoconstriction from chilling also reduces respiration and releases acid, rising risk of kernicterus.
  • Dry the newborn, cover with a cap, and place under a pre-warmed radiant warmer or incubator.
  • Ensure the axillary temperature is maintained at 97.8°F (36.5°C).

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