Pre-Operative Physiotherapy Impact on Postoperative Pneumonia Rates + Lifespan
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Questions and Answers

Why is understanding fetal circulation important in the context of pediatric cardiorespiratory conditions?

  • To understand how oxygenated blood is transported from the mother to the fetus.
  • To explain the process of gas exchange in the baby's lungs.
  • To comprehend the role of the three shunts in bypassing the lungs in fetal circulation. (correct)
  • To analyze the flow of de-oxygenated blood from the placenta to the fetus.

Which structure connects the umbilical cord to the mother's circulation?

  • Placenta (correct)
  • Liver
  • Ductus venosus
  • Uterus

What causes the functional closure of the foramen ovale after birth?

  • Decrease in left atrial pressure
  • Absence of prostaglandins
  • Closure of ductus arteriosus
  • The baby taking its first breath (correct)

Which shunt is responsible for bypassing de-oxygenate blood from the pulmonary artery to the aorta?

<p>Ductus arteriosus (A)</p> Signup and view all the answers

Why does the ductus arteriosus close after birth?

<p>Presence of prostaglandins (C)</p> Signup and view all the answers

Which structure carries de-oxygenated blood from the fetus to the mother?

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

What allows the de-oxygenated blood in fetal circulation to bypass the lungs?

<p>Ductus arteriosus (A)</p> Signup and view all the answers

What triggers the reversal of atrial pressure gradient leading to closure of foramen ovale after birth?

<p>Baby's first breath (A)</p> Signup and view all the answers

How does a fetus primarily obtain oxygen and nutrients while in utero?

<p>Via oxygenated blood from maternal placenta (A)</p> Signup and view all the answers

What happens to the ductus venosus after birth?

<p>It closes as the umbilical cord stops supplying blood through the liver. (C)</p> Signup and view all the answers

What effect did a single pre-operative physiotherapy session have on postoperative pneumonia rates according to the international trial?

<p>Reduced postoperative pneumonia rates by half (D)</p> Signup and view all the answers

Why is chronic breathlessness under-recognized, assessed, and managed according to the text?

<p>Due to the complexity of its origins and maintenance (C)</p> Signup and view all the answers

What was reported by participants about the home-based rehabilitation program for inoperable lung cancer patients?

<p>It was highly acceptable (B)</p> Signup and view all the answers

Why might hospitals need to reconsider the timing of physiotherapy according to the text?

<p>To prevent the onset of serious postoperative complications (B)</p> Signup and view all the answers

What did a recent randomized controlled trial demonstrate about home-based rehabilitation for lung cancer patients?

<p>Improvements in health-related quality of life and symptom severity (D)</p> Signup and view all the answers

What is a significant challenge that physiotherapists face in critical care according to the text?

<p>Limited diagnostic accuracy of lung auscultation (D)</p> Signup and view all the answers

Which of the following lung pathologies is NOT mentioned as detectable by lung ultrasound in critical care?

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

What is highlighted as a reason for questioning previous critical care physiotherapy recommendations?

<p>Reduced diagnostic accuracy of the portable chest radiograph compared to lung ultrasound (A)</p> Signup and view all the answers

Why is lung ultrasound recommended as a tool for critical care physiotherapists, based on the text?

<p>Increasing evidence-base for its excellent diagnostic accuracy (D)</p> Signup and view all the answers

Which landmark trials are questioned in the text concerning the utilization of lung ultrasound in critical care?

<p>Stiller et al 2013 (D)</p> Signup and view all the answers

Which anatomical difference between infants and adults makes the 'bucket handle' motion unavailable in infants?

<p>Horizontal orientation of ribs (D)</p> Signup and view all the answers

What is the primary reason why pre-term infants are susceptible to developing Infant Respiratory Distress Syndrome (IRDS)?

<p>Lack of surfactant (A)</p> Signup and view all the answers

Which lung condition in newborns is characterized by reduced surfactant production, leading to increased surface tension and decreased lung compliance?

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

What is a major risk factor for Infant Respiratory Distress Syndrome (IRDS) that contributes to higher mortality rates in male newborns?

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

Why are infants up to 6 months of age preferential nasal breathers?

<p>Short necks and prominent occiputs (D)</p> Signup and view all the answers

What does the text suggest as a potential barrier to the uptake and use of Lung Ultrasound (LUS) in clinical practice for physiotherapists?

<p>Perceived scope of practice issues (D)</p> Signup and view all the answers

How did the Austin Health physiotherapy department utilize a grant in 2015 to enhance care for high-risk surgical patients?

<p>To develop an individualized model of care led by a critical care-trained physiotherapist (D)</p> Signup and view all the answers

What was the primary aim of the physiotherapy-led model of care implemented at Austin Health in 2016 for high-risk surgical patients?

<p>To increase the detection of PPC (B)</p> Signup and view all the answers

Why has pre-operative physiotherapy historically focused on coaching patients in deep breathing and coughing exercises before surgery?

<p>To prevent airway bacterial stagnation and atelectasis post-surgery (B)</p> Signup and view all the answers

What negative consequence is associated with the change from admitting patients on the day before surgery to admitting them on the morning of surgery?

<p>Reduced time for pre-operative preparation by physiotherapists (A)</p> Signup and view all the answers

What is the main reason that the Foramen Ovale allows the oxygenated blood to bypass the lungs in fetal circulation?

<p>To ensure efficient delivery of oxygen to the fetal organs (A)</p> Signup and view all the answers

Why does the ductus arteriosus shunt de-oxygenated blood from the pulmonary artery to the aorta instead of going to the lungs?

<p>To reduce the workload on the fetal heart (D)</p> Signup and view all the answers

Which vessel carries oxygenated blood from the mother to the fetus?

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

After birth, what leads to the closure of the ductus arteriosus in neonates?

<p>Presence of hormones like prostaglandins (A)</p> Signup and view all the answers

What physiological event triggers the functional closure of the Foramen Ovale after birth?

<p>Baby's first breath leading to air-filled lungs (A)</p> Signup and view all the answers

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