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Question 1
Free
Multiple Choice

All of the following anatomic alterations may be found in a patient with a congenital diaphragmatic hernia EXCEPT:

Choose correct answer/s
A

lungs are compressed.

B

atelectasis.

C

hyperinflation.

D

complete lung collapse.

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Question 2
Free
Multiple Choice

What pulmonary change is associated with a Bochdalek hernia?

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A

Pulmonary hypoplasia

B

Respiratory distress syndrome (RDS)

C

Pulmonary edema

D

Meconium aspiration

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Question 3
Free
Multiple Choice

When does respiratory distress normally develop in a newborn with a CDH?

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A

Shortly after delivery

B

6 to 12 hours after delivery

C

12 to 24 hours after delivery

D

24 to 48 hours after delivery

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Question 4
Free
Multiple Choice

What happens as an infant with a CDH creates an increased negative inspiratory pressure in order to breathe?

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A

Meconium is drawn deeper into the airways.

B

Lung compliance is improved.

C

More of the gastrointestinal structures are sucked into the thorax.

D

Lungs fill and expand to full capacity.

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Question 5
Free
Multiple Choice

What additional procedures or treatments might be required for a patient with a CDH and significant pulmonary hypoplasia?

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A

Plasmapheresis

B

ECMO

C

Cardiac pacemaker

D

Bronchoscopy

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Question 6
Multiple Choice

An infant with a CDH also has pulmonary hypertension. Which of the following can be administered to relieve this problem?

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A
Inhaled nitric oxide (iNO)
B
Inhaled parasympatholytic agent
C
80% helium-20% oxygen
D
Corticosteroids
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Question 7
Multiple Choice

A newborn infant shows respiratory distress upon delivery. He is observed to have a scaphoid abdomen. Auscultation reveals diminished breath sounds with heart sounds on the right side of the chest. What is the infant's most likely diagnosis?

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A
Tension pneumothorax
B
CDH
C
Pneumoperitoneum
D
Abdominal aortic aneurysm
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Question 8
Multiple Choice

What effect would a substantial left-sided CDH have on pulmonary function test findings?

Choose correct answer/s
A
A restrictive pulmonary disorder
B
An obstructive pulmonary disorder
C
An equally restrictive and obstructive disorder
D
A restrictive disorder with increased DLCO
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Question 9
Multiple Choice

All of the following chest radiograph findings would be associated with a CDH EXCEPT:

Choose correct answer/s
A
steeple point sign.
B
complete lung collapse.
C
lungs do not meet the chest wall.
D
heart is shifted to the unaffected side.
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Question 10
Multiple Choice

What is the medical term for the condition associated with some cases of CDH in which the heart is pushed to the right side of the chest?

Choose correct answer/s
A
Morgagni's movement
B
Dextrocardia
C
Ambidextrocardia
D
Bochdalek's shift
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Question 11
Multiple Choice

Which of the following is described as abnormal elevation of an intact diaphragm into the chest cavity?

Choose correct answer/s
A
Diaphragmatic eventration
B
Morgagni's hernia
C
Bochdalek's hernia
D
Diaphragmatic altimetry
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Question 12
Multiple Choice

Why would bag and mask ventilation be contraindicated in resuscitation of a neonate with CDH?

Choose correct answer/s
A
It results in air swallowing, which enlarges the stomach and compresses lung tissue.
B
It requires too much effort for the respiratory therapist to manually squeeze the bag.
C
The FIO2s delivered by the device can cause oxygen toxicity and ROP.
D
The high tidal volumes may result in pulmonary interstitial emphysema.
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