Quiz Questions: Cardiac assessment on a child

QUESTIONS AND ANSWERS

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Hello can you answer the following questions for me and provide me references for each of them, no older than 5 years please.

Question 1

A nurse practitioner is completing a cardiac assessment on a child and detects a murmur. Which of the following is true regarding innocent murmurs?

The murmur is often holosystolic

A precordial thrill is present

Prompt referral to a cardiologist is indicated

The murmur is low intensity

The answer is the murmur is low intensity

Question 2

A child presents to the primary care clinic with chest pain. The provider is aware that chest pain in children is usually what?

Question 2 options:

A symptom of congestive heart failure

A symptom of congenital heart disease

A sign of hypercholesterolemia

Noncardiac in nature

The answer is Noncardiac in nature

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Question 3

which of the following is a common cause of acquired coronary artery disease during childhood?

Question 3 options:

Hypertension

Kawasaki disease

Systemic lupus erythematous

Rheumatic fever

The answer is Kawasaki disease

Question 4

What type of hemorrhage would be expected with severe factor VIII deficiency?

Question 4 options:

Severe hemorrhage following moderate trauma

Gross bleeding following mild trauma

Gynecologic hemorrhage

Spontaneous hemarthrosis

The answer is Gross bleeding following mild trauma

Question 5

The nurse practitioner has a possible diagnosis of leukemia in a pediatric patient. Which of the following tests are required for that diagnosis?

Question 5 options:

Bone marrow aspiration

Chest radiograph

CBC with differential

Biopsy of an enlarged lymph node

The answer is Bone marrow aspiration

Reference

Question 1

Kumar K, Thompson WR; Evaluation of cardiac auscultation skills in pediatric residents. Clin Pediatr (Phila). 2013 Jan52(1):66-73. doi: 10.1177/0009922812466584. Epub 2012 Nov 26

Chatterjee K. Auscultation of cardiac murmurs. http://www.uptodate.com/home. Accessed Feb. 25, 2015.

Question 2

Kasper, D.L., et al., eds. Harrison’s Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.

Question 3

Alexander PM, Daubeney PE, Nugent AW, Lee KJ, Turner C, Colan SD, et al. Longterm

outcomes of dilated cardiomyopathy diagnosed during childhood: results from a

national population-based study of childhood cardiomyopathy. Circulation. Sep 13 2013.

[Medline].

. Kobayashi T, Morikawa A, et al. Efficacy of intravenous immunoglobulin combined with

prednisolone following resistance to initial intravenous immunoglobulin treatment of

acute Kawasaki disease. J Pediatr. Aug 2013;163(2):521-6.e1. [Medline].

Question 4

Jentzsch T, Brand-Staufer B, Schafer FP, et al; Illustrated operative management of spontaneous bleeding and compartment syndrome of the lower extremity in a patient with acquired hemophilia A: a case report. J Med Case Rep. 2014 Apr 308(1):132. doi: 10.1186/1752-1947-8-132.

Sumnig A, Grotevendt A, Westphal A, et al; Acquired hemophilia with inhibitors presenting as an emergency: misinterpretation of clotting results during direct oral anticoagulation. Dtsch Arztebl Int. 2014 May 9111(19):345-8. doi: 10.3238/arztebl.2014.0345

Question 5

American Cancer Society. Cancer Facts & Figures 2016. Atlanta, Ga: American Cancer Society; 2016.

Campana D, Pui CH. Chapter 96: Childhood leukemia. In: Niederhuber JE, Armitage JO, Dorshow JH, Kastan MB, Tepper JE, eds. Abeloff’s Clinical Oncology. 5th ed. Philadelphia, Pa. Elsevier: 2014.