Deck 39: Diaphragmatic Hernia

Question 1

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
FEF_50%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Answer 1

Normal

Question 2

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Diaphragmatic Hernia.
Bronchospasm Clinical Scenario

A)YES-This is associated with diaphragmatic hernia.
B)NO-This is not associated with diaphragmatic hernia.

Answer 2

NO-This is not associated with diaphragmatic hernia.

Question 3

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
ERV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Answer 3

Decreases

Question 4

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
FEF _25%-75%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 5

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Diaphragmatic Hernia.
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with diaphragmatic hernia.
B)NO-This is not associated with diaphragmatic hernia.

Question 6

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
TLC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 7

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
FRC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 8

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Diaphragmatic Hernia.
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with diaphragmatic hernia.
B)NO-This is not associated with diaphragmatic hernia.

Question 9

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
IC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 10

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
RV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 11

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
FVC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 12

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Diaphragmatic Hernia.
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with diaphragmatic hernia.
B)NO-This is not associated with diaphragmatic hernia.

Question 13

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Diaphragmatic Hernia.
Atelectasis Clinical Scenario

A)YES-This is associated with diaphragmatic hernia.
B)NO-This is not associated with diaphragmatic hernia.

Question 14

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
V_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 15

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
PEFR

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 16

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
VC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 17

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
FEF _200-1200

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 18

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Diaphragmatic Hernia.
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with diaphragmatic hernia.
B)NO-This is not associated with diaphragmatic hernia.

Question 19

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
FEV_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 20

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
MVV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 21

Match the arterial blood gas changes that develop in the severe diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 22

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
RV/TLC %

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 23

Most diaphragmatic hernias occur in what part of the infant's body?

A) Right side of the chest
B) Left side of the chest
C) Either the right or left side of the chest (equal odds)

Question 24

Match what develops in the oxygen indices of the infant with a diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
O₂ER

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 25

Match the arterial blood gas changes that develop in the severe diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 26

The prognosis of an infant with a diaphragmatic hernia depends on which of the following factors?

A) I only
B) III only
C) II and IV only
D) I, II, III, and IV

Question 27

In the infant with a severe diaphragmatic hernia who needs mechanical ventilation, the ventilator should be applied at fast rates.

Question 28

Match what develops in the oxygen indices of the infant with a diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
C(a-v)

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 29

Match what develops in the oxygen indices of the infant with a diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
DO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 30

In the infant with a severe diaphragmatic hernia who needs mechanical ventilation, the ventilator should be applied with high peak pressures.

Question 31

Match what develops in the oxygen indices of the infant with a diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
O₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 32

Match the arterial blood gas changes that develop in mild to moderate diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 33

Match what develops in the oxygen indices of the infant with a diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
SvO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 34

The infant with a diaphragmatic hernia often demonstrates a barrel chest.

Question 35

Match the arterial blood gas changes that develop in mild to moderate diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 36

Match the arterial blood gas changes that develop in the severe diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 37

Match what develops in the oxygen indices of the infant with a diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
_S/ _T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 38

Match the arterial blood gas changes that develop in mild to moderate diaphragmatic hernia to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 39

The term scaphoid abdomen means that the abdomen is flat or concave.

Question 40

Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has a diaphragmatic hernia. Items may be used once, more than once, or not at all.
FEV_1%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 41

A diaphragmatic hernia is seen more often in females than males.