Deck 33: Meconium Aspiration Syndrome

Question 1

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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

Answer 1

Decreases

Question 2

MATCHING
The clinical scenarios associated with respiratory diseases 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 Meconium Aspiration Syndrome (MAS).
Alveolar Consolidation Clinical Scenario

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

Answer 2

YES-This is associated with MAS.

Question 3

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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

Answer 3

Normal or decreased

Question 4

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 5

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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

Question 6

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 7

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 8

MATCHING
The clinical scenarios associated with respiratory diseases 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 Meconium Aspiration Syndrome (MAS).
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

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

Question 9

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 10

MATCHING
The clinical scenarios associated with respiratory diseases 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 Meconium Aspiration Syndrome (MAS).
Atelectasis Clinical Scenario

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

Question 11

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 12

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 13

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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

Question 14

MATCHING
The clinical scenarios associated with respiratory diseases 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 Meconium Aspiration Syndrome (MAS).
Distal Airway and Alveolar Weakening Clinical Scenario

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

Question 15

MATCHING
The clinical scenarios associated with respiratory diseases 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 Meconium Aspiration Syndrome (MAS).
Bronchospasm Clinical Scenario

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

Question 16

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 17

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 18

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 19

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 20

MATCHING
The clinical scenarios associated with respiratory diseases 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 Meconium Aspiration Syndrome (MAS).
Excessive Bronchial Secretions Clinical Scenario

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

Question 21

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 22

Match the arterial blood gas changes that develop in patients with advanced MAS 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 23

Match what develops in the oxygen indices of the newborn with MAS 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 24

Match the arterial blood gas changes that develop in mild to moderate meconium aspiration syndrome 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 25

MAS is mostly seen in infants younger than 36 weeks' gestation.

Question 26

Match the arterial blood gas changes that develop in mild to moderate meconium aspiration syndrome 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 27

Next to the pulmonary function studies, match the findings that typically develop in the newborn who has MAS (when airways are not partially obstructed). 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 28

Immediately after birth, infants with MAS should be treated with positive-pressure ventilation.

Question 29

Match the arterial blood gas changes that develop in mild to moderate meconium aspiration syndrome 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 30

Match what develops in the oxygen indices of the newborn with MAS 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 31

MAS is a clinical entity seen primarily in full-term or post-term infants.

Question 32

Match what develops in the oxygen indices of the newborn with MAS 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 33

Match what develops in the oxygen indices of the newborn with MAS 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 34

Match what develops in the oxygen indices of the newborn with MAS 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 35

Match the arterial blood gas changes that develop in patients with advanced MAS 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 36

Infants with MAS may develop both air-trapping (hyperinflation) and atelectasis.

Question 37

Match the arterial blood gas changes that develop in patients with advanced MAS 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 38

A barrel chest is associated with MAS.

Question 39

Match what develops in the oxygen indices of the newborn with MAS 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