Nr 602 Midterm Already Passed

spirometry and pulmonary function testing {Ans: }ventricular septal defect {Ans: -hole or defect in one of the areas of the ventricular septum -perimembranous, supracristal, inlet, and muscular -some associated w/ congenital defects -most are small and close spontaneously by 4 yrs old -murmur not typically heard until 2-8 wks after birth -loud murmur, s/s, CHF -Low-pitched, grade II to V/VI holosystolic murmur at LLSB -may become higher pitched over time as it gets smaller -thrill at LLSB, s3 or s4 if CHF present -small: monitor -larger/CHF: medical mngmt, monitor nutrition, surgery/procedure if not resolving}MMR (2 doses) {Ans: -starting at age 12 mos (after receiving 2 vaccines, efficacy is 98%) -S/E rash, high fever 5-12 days after the vaccine -Do not give to pregnant woman or 28 days before becoming pregnant}Scarlett fever {Ans: -Tongue is usually coated + red, desquamation of the coating leaves prominent papillae (strawberry tongue) -follows respiratory strep}Human Papillomavirus (HPV) (2 doses) {Ans: -ages 9-26 -2 doses 6-12 mos apart for individuals who receive their first dose on or before 15 -if started on or after 15th bday, then 3 shots are needed}‣How is Kawasaki Disease diagnosed? tx {Ans: }