Simmons 503 Exam 3

Simmons 503 Exam 3 How early can autism be diagnosed - ✔✔Around 12 months do to language developmental requirements. What day is National Family Health History day - ✔✔Thanksgiving What the is RUSP (Recommended Unive ...

Simmons 503 Exam 3 How early can autism be diagnosed - ✔✔Around 12 months do to language developmental requirements. What day is National Family Health History day - ✔✔Thanksgiving What the is RUSP (Recommended Universal Screening Protocol) done - ✔✔At birth What does RUSP test for in all states - ✔✔Hypothyroidism, adrenal hyperplasia, sickling, galactosemia, CF, biotinides deficiency, fatty acid disorders, organic disorders, maple syrup urine disease and PKU Jennifer brings her 3-year-old to your clinic. She is concerned that her daughter Nadia has a large fontanel, epicanthal folds, palmer crease, widows peak, skin tags on her auricle an extra nipple and protruding ears. What are these findings significant for in terms of malformations - ✔✔These are all minor malformations Major anomalies are different from minor anomalies in that they have the potential to - ✔✔Create significant medical problems or require medical/ surgical management. For genetic testing you need 2 major problems like frontal bossing, ptsosis, or blue sclera for or - ✔✔One major and two minor or more than three minors Is autism a common diagnosis in DS - ✔✔NOPE What is morbidity - ✔✔Relative incidence of a disease What is mortality - ✔✔Death rate What cancer has the highest mortality rate in men and women - ✔✔Lung cancer What do they monitor with watch and wait with CLL - ✔✔WBC counts What do they monitor with ovarian cancer watch and wait - ✔✔Tumor marker ca-125 Females with down syndrome develop sexually very typical to non DS counterparts while male counterparts often have - ✔✔Micropenis and hypospadias What is duodenal atresia- and why am I asking this - ✔✔It's a blockage of the small intestine, GI malformations often occur in DS, like pyloric stenosis and hirchsprungs A newborn baby is being evaluated by the NP. The baby is small for gestational age and hypotonic, babies head circumference measures small as well and he has palmar creases with adorable epicanthal folds. What is the likely diagnosis - ✔✔DS, diagnosis based on distinctive phenotypes often visible at birth What is notable about the growth of DS children at almost every age - ✔✔They are >85% for weight What causes antlantoaxial instability in DS - ✔✔A loose joint related to hypotonia in C1- C2 What is OARS - ✔✔Older American Resources and Services a tool used to screen elderly health history What early signs would have you concerned that your DS patient might have atlantoaxial instability - ✔✔Torticollis, head tilt, deterioration in gait Why do DS kids have hearing loss - ✔✔Structural deviations in the skull or external auditory canal What is hypodermoclysis - ✔✔SubQ fluid infusion to prevent fluid overload in dehydrated elderly patients. What year did start using chemo drugs for cancer - ✔✔1940 to treat lymphoma What other two names do chemo drugs go by - ✔✔Anti neoplastic and cytotoxic therapies. Largest loss of functional decline occurs at what age - ✔✔Over age 85 years What doe Medicare Title XVIII of the social security act pay for - ✔✔Reimbursement for skilled nursing, physical therapy, speech therapy, and home health aides. High risk indicators of functional decline include (6) - ✔✔> 70, living alone, lack support, self care deficit, need for SNF, Hospitalizations or D/C What is the vicious cycle for elderly - ✔✔Becoming dependent while they are hospitalized, developing deficits What is a high risk diagnosis for the elderly - ✔✔FTT, CHF, AFIB, PNE, Dig TX, sensory deficit, DM What are SYMPTOMS the elderly that are high risk - ✔✔Fall, incontinence, syncope, mental status change