07-20-2016, 10:01 PM
7. An 8-year-old girl is brought to the physician because of a 3day history of fever, progressive cough, and sputum production. Examination at birth showed no abnormalities, but she has a history of respiratory problems since infancy. Her temperature is 37.5°C (99.5°F), pulse is 100/min, and respirations are 32/min. Pulse oximetry on room air shows an oxygen saturation of 84%. Examination shows clubbing, circumoral cyanosis, and a hyperexpanded chest. There are diffuse rhonchi bilaterally with end-expiratory wheezing. An xray of the chest shows hyperinflation, scattered atelectasis, and chronic interstitial changes.
A) Asthma
B) Bronchopulmonary dysplasia
C) Congenital heart disease with right-to-left shunt
D) Cystic fibrosis
E) Hypertrophic cardiomyopathy
F) Idiopathic pulmonary hypertension
G) Methemoglobinemia
H) Patent Foramen Ovale
I) Persistent pulmonary hypertension
J) Pneumococcal pneumonia
K) Respiratory distress syndrome
A) Asthma
B) Bronchopulmonary dysplasia
C) Congenital heart disease with right-to-left shunt
D) Cystic fibrosis
E) Hypertrophic cardiomyopathy
F) Idiopathic pulmonary hypertension
G) Methemoglobinemia
H) Patent Foramen Ovale
I) Persistent pulmonary hypertension
J) Pneumococcal pneumonia
K) Respiratory distress syndrome