MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
While caring for an infant with a diagnosis of bronchiolitis, the healthcare provider notices audible grunting sounds during the infant’s respirations. How should the healthcare provider interpret the grunting in relation to the infant’s respiratory status?
A
Oxygen consumption is decreased with grunting which helps to resolve hypoxemia
B
During grunting lung volume increases as more air moves through the conducting airways
C
Grunting increases end expiratory pressure and promotes gas exchange
D
During grunting the diameter of the bronchi and bronchioles is increased
Explanation: 

Detailed explanation-1: -The early signs of respiratory distress include restlessness, tachypnea, tachycardia, and diaphoresis.

Detailed explanation-2: -Rapid breathing at a rate of over 40 breaths per minute. Tight breathing (having to work hard to push air out). Coughing (may cough up very sticky mucus). Fever and a runny nose often start before the breathing problems.

Detailed explanation-3: -What is expiratory grunting? It is a sound that often occurs in infants with respiratory issues. By grunting the infant generates high pressures in the alveoli, which increases PAO2.

Detailed explanation-4: -Monitor the oxygen saturation level using non-invasive pulse oximetry. Administer oxygen and titrate to keep the oxygen saturation > 94%. Provide assisted ventilations using a bag-valve mask device. Administer inhaled medications to help improve breathing. More items

There is 1 question to complete.