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692 Final exam 74 The electron volt is a unit of: A Voltage B Current C Power D Electric field strength E Energy 75 A transformer has a primary-to-secondary turns ratio of 10:1 The input is 120 V rms ac The output is: A 12 kV rms ac B 12 kV rms ac C 120 V rms ac D 12 V rms ac E 12 V rms ac 76 Wave X leads wave Y by 270 degrees This would be better expressed by saying that: A Wave X lags wave Y by 90 degrees B Wave X lags wave Y by 180 degrees C Wave X lags wave Y by 270 degrees D Waves X and Y are out of phase E Waves X and Y are in phase 77 Which type of amplifier circuit has the transistor or FET biased exactly at cutoff or pinchoff when there is no signal input A Class-A B Class-AB C Class-B D Class-C E Class-D 78 The term resolution might apply to: A A hi-fi amplifier system B A power supply C A machine vision system D An NPN bipolar transistor E An electrolytic capacitor 79 An audio oscillator that uses two amplifiers in cascade, with positive feedback from the output of the second stage to the input of the first stage, is known as a: A Colpitts circuit B Hartley circuit

Table 52-1 The main causes of arthrogryposis Werdnig-Hoffmann motor neuron disease Myotonic dystrophy Congenital myasthenia gravis (see Chap 53) Congenital polymyopathy Neonatal neuropathy Prader-Willi syndrome Amyoplasia (focal arthrogryposis)

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Final exam 693 C Multivibrator D VCO E Clapp circuit 80 The main factor that limits the frequency at which a P-N junction will rectify is the: A PIV rating B Junction capacitance C Junction resistance D Junction inductance E Reverse bias current 81 The henry is a: A Very small unit B Unit of capacitive reactance C Measure of transistor gain D Unit of phase E Very large unit 82 A diode that can be used as a variable capacitance is a: A GaAsFET B Silicon rectifier C Point-contact diode D Varactor E Germanium detector 83 Elements can join together to form: A Ions B Isotopes C Nuclei D Compounds E Majority carriers 84 The rms value for an ac wave is also sometimes called the: A Absolute value B Direct-current value C Effective value D Equivalent value E Reactive value 85 The gigabyte is a unit commonly used as a measure of: A Data access time

(literally, curved joints), has been estimated to occur once in 3000 births The deformities result from a lack of movement during fetal development and can therefore be produced by any disorder that immobilizes the developing embryo whether it be a lack of anterior horn cells, peripheral nerves, the motor end plate (as in an infant born to a myasthenic mother), or muscle as discussed in Chap 48 Often there are associated developmental defects of the nervous system and somatic structures low-set ears, wide and at nose, micrognathia, and high-arched palate; less often, there is a short neck, congenital heart disease, hypoplasia of the lungs, and cryptorchidism Of the many conditions that underlie arthrogryposis, developmental abnormalities of the anterior horn cells (mainly WerdnigHoffmann disease, as discussed in Chap 39) are by far the most common A failure in development of anterior horn cells results in an uneven smallness and paresis of limb muscles The unopposed contraction of relatively normally innervated muscles sets the xed deformities In a less common group of myopathic causes of arthrogryposis, the nervous system is usually intact and the disease is that of a polymyopathy or congenital muscular dystrophy It is of interest that in the myopathic variety, the limbs are xed in a position of exion at the hips and knees and adduction of the legs, in contrast to the variable postures of the myelopathic (anterior horn cell) form Also, the latter is more frequently conjoined with multiple anomalies than is the myopathic type In addition to these two well-recognized types, occasional cases of arthrogryposis are attributable to a neonatal neuropathy, neonatal myasthenia gravis, and the Prader-Willi syndrome (causing intrauterine hypotonia) as noted in Table 52-1 An infant with arthrogryposis should be evaluated with an electromyogram (EMG) that is interpreted by an experienced electromyographer, and by a biopsy of muscle for the detection of group atrophy and of the congenital polymyopathies described further on in this chapter Both of these tests are quite dif cult to interpret in the premature and term infant with an incompletely formed nervous system In many circumstances, it is valuable to delay them until several weeks of postterm development Sometimes the electrophysiologic and biopsy tests may have to be repeated after several weeks or more to give a de nitive diagnosis If the initial evaluations are unrevealing, an imaging study of the brain to detect cerebral malformations and high-resolution banding of chromosome structure (for Prader-Willi syndrome) may prove useful additional tests Congenital Focal Fibrous Contractures This term refers to a xation of limb posture due to a developmental lack or destruction of muscles, with shortening and brosis of supporting tissue and ligaments A surprising number of deformities in infants and children are traceable to this type of defect The most common are congenital clubfoot (talipes), congenital torticollis, congenital elevation of the scapula (Sprengel deformity), and congenital dislocation of the hips In all these conditions the postural distortion is produced and maintained either by a weakened, brotic muscle or by a normal one that is contracted and shortened because of the absence of a countervailing antagonist Trauma to a muscle during intrauterine life or at birth may lead to brosis and to brous contracture in some cases Congenital Clubfoot Here the deformity may be one of plantar exion of the foot and ankle (talipes equinus), inversion (talipes varus or clubfoot), eversion (talipes valgus or splayfoot), or dorsi exion of foot and ankle (talipes calcaneus) About 75 percent of.

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