1. 4 years of girl with cleft palate was schedule for the reconstructive of the cleft palate.. To repair a cleft palate, the plastic surgeon uses tissue from either side of the mouth to fill in the gap. A second operation may be required.

a. Describe the aetiology and pathophysiology of cleft palate.

b. Discuss the pre and post-operative care of child.

c. Describe the complication of the surgery.

2. Baby A, A 10-month-old girl was admitted to the hospital for cardiac catheterization. Her history included cyanosis noted at about 6 weeks of age, increasing over the last 7 months and becoming more severe with crying or physical activity. A presumptive diagnosis of tetralogy of Fallot (TOF) was made on admission.

a. Describe the aetiology and pathophysiology of TOF

b. Discuss the pre and post-operative management.

c. Discuss postoperative complications in a shunt procedure