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Pediatric Emergency Medicine: Questions & Answers, Exams of Pediatrics

A comprehensive collection of questions and answers related to pediatric emergency medicine. it covers a wide range of topics, including the pediatric assessment triangle, shock management, airway management, and the treatment of common pediatric emergencies such as croup and epiglottitis. The q&a format facilitates learning and knowledge retention, making it a valuable resource for students and professionals in the field. The detailed explanations and practical advice make it suitable for both classroom learning and real-world application.

Typology: Exams

2024/2025

Available from 05/27/2025

Prof.Steve
Prof.Steve 🇺🇸

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ENPC Home Exam Questions &
Answers 100% Correct
1. Tachycardia = an sign of shock
ANS Early
2. What is a late sign of circulatory compromise in children?
ANS Hypotension
3. Children can remain normotensive until about percent of blood
volume is lost
ANS 25%
4. What are two intervention you should always be doing?
ANS Applying oxygen
Checking bedside blood glucose
5. How long should the car seat be rear facing?
ANS Until at least one year of age
6. model parents behavior with toys
ANS Toddlers
7. Age 3 to 5
ANS Preschoolers Magical and
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ENPC Home Exam Questions &

Answers 100% Correct

1. Tachycardia = an sign of shock

ANS Early

2. What is a late sign of circulatory compromise in children?

ANS Hypotension

3. Children can remain normotensive until about percent of blood

volume is lost ANS 25%

4. What are two intervention you should always be doing?

ANS Applying oxygen Checking bedside blood glucose

5. How long should the car seat be rear facing?

ANS Until at least one year of age

6. model parents behavior with toys

ANS Toddlers

7. Age 3 to 5

ANS Preschoolers Magical and

it logical thinkers Take things literally

8. What are common fears of the preschooler?

ANS Pain Darkness Body mutilation Being alone

9. Ages 5 to 11

ANS School age kids Beers include separation from parents, loss of control, and physical disability

10. 11 to 18 years old

ANS Body a parent is the most important thing

11. What is one of the critical public health issues in today society?

ANS Child- hood obesity

12. At how many years old can a child start using the faces pain scale?

ANS Three years old

13. What is there an emphasis on during the prioritization of the patient?

ANS -

Safety

14. I focused assessment is what type of information?

ANS Objective

15. I focused history is what type of information?

ANS Subjective

Inspect the color of central areas such as lips and mucous membranes Assessed for pallor, molting, or cyanosis Is the patient flushed or diaphoretic

21. What are the three patient categories for the pediatric assessment trian-

gle? ANS Sick Sicker

Sickest

22. If all three components of the PAT are stable know what will the patient

be ranked as? ANS Sick

23. If there is disruption in one of the areas of the PAT what will the patient

be ranked? ANS Sicker

24. If there is Disruption in two or more components of the PAT what ranking

will the patient receive? ANS Sickest

25. If a patient is identified as sickest what is indicated?

ANS Rapid resuscitation

26. And a child what event typically leads to a code?

ANS Typically a respiratory event leads to a cardiac event

27. What is the priority with any trauma or suspected drama?

ANS Stabilize the C-spine and stop any bleeding

28. What maneuver is used to open the jaw in a trauma patient?

ANS Jaw thrust maneuver

29. When is the nasal pharyngeal airway indicated?

ANS In a semi conscious or conscious patient

30. Where is the nasopharyngeal airway contra indicated?

38. What should the normal urinary output be for an adolescent

ANS 1-1.5 ml/kg / hour

39. What is the most common cause of arrest in pediatric patients?

ANS Respira- tory arrest

40. What is the second most common cause of arrest in a pediatric patient?-

ANS Shock

41. is the inadequate delivery of oxygen and nutrients necessary for

normal tissue and cellular function. It is the in balance between supply and demand at the cellular level. ANS Shock

42. Anytime a patient presents with Shock what is the first intervention that

we should do? ANS Place them on oxygen

43. What happens in the body during shock?

ANS Plasma leakage/fluid shifts. This results in puffy kids. DIC, inflammatory responses, intracellular acidosis, ards, and MODS are also seen in shock

44. What type of fluid should you give a patient with hypovolemic shock due to

Burns? ANS Lactated ringer fluid replacement using the Parkland formula.

45. What is seen in early Shock?

ANS In early Shock or warm Shock there is flash cab refill. Look for bounding pulses

fever and flushed skin

46. What medication is used to correct SVT?

ANS Adenosine

47. What are some different types of obstructive shock?

ANS Pneumothorax - you will want to do needle aspiration that the second intercostal space in the midclavicular line and you want to always place a chest tube after PDA - start this patient on prostaglandins. Do not give this patient any Motrin as it can help the PDA to close. Tampa nod - you need to pull the fluid off surrounding the heart PE Congenital heart disease

48. What is the urine output that we I would like to maintain when a patient

is in shock? ANS 1 mL per kilo

49. Monitoring should be done for a patient in shock?

ANS Cardiac monitoring

57. How can you tell that an I/O is infiltrated?

ANS I feeling underneath of the leg when flushing

58. How long can an I/O same place for?

ANS For 24 hours or until you get another form of access

59. What are the things that you want to consider pre-intubation?

ANS Preoxy- genation Atropine, this drug maybe used for patients less than eight years old

Prepare for any alternative things that may have to happen such as cric Consider lido

60. What are the complications of intubation?

ANS Pneumothorax Gastric dissension

61. How will you confirm placement of the ET tube?

ANS Auscultation CO2 detector Chest x-ray Capnography

62. If an ET tube fails what are alternative airway solutions?

ANS LMA mask Needle cricothyrotomy

63. A barky seal like cough, worse at night. Low-grade fever. Steeple

sign is seen via x-ray. You will want to inform parents to do coolness, take the child outside or open the freezer. Steam from the shower can also help. Administer steroids for inflammation. Give her Seemic Kathy for relief up to two hours, observation is key. ANS Croup

64. We should observe a patient that received racemic epi-for at least

67. Pertussis

ANS Whooping cough Bacterial - contagious Thank you Bashan is 7 to 10 days Usually worse at night Droplet cautions Erythromycin is the anabiotic of choice

68. The most common cause of pediatric dysrhythmias is an unrecognized

or ANS Respiratory or metabolic compromise

69. A child's cardiac output is how much of that of an adults

ANS Two times that of an adults

70. What concentration of EPI do you use for CPR?

ANS 1:10,

71. is One of the most common in infants see that can lead to cardiac

compromise. Greater than 220 bpm in infants and greater than 180 bpm in children. Absent or hard to see P waves. Rapid onset ANS SVT

72. What is indicated for stable SVT dosing is .1 mg per kilogram of

adenosine and you want to flush it fast with a 10 mL Saline flush and using the stopcock method. ANS Adenosine

73. If SVT becomes unstable what is the method that will be used for treat-

ment

ANS Synchronize cardioversion. Consider sedation. 0.5 J/Kg. Make sure that machine is in synchronized mood. Refer patient to cardiology.

74. What should always be the first choice for stable SVT?

ANS Vagal maneuver Aka using ice to the face blowing through an obstructed straw

75. V tach

ANS HR >

Rapid HR with wide QRS complex Tombstone like appearance No p waves Sometimes pulseless

Signs of shock Initiate CPR Administer at the every 3 to 5 minutes

80. Asystole occurs secondary to prolonged or

ANS Acidosis or hypox- ia

81. If the rash is non-blanchable what do you want to do

ANS Initiate droplet precautions and start anabiotic's that the patient is going to be admitted