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OBSTETRICS /PEDIATRICS FISDAP
ACTUAL EXAM QUESTIONS WITH
ANSWERS
2-year-old patient has a respiratory rate of 30 breaths per minute. This is considered? A) Too fast B) Inadequate C)normal D)too slow - Solution C) Normal When assessing distal circulatory function in a 3 year old, a reliable indicator is? A) Pulse ox B) BP C) Cap refill D) Skin temp - Solution C) Cap Refill Neonatal 2 week old female is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular. What should you be concerned about? A) Altered mental status B) cerebral hypoxia C) respiratory acidosis D) cardiac arrest - Solution D) Cardiac Arrest 20 year old female is pregnant for the first time with twins. What is she considered? A) Gravida II B) Gravidarum C) Primigravida - Solution C) Primigravida 2 year old is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect?
A) Influenza B) Bronchitis C) Croup D) Epiglottitis - Solution C) Croup You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this infant, you should? A) Institute 2 min of CPR and then ventilate B) place a small towel under their shoulders C) open the airway with an OPA and bag every 6 seconds D) attach the AED and wait instructions - Solution B) place a small towel under their shoulders Scald injuries to a child's lower extremity can be indicative of? A) Abuse B) Radiant heat C) accidents D) chemicals - Solution A) Abuse A 3 year old drank some drain cleaner. It would be most helpful to? A) Administer activated charcoal B) transport immediately C) administer glucagon D) induce vomiting - Solution B) transport immediately You are assisting a vaginal delivery and the mom is crowning. The infant's head suddenly disappears and the mother begins to complain of sharp, intense, constant abdominal pain. You should suspect? A) Placenta previa B) multiple births C) Uterine Rupture D) transition to phase III of delivery - Solution C) Uterine Rupture In centimeter what is the correct depth of chest compressions for a 7 year old child?
A) Abrupt rise in body temp B) life threatening infection C) temp greater than 100 fahrenheit D) inflammatory process - Solution A) Abrupt rise in body temp A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should? A) *Assist ventilations via bvm B) sponge the infant with tepid water C) apply blow by 02 and trans D) perform a rapid medical assessment - Solution C) apply blow by 02 and trans A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect? A) Hypoxia B) hypoglycemia C) morning hypovolemia D) hypothermia - Solution C) morning hypovolemia The period of time during which intrauterine fetal development occurs is called? A) Gravidity B) Gestation C) Parity D) Primi gravity - Solution B) Gestation Which signs and symptoms most suggest pre eclampsia? A) Hypertension and excessive water retention B) Inability to sleep supine and acid reflux C) Hypoglycemia and swollen extremities D) Polyuria and postural hypotension - Solution A) Hypertension and excessive water retention
A pale 2 year old male turns his face away and hides when you approach. Vital signs are P 150 R 32 with audible wheezing what should you be most concerned about? A) Heart rate B) skin color C) respiratory rate D) breath sounds - Solution B) skin color A patient is in labor and has a strong urge to push. The baby's head is not yet visible, but the umbilical cord is protruding, you should? A) Clamp the cord in 2 places and cut between them B) place her in knee-chest position and transport C) cover the cord with a dry sterile dressing D) encourage her to bear down and push - Solution B) place her in knee- chest position and transport 24 year old woman presents with vaginal bleeding following sexual assault, controlling bleeding would best be done by A) Packing a vaginal canal with gauze B) Apply direct pressure C) Placing a dressing @ the vaginal opening D) Bending the patient's legs upward - Solution C) Placing a dressing @ the vaginal opening Signs or symptoms of a pre delivery emergency? A) Hypertension B) Back pain C) crowning D) gush of amniotic fluid - Solution A) Hypertension Painless bright red vaginal bleeding late in the third trimester. You should suspect? A) placenta previa B) abruptio placentae C) ectopic pregnancy
apply external sterile bulky dressing - Solution apply external sterile bulky dressing Assess on infant. Which artery should you take for pulse? Brachial radial carotid femoral - Solution Brachial One sign of respiratory distress in a neonate? Grunting increased activity barrel chest tachycardia - Solution Grunting 35 week pregnant woman. Following scenarios most life threatening? A) Hypertension and experiencing visual disturbances B) fever and pain on urination C) sharp lower abdominal pain D) contracts with mucous discharge - Solution A) Hypertension and experiencing visual disturbances 32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing visual disturbances last 12 hours. You should suspect? Gestational diabetes eclampsia severe migraine pre eclampsia - Solution pre eclampsia A maternal condition that occurs when the placenta separates from the uterine wall and is a cause of pre birth bleeding is? Abruptio placenta uterine rupture
placenta previa ectopic pregnancy - Solution Abruptio placenta To relieve pressure on the vena cava when transporting a pregnant patient, you should? Place on left side place in recovery raise the patient's legs place in semi fowler's - Solution Place on left side A 4 year old male is sitting upright and drooling. He has swallowed a marble that is completely blocking his airway. What should you do? Start chest compressions perform abdominal thrusts provide back blows suction the airway - Solution perform abdominal thrustss A woman is 36 weeks pregnant and complaining of painless vaginal bleeding. The most likely cause is? Abruptio placenta placenta previa spontaneous abortion bloody show - Solution placenta previa 20 year old female feels faint and has severe pain between her shoulder blades. Her skin is cool and clammy. Vital signs are BP 82/48, P 134, R 22, and SPO2 92%. What should you suspect? Sexual transmitted infection spontaneous abortion pelvic inflammatory disease rupture ectopic pregnancy - Solution rupture ectopic pregnancy
A) Seizure is about to end and you should wait to treat him B) child will become postictal and will regain consciousness C) child is in status epilepticus and medication is required D) child is in diabetic ketoacidosis and medication is required - Solution child is in status epilepticus and medication is required 33 year old female was in a motor vehicle collision. She is 36 weeks pregnant. First responders have removed the patient from the vehicle and immobilized her and they cannot obtain a blood pressure. You should? A) Load and go to the nearest trauma center B) tilt the backboard to the left immediately C) loosen the backboard straps as soon as possible D) apply oxygen and call for helicopter transport - Solution tilt the backboard to the left immediately 38 year old female reports left sided abdominal pain that radiates to the back. Vitals are 90/64, 118,
- You should suspect? Pelvic inflammatory disease kidney stones ruptured ectopic emergency cholecystitis - Solution a ruptured ectopic emergency Compared to adults in shock, pediatric patients? Stay in compensated shock longer do not require treatment as quickly are less likely to become hypovolemic become hypertensive sooner - Solution Stay in compensated shock longer Shortly after delivery, a mother experiences dyspnea and becomes hypotensive. No excessive bleeding is noted and the uterus seems firm. You should suspect?
Abruptio placenta pulmonary embolism post delivery trauma uterine rupture - Solution pulmonary embolism Pre- eclampsia becomes eclampsia when A seizure occurs constant hyperten occurs systolic above 170 third trimester begins - Solution A seizure occurs A child is postictal. You should? Note length of seizure administer blow by o ensure open airway protect patient from injury - Solution ensure open airway With pediatric patient, your assessment should begin? At first sight after you intro yourself after parents consent at first contact - Solution At first sight A conscious child has a significant airway obstruction due to an illness. You should? Insert OPA examine the upper airway for white spots place the child in a supine position give o2 and transport immediately - Solution give o2 and transport immediately A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect? Meningitis
all structures are smaller and can be more easily obstructed - Solution all structures are smaller and can be more easily obstructed When inserting an OPA in a child you should? Hold the tongue in position Use tongue depressor - Solution Hold the tongue in position 3 year old child involved in a motor vehicle collision needs to be secured on an adult backboard. You should? Secure the feet first, then the torso secure the head first, then the torso place padding under the child's head place padding under the child's torso - Solution place padding under the child's torso 4 year old is having trouble breathing. He is drooling and sitting forward in a chair with his mouth wide open. He has a 103.2 temp. you should suspect? Epiglottitis croup hyperthermia asthma attack - Solution Epiglottitis Your neighbor has asked you to check on her 2 month old baby. The baby is sleeping and vitals are P 130, R 40, and he continues to sleep even when you try to wake him up. What should you do? Call for EMS tell your neighbor that he is sleeping soundly check on the baby again in a few hours recommend that your neighbor call the pediatrician - Solution Call for EMS During assessment of a crying infant, you discover a sunken fontanelle. Your next question should be?
Birth defects fallen recently how many wet diapers has the baby produced - Solution how many wet diapers has the baby produced Initiate CPR on infant if heart rate is less than? 60 - Solution 60 13 month old lying supine in crib, crying. Fever of 104.5, rash on body and some spots are purple. You should? Transport put on surgical mask open airway apply high-flow oxygen - Solution put on surgical mask Normal response for a healthy 9 month old infant. Gaze follows parents pays no attention to you when entering ribs clearly visible upon inspiration extremities feel cool to the touch - Solution Gaze follows parents You have assisted a mother in delivering a premature newborn. Assessment after 5 minutes shows newborn has central cyanosis and heart rate of 90. What should you do? a. Begin chest compressions b. Continue to dry and warm the newborn c. Administer oxygen via blow-by d. Provide ventilatory assistance - Solution d. Provide ventilatory assistance A cord is wrapped around a baby's neck during childbirth. This is called a. Neck cord b. Nuchal cord
You have just delivered a baby girl who remains cyanotic and is not responding to stimulation and oxygen therapy. Heart rate is 90. You should โ Attempt suctioning and contact medical control โ Perform chest compressions at 15: โ Continue to provide stimulation by flicking the soles of her feet โ Begin positive pressure ventilations - Solution โ Begin positive pressure ventilations Before assessing the respiratory adequacy of an unconscious infant or child, you should โ Routinely suction the mouth to remove oral secretions โ Insert and OPA or an NPA โ Ensure that his or her head is in a hyperextended position โ Ensure the airway is patent and clear of obstructions - Solution โ Ensure the airway is patent and clear of obstructions A 4 year old patient has sustained blunt trauma to the chest. Based on the MOI you should suspect โ Good chest rise with no diaphragmatic breathing โ Minimal external signs with serious internal injury โ Multi rib fractures due to fragile bone structure โ Dark ecchymosis around the umbilical area - Solution โ Minimal external signs with serious internal injury A 37 year old female in the later stages of pregnancy has been experiencing abdominal pain and vomiting for the last two days. She responds to verbal stimulus. Vital signs are BP 100/70, P 116 R 24, skin cool and dry, How should you position her? โ In Fowler's position on the stretcher โ Semi Fowlers with knees bent โ Left lateral recumbent with knees bent โ Supine with a pillow under her knees - Solution โ Left lateral recumbent with knees bent
