Acutely Ill Child

Question 1

The MC reason for a sick child visit

Answer 1

Fever

Question 2

The first response to unwitnessed unresponsive infant

Answer 2

activate emergency response system

Question 3

Features of high quality CPR

Answer 3

rate 100/min
compression depth of 1/3 anterior posterior diameter of chest
allow complete chest recoil after each compression
minimize interruptions in chest compressions
avoid excessive ventilation

Question 4

Factors attributing in definition of clinically significant bradycardia

Answer 4

heart rate
systemic hypoperfusion (pallor, altered mental status, hypotension, acidosis)

Question 5

The MC pre-arrest rhythms in young children

Answer 5

bradyarrhythmia

Question 6

Atropine is used in treatment of bradyarrhythmia that is associated with

Answer 6

increased vagal tone (increased ICP) or primary AV block

Question 7

Shockable rhythms

Answer 7

ventricular fibrillation (VF)
pulseless ventricular tachycardia (VT)

Question 8

The perfusion pressure of the brain (cerebral perfusion) equals to

Answer 8

mean blood pressure - ICP

Question 9

The development of INCREASED ICP with IMPENDING HERNIATION may be heralded by

Answer 9

new onset or worsening headache

depressed level of consciousness

vital signs changes - HPN, bradycardia, irregular respirations

signs of 6th (lateral rectus palsy) or 3rd CN compression(anicosoria)

Question 10

Important to diagnose brain death status

Answer 10

apnea
(-) brainstem reflex
(-) motor response
(-) confounding factors

Question 11

Prior to extubation and in order to reduce airway narrowing after extubation it is advised to use

Answer 11

Dexamethasone

Question 12

Best prognosticators of long term CNS outcome after prolonged CPR

Answer 12

neuro exam

progression during the first 72 hrs