CIS-Pediatrics (Graneto)

Question 1

What is the earliest “irregular” exam finding in pediatric respiratory disease?

Answer 1

Tachypnea

Question 2

What is an early sign of Resp distress? Intermediate sign? Late sign?

Answer 2

Early=Tachypnea

Intm=Grunting, flaring, retractions

Late=cyanosis, apnea

Question 3

What are compensatory signs of resp distress?

Pathologic signs?

Answer 3

Tachypneic
Grunting, flaring, retractions

Path-wheezing, stridor, rales, rhonci

Question 4

Describe the anatomy of the following in a child:

• Epiglottis:
• Trachea:
• Airway:

Answer 4

Epiglottis: floppies, u-shaped, (shorter in adult)

Trachea: more flexible in child

Airway: more anterior and higher

Question 5

This pediatric disorder classically occurs in kids ages 2-7 with high fever, TRUE sudden onset; classically a tripod position (sitting upright, mouth open, with head, neck, and jaw in extension).

Answer 5

Epiglottitis

Question 6

A swallowed coin (most likely a quarter) are mostly suck in the proximal esophagus by what muscle?

Answer 6

Cricopharyngeus

Question 7

What is the most common swallowed foreign body to cause mortality?

Answer 7

Balloons

Question 8

What medications do you want to administer in a child with anaphylaxis?

Answer 8

Epinephrine

Also H1 receptor blocker (Benadryl), Anti-inflammatory such as Methyprednisolone and Dexamethasone

Question 9

What are 3 signs of complete airway obstruction?

Answer 9

Loss of sound
Cyanosis
Altered mental status

Question 10

Differentiate Infant BLS vs Child BLS:

Answer 10

Infant: back blows and chest thrusts

Child: Heimlich