Online course pretest

Question 1

What is the priority intervention for SYMPTOMATIC bradycardia in a FOUR year old child?

a. administer IV atropine
b. administer IV epi
c. initiate bag-mask ventilation
d. initiate transcutaneous pacing

Answer 1

b. initiate bag-mask ventilation

atropine and epi are second-line interventions if BVM does nto work

Question 2

An ambulance arrives with a 16 year old male involved in a dirt bike crash who was intubate prior to arrival. Which of the following is the priority assessment or intervention ?

a. assess the oropharynx
b. assess the ET tube placement
c. insert an NGT
d. insert IV access

Answer 2

b. assess the ETT

AIRWAY is the priority intervention before moving on in the survey

Question 3

Which of the following is a known cause of pediatric seizures?

a. Benzo overdose
b. SVT
c. overdiluted formula
d. congenital heart disease

Answer 3

c. overdiluted formula

Diluted formula leads to water overload, causing dilutional hyponatremia, causing siezures

Question 4

A three year old is rescued after being submerged in a pool for several minutes. On arrival the patient is responsive to painful stimuli, with shallow respiration and diminished lung sounds, and an occasional cough. Which intervention is a priority?

a. abdominal thrusts
b. OGT to remove water from stomach
c. ETT to provide PPV
d. removal of clothing to prevent hypothermia

Answer 4

c. ETT
GCS is less than 8, so the patient meets intubation criteria

Question 5

You need to draw blood from a 2 year old. What is the best approach for this patient?

a. allow them to hold the blood tubes before drawing
b. have them watch a cartoon on a cellphone
c. give them an explanation of what to expect
d. prepare the equipment in the room so they can see

Answer 5

b. have them watch cartoons on an ipad

Question 6

Which of the following patients should be evaluated first?

a. a three year old with a dislodged g-tube
b. an 18 month old with bilious emesis
c. a 12 year old with vomiting after a handlebar injury
d. a three month old with periods of inconsolable crying

Answer 6

b. may indicate a life threatening bowel obstruction

Question 7

Which of the following injuries would increase suspicion of abuse?

a. closed greenstick fx of wrist in a four year old
b. bruises in various stages of healing to the lower extremeties of a 2 year old
c. right radial spiral fx in a 10 year practicing martial arts
d. bruising to the left ear of a newborn sleeping on his side.

Answer 7

d

ten-4-faces -p