Peds

Question 1

4/2/1 rule

Answer 1

4mL/kg/hr
- first 10 KG patient weight
2mL/kg/hr
- Next 10 KG patient weight
1 mL/kg/hr
-Remainder patient weight

Question 2

Congenital upper airway pathologies

Answer 2

Craniofacial dysmorphism with midface hypoplasia
- Pierre robin syndrome
- Treacher Collins syndrome
- Choanal atresia

Question 3

Laryngomalacia

Answer 3

Most common cause of strider in infancy
floppy larynx
Usually normalizes overtime

Question 4

Laryngotracheobronchitis

Answer 4

Croup
“ steeple sign“ on x-ray
Usually has proceeding respiratory infection

Question 5

Bacterial tracheitis

Answer 5

Most common cause of acute infectious upper airway, respiratory failure

Question 6

Epiglottitis

Answer 6

A cute, life-threatening airway compromise
Usually flu B
“ thumbprint“ sign on x-ray

Question 7

Waddell’s Triad

Answer 7

Pedestrian accident
- Femoral shaft fracture’s
- Thoracic/abdominal injuries
- Contralateral head injuries

Question 8

Ventriculoperitoneal (VP) Shunt

Answer 8

Treatment for increased CSF and congenital hydrocephalus
- VP shunt frequently malfunction
Cerebral spinal fluid Build up increases ICP
- High pitch cry
- vomiting, abdominal distention
- Sunsetting eyes
- Bulging fontanelles
- Seizures