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Question 1

What are the 3 components for the Glasgow Coma Scale?

Answer 1

Eye
Verbal
Motor

Question 2

Eye opening response GCS scoring?

Answer 2

4 - spontaneously
3 - to speech
2 - to pain
1 - no response

Question 3

Verbal response GCS scoring?

Answer 3

5 - AAO x 3
4 - confused
3 - inappropriate words - random or exclamatory speech
2 - incomprehensible sounds (moaning)
1 - no response

Question 4

Motor response GCS scoring?

Answer 4

6 - obeys commands
5 - moves to LOCALIZED pain
4 - flexion withdrawal from pain
3 - abnormal flexion (decorticate)
2 - abnormal extension (decerebrate) 
1 - No response

Question 5

What are the 6 H’s of PEA?

Answer 5

Hyperkalemia/Hypokalemia
Hypoxia 
Hypothermia
H+ Ion excess (acidosis)
Hypovolemia
Hypoglycemia

Question 6

What are the 5 T’s of PEA?

Answer 6

Trauma
Toxins
Thrombosis
Tamponade
Tension Pneumo

Question 7

How many unsuccessful intubation attempts = failed airway?

Answer 7

3

Question 8

How much is the usual tube length in men?

Women?

How much should it be above the carina?

Answer 8

23cm

21cm

2cm

Question 9

What 5 things constitute a POSSIBLE difficult bagging?

Answer 9

Facial hair
Obese
Snoring
No teeth
Advanced age

Question 10

How much succinylcholine should be given in RSI?

Rocuronium?

Answer 10

1-1.5 mg/kg

1 mg/kg

Question 11

How much etomidate used in RSI?

Propofol?

Ketamine?

Answer 11

0.3 mg/kg

.5-1.5 mg/kg

1-2 mg/kg

Question 12

Absolute contraindications to succinylcholine?

Answer 12

NM disorder
Denervation injury older than 7 days
Severe burns older than 5 days bc of hyperkalemia

Question 13

How many PVCs in a row = nonsustained Vtach?

Answer 13

3

Question 14

Give PVC characteristics:

Answer 14

Premature and wide QRS
No preceding p wave
ST segment and T wave of the PVC are directed in opposite directions

Question 15

Hemodynamically unstable pt w/PVCs you can give what?

Answer 15

Lidocaine 1 to 1.5 mg/kg IV

Question 16

VTach differential?

Answer 16

#1 - acute MI and ischemic Heart disease
HCOM
MVP
Drug toxicity (anti-arrhythmic)
Hypoxia
Hypo/hyper K

Question 17

Treatment of VFib?

Answer 17

1) unsynced defibrillation at 200J biphasic, 360J monophasic and 5 cycles of CPR if it persists
2) if 2 cycles unsuccessful, give Amiodarone 300 mg Push
3) after 3rd cycle give Epinephrine 1 mg Push
4) Refractory Give Mag Sulfate 1-2g IV over 60-90s

Question 18

What is long QT syndrome in men?

Women?

Answer 18

> 470 msec

> 480 msec

Question 19

What is the minimum volume for ventilation bags for infants and children?

TV?

Answer 19

450 mL

10-15 mL/kg

Question 20

How much ventilation should you give infants?

Children?

Teens?

Answer 20

20 breath/min

15

10

Question 21

What is the MC rhythm seen in pediatric pts leading to arrest?

next MC?

Answer 21

Bradycardia leading to asystole

SVT

Question 22

What are the ABCDEs of trauma?

Answer 22

Airway and c-spine
Breathing
Circulation
Disability - Neuro status
Exposure - burns, toxins

Question 23

Intubation is indicated when?

Answer 23

GCS < 8

Question 24

What is the MC cause of death in children older than 1?

Mechanism?

Answer 24

Trauma

MVA

Question 25

Signs of hypoxemia in a child?

Answer 25

Cyanosis
Agitation
Poor capillary refill
Bradycardia
Desaturation by pulse ox

Question 26

ET tube size formula for children?

Answer 26

Size = 4 + (age/4)

Question 27

Pain control in children w/trauma?

Answer 27

Fentanyl 1 microgram/kg

Morphine .05 to .1 mg/kg

Question 28

What is SCIWORA?

Occurs in whom?

Answer 28

Spinal cord injury w/out radiographic abnormality

Kids