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Pediatrics Exam Questions & Answers
(Grade A+)
You arrive at a small critical access hospital to transport a 10 year old 68 pound male that fell from a cliff stroking his head neck and upper body. During the report the flight nurse reviews the lab results and notes following values: Na 112mEq/L, serum osmolarity 580mOsm/kg, and urine output of 700 mL in the past hour. The critical care for clinician should expect to administer which of the following medications: -mannitol -dopamine -lactated ringers -vasopressin - correct answer ✅Vasopressin The patient's diabetes insipidus is likely caused by severe head trauma; administration of a osmotic diuretic will only worsen the patient's condition. There is no indication for dopamine. Administration may
Pediatrics Exam Questions & Answers
(Grade A+)
assist in replacing the fluids loss but will not replace the sodium lost. Therefore it will not correct diabetes insipidus. Vasopressin is a synthetic form of an antidiuretic hormone. The central issue in diabetes insipidus is insufficient secretion of ADH or failure of the kidneys to respond to ADH. Replacement of ADH will allow the kid needs to concentrate urine and decrease the loss of electrolytes. You are called to transport a 16-year-old that was involved in an SUV rollover accident after drinking with her friends. Her injuries include a fractured pelvis, a large laceration to her left lower leg with controlled bleeding, a head injury, a tension pneumothorax, and a left femur fracture. Which injury is immediate life-threatening and requires immediate intervention? - correct answer ✅Tension pneumothorax While a pelvic fracture is a critical injury that may result in severe blood loss, I'm more serious immediate option was provided. A large laceration may result in bleeding resulting in decompensation.
Pediatrics Exam Questions & Answers
(Grade A+)
While rare, tracheal rupture is life-threatening and most resulting from blunt force trauma, usually from motor vehicle crashes. While the elasticity of the pediatric thoracic cage protect young children from injuries to the external chest wall, the high-injury blunt force trauma from striking the dashboard can cause rapid increase in tracheobronchial pressure. It may account for the tracheal injury without rib or sternal fracture An eight-year-old male patient is in a vehicle accident with a patient sustained head trauma and developed bruising around the eyes and nose this is most likely indicator of what type of fracture? a basal skull fracture a LeFort II fracture a depressed skull fracture a linear skull fracture - correct answer ✅A basilar skull fracture
Pediatrics Exam Questions & Answers
(Grade A+)
The bruising around the eyes and nose can also be known as raccoon eyes and is most likely a basilar skull fracture You are transporting a pediatric patient you suspect has been a victim of a physical abuse. As a medical provider you understand that: -you should report any suspected abuse to law- enforcement regardless of state laws
- it would be best to determine whether or not the abuse occurred before reporting it to anyone -you should perform a thorough assessment of the child and document all findings -it would be best to immediately ask the child whether or not they're being abused - correct answer ✅You should perform a thorough assessment of the child and document all findings. A thorough assessment and documentation should always occur. States vary regarding mandatory reporting. Medical providers do not investigate and
Pediatrics Exam Questions & Answers
(Grade A+)
pediatrics rather than abuse, and this is not isolated to patients with underlying bone disease A pediatric patient has just informed you that they have been sexually assaulted. The patient is covered in blood, but there are no apparent injuries. You should: Clean up all blood before transporting Gather any additional possible evidence to transport with a patient Only clean away the blood necessary for physical assessment Avoid covering the patient - correct answer ✅Only clean away the blood that is necessary for physical assessment. any potential evidence should be left as undisturbed as possible for a collection in a controlled environment with the appropriate collection methods by train to professional. Potential evidence should be disturbed to the extent needed to provide appropriate medical
Pediatrics Exam Questions & Answers
(Grade A+)
care, including assessment. In this case the blood could be evidence without any source of bleeding on the patient. patients should be covered as necessary for transport. Which assessment is most reliable as an indicator of adequate fluid resuscitation in a severely burned pediatric patient? Increased fluid noted weeping from the burn. Your an output of 1.4 mL/kg/hr Skin turgor noted to be tenting ABG base deficit/excess changes from -6 to 0 - correct answer ✅Urine output of 1.4 mL/kg/hr Increase loss of fluid from weeping from the burn is an indication of further fluid loss must be taken into consideration when evaluating the patient's food status. Appropriate urine output that indicates adequate fluid resuscitation on a pediatric burn patient is one to 1-1.5 mL/kg/hr. Your an output that is below this threshold may indicate the need for
Pediatrics Exam Questions & Answers
(Grade A+)
I forgot Kitis has a bacterial infection of the epiglottis and upper airway. The symptoms would most likely represent of God Titus. This affects most commonly children between the ages of 3 to 7. Pulmonary compliance would be an infection of the lower lung, such as pneumonia, rather than an upper airway concern like epiglottitis. You are treating a 5 yo male that was in the front passenger seat of his mothers vehicle when it struck a pole causing the airbags to deploy. EMS transported him to local hospitals, where they found him awake alert complaining that his "tummy hurts" and left shoulder pain. He was intubated by the ED physician and placed on a ventilator. Upon assessment, it is revealed that he has a respiratory rate of 34 with tachycardia. No breath sounds are noted on the left. The abdomen is soft to the touch, appears scaphoid, and the crew cannot auscultate bowel sounds.
Pediatrics Exam Questions & Answers
(Grade A+)
A chest x-ray reveals bowel loops in the left chest. After the assessment, which intervention is the most appropriate next step for the flight crew? Request the ED physician to place a chest tube to decompress the left chest Perform and left anterior axillary needle compression Place the nasal gastric tube Administer a weight appropriate dose of analgesia - correct answer ✅Place a nasogastric tube He is diagnosed with a diaphragmatic rupture, indicating that his abdominal contents protrude into his chest cavity. The placement of the chest tube would not alleviate this issue and it would likely cause injury to the intestines. Therefore, chest tube should be avoided in the diaphragmatic rupture patient until the damage is repaired. While energies is important in the patient with a traumatic injury on a ventilator, decompression of the bowel is priority to prevent further distention of the abdominal contents, which is likely the cause of further cardiorespiratory compromise
Pediatrics Exam Questions & Answers
(Grade A+)
mmHg, a heart rate of 140 beats/min, respiration rate of 38, an oxygen saturation of 95% on nonrebreather mask. The patient is fussy, skin is flushed with uticaria, and audible wheezing is noted. You also note what appears to bee sting on the patient's arm. The clinician should expect what type of shock? - correct answer ✅Distributive shock The patient presents iwth an anaphylactic shock, a type of distributive shock. Uticaria all over the skin, audible wheezing, and a bee sting should clue you in on the type of shock Pediatric trauma patients of all ages need packed red blood cells due to hypokalemia. What is the weight- based dosage for a 1 year old child? - correct answer ✅20mL/kg
Pediatrics Exam Questions & Answers
(Grade A+)
Children under 4 months: 10mL/kg Children 4 months and older: 10-20mL/kg You are called for a six year old male riding in the vehicles backseat wearing a seatbelt when the car struck a tree. Which of the following injuries is most common due to seatbelt sign (syndrome)? A hollow abdominal organ Injury a solid abdominal organ Injury a spinal cord Injury pelvic injury - correct answer ✅A hollow abdominal organ injury The most injury noted with the signs of a seatbelt syndrome is an injury to the hollow abdominal organs, such as the intestines. Therefore seatbelt sign considerably increases the risk and suspicion of hollow organ injuries
Pediatrics Exam Questions & Answers
(Grade A+)
B type natriuretic Peptide (BNP) of 60 - correct answer ✅A lactate of 5.5mg/dl A Lactate 5.5 is most reflective a poor tissue and organ perfusion. A lactate Lab is primarily ordered to help detect the severity of hypoxia and lactic acidosis. BNP is often used to aid in the diagnosis of CHF and is a valuable marker of acute management of heart failure but not as effective in cereal measurements as a prognostic favor. In addition, this value does not indicate tissue perfusion or organ perfusion. A pH < 7.3 should indicate signs of acidosis or DKA. You were transporting a four-year-old pediatric patient with a history of hypoplastic left heart syndrome. As a medical provider you should: only rely on medical records for specific patient information. Assess the patient and rely on sound of clinical judgment. Request detailed information from the parents on scene.
Pediatrics Exam Questions & Answers
(Grade A+)
Ask the patient for information. - correct answer ✅Request detailed information from the parents on scene. Parents are often the best source of information that can go to medical providers in their care of the patient, and they should be as involved as possible during care. Medical records may not be available. In addition, patients with specific medical problems may respond adversity to treatments based on their presentation, which could be avoided with accurate information from a parent. You're Kultura facility for five year old patient complaining of high fever, sore throat, noisy breathing, and an inability to tolerate secretions. Your primary goal after your rapid assessment should be: obtain IV access in intubate. Administer racemic epi Lay the tile down and secure to transport cot. Maintain a position of comfort and do not agitate. -
Pediatrics Exam Questions & Answers
(Grade A+)
Place the oropharyngeal airway and ventilate the patient. Use Magill forceps to remove the coin. Immediately perform a cricothyrotomy - correct answer ✅Use Magill forceps to remove the coin. The flight clinician should use Magill forceps to remove the foreign body. As a foreign body can be visualized by laryngoscope, then attempt to remove it should be made. The other options are to be tried after this attempt. You are caring for a 13 year-old patient with a long- term tracheostomy and a fever and chest congestion for several days. The patient began having respiratory distress that progressed into respiratory arrest. A local EMS provider has deep suction to the tracheostomy and is providing ventilation's with a bag valve mask but is reporting poor chest rise and an SPO2 that is not rising above 80%.
Pediatrics Exam Questions & Answers
(Grade A+)
You understand that this is likely due to: a non-cuffed tracheostomy. The absence of a peep valve on the bi-valve mask. Poor ventilation technique. An empty oxygen tank. - correct answer ✅A non-cuffed tracheostomy Long-term tracheostomies are typically non-cuffed, which can result in poor results with positive-pressure ventilation Airway suctioning or laryngoscope blade can cause what in the pediatric population: bradycardia cardiac arrest tachycardia
