-
A suppository is a medication designed for:
Rectal administration
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When a paramedic suspects child abuse, she is mandated to:
Report the incident to the appropriate authorities
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What would lead you to a diagnosis of bronchiolitis instead of asthma?
Limited reversal of bronchospasm with beta agonist
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Your patient is a 4-year-old boy who is having difficulty breathing and has slight expiratory wheezes. He is dyspneic and tachycardic, and when you listen to his chest with a stethoscope you hear very little air movement. If you intubate this patient, you should:
Ventilate with reduced tidal volumes to avoid barotrauma
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Many children with cardiac tamponade have no signs or symptoms other than:
Hypotension
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Your 2-year-old patient is being treated for bronchiolitis. His mother called you to �check him out.� Which of the following physical findings would indicate that he is progressing to respiratory failure?
Respiratory rate 10/min.
-
Normal systolic blood pressure for a 10-year-old child is:
100 mm Hg
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Which of the following statements about the chest and lungs of a child is true?
The chest muscles are immature and can tire easily
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Major fears of school-age children include:
Bodily injury and mutilation
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You are called to the home of a 6-year-old child who woke up with a sore throat and pain on swallowing. The child has a fever of 105� F and a muffled voice and is drooling. The child appears to be very ill. His mother is extremely anxious and said he had no symptoms when he went to bed last night. You suspect this patient has:
Epiglottitis
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You are evaluating an 8-month-old child who recently had a cold. The symptoms have progressed to low-grade fever, hoarse cry, inspiratory stridor, and a barking cough. The infant is sitting straight up in his mother�s arms. Prehospital treatment for this child includes:
Cool mist or humidified oxygen
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You are transporting an 8-year-old with a 3-day history of fever and painful cough. Breath sounds reveal crackles and wheezing in the right lower lobe of the lung. Vital signs are BP 94/58 P 120 bpm, R. 30/min., SaO2 96%. Which intervention is most appropriate?
Deliver albuterol by nebulizer and reassess
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In comparison to an adult�s head and face, a child has:
A proportionally larger head
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A flat fontanelle in a 4-month-old child with mild tachycardia is a sign of:
Mild dehydration
-
The most common nonarrest rhythm in childhood is:
SVT
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Most cases of cardiac arrest in children occur secondary to:
Respiratory insufficiency
-
Rectal diazepam administration for seizing pediatric patients:
May have to be repeated because valium has a short half-life
-
A yellow bruise is probably how old?
7 to 10 days
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You are called to the home of a 2-year-old who had a sudden onset of respiratory compromise. The father reports that the child was playing quietly before this began and has not been ill. You suspect that this patient has:
Foreign body airway obstruction
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You are called to the home of the parents of a 2-day-old child. The child was born at home with the assistance of a midwife. The mother is concerned because the child weighed 7 pounds at birth and now weighs less than mc004-1.jpg pounds. She feels the child is eating well, and he has several wet diapers daily. Your assessment is that:
This is normal fluid loss in a neonate
-
The most common perpetrator of child abuse is:
The victim's mother
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The large majority of substantiated child-abuse reports are generated by:
Professional sources
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The most common type of injury seen in child abuse is:
Soft tissue injury
-
The most common type of child abuse is:
Neglect
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You are called to care for a 10-month-old �premie graduate� who pulled out his tracheostomy tube. When you arrive, he is coughing and has noisy, wet, respirations with good color and a heart rate of 120 bpm. Which action is indicated first?
Suction the trachea
-
AED use in children under 1 year of age is:
Of unknown benefit without further research
-
Febrile seizures usually occur in children:
With rapidly rising fever
-
Three components of the Pediatric Assessment Triangle include the work of breathing, circulation, and:
Appearance
-
What mental status is typical of a pediatric patient in respiratory failure?
Lethargy
-
What is true about the chest wall of a child?
The chest muscles are immature and can tire easily
-
Imagination and interaction with age-mates begins to develop in the:
Preschool years (3 to 5 years of age)
-
Children with pneumonia usually require:
No immediate stabilization or airway support
-
A child�s compensatory mechanisms when in shock are:
Very efficient, masking potentially serious conditions
-
Most illnesses in school-age children are caused by:
Viral infections
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You are called to the home of a 4-month-old infant. His hysterical parents report that he was fine and healthy at his 2 AM feeding, but he didn�t wake up this morning. To reduce the risk of SIDS, you can recommend to parents that they:
Place the infant on his back to sleep
-
Rectal diazepam administration for seizing pediatric patients:
May have to be repeated because valium has a short half-life
-
To increase cardiac output, children increase:
Heart rate
-
The first fluid bolus for a hypovolemic child should be:
20 mL/kg
-
The �rule of six� in calculating drug infusions means you can estimate:
The drug dose by multiplying the patient�s body weight in kilograms by 6
-
Correctly positioning a 2-year-old�s airway includes:
Padding under the shoulders
-
You are evaluating an 8-month-old child who recently had a cold. The symptoms have progressed to low-grade fever, hoarse cry, inspiratory stridor, and a barking cough. The infant is sitting straight up in his mother�s arms. Prehospital treatment for this child includes:
Cool mist or humidified oxygen
-
If a pediatric patient has lost less than 20% of her circulating blood volume, how would you expect her to respond to the recommended first bolus of normal saline?
The patient�s condition will improve following this fluid bolus
-
You are called to the home of a 4-month-old infant. His hysterical parents report that he was fine and healthy at his 2 AM feeding, but he didn�t wake up this morning. Risk factors associated with SIDS include:
Maternal smoking
-
Most fatalities in child abuse cases occur in what age group?
Less than 4 years of age
-
What burn pattern is most suggestive of possible abuse in a 2-year-old child?
2nd and 3rd degree burns on both lower legs from the knees down
-
What correctly identifies the parameters of infantile apnea?
Cessation of respirations for less than 10 seconds, with bradycardia
-
A microdrip administration set delivers:
60 drops/mL
-
Signs of increasing intracranial blood pressure in infants include:
Bulging fontanelles
-
An IM medication that can be used in place of dextrose is:
Glucagon
-
The GCS finding in a 1-year-old child that corresponds to a verbal response of 5 (is oriented and converses) in an adult is:
Smiles and coos, cries appropriately
-
A ventricular shunt is used to:
Drain excess cerebrospinal fluid
-
You are called to the home of the parents of a 2-day-old child. The child was born at home with the assistance of a midwife. The mother is concerned because the child weighed 7 pounds at birth and now weighs less than mc004-1.jpg pounds. She feels the child is eating well, and he has several wet diapers daily. Your assessment is that:
This is normal fluid loss in a neonate
- The assessment tool commonly used to evaluate newborns is the:
- APGAR
-
The transition phase of pediatric assessment:
Is not appropriate for seriously ill or injured children
-
Bradycardia in children that is not caused by heart block or increased vagal tone should be treated initially with:
Epinephrine
-
Cardiomyopathy results from a disease that causes:
Reduction in the force of cardiac contractions
-
You are called to the home of a 6-year-old child who woke up with a sore throat and pain on swallowing. The child has a fever of 105� F and a muffled voice and is drooling. The child appears to be very ill. His mother is extremely anxious and said he had no symptoms when he went to bed last night. You suspect this patient has:
Epiglottitis
-
The leading cause of injury in children is:
Falls
-
Hypoglycemia is most commonly seen in children:
With type 1 diabetes
-
A major factor in the likelihood of child abuse is:
Living in a home where spouse or partner abuse occurs
-
You are called to the home of a 14-year-old male who is being treated on an outpatient basis for leukemia. He has a peripherally inserted central catheter for vascular access. While roughhousing with his older brother, the patient's vascular access device was damaged and he is bleeding. To control the bleeding you should:
Apply gentle, direct pressure at the bleeding site
-
Your 2-year-old patient is being treated for bronchiolitis. His mother called you to �check him out.� Which of the following physical findings would indicate that he is progressing to respiratory failure?
Respiratory rate 10/min.
-
Postcardiac-arrest ventilation should be aimed at:
Normal ventilation; aim for a CO2 level of 35 to 40 mm Hg
-
Most victims of child abuse are:
Less than 7 years of age
-
You are called to the home of a 4-month-old infant. His hysterical parents report that he was fine and healthy at his 2 AM feeding, but he didn�t wake up this morning. You know that SIDS is:
The leading cause of death in children of this age group
-
In comparison to an adult airway structure, a child has:
The narrowest portion of the airway at the cricoid ring
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