PALS HEARTCODE 2025 CERTIFICATION EVALUATION EXAMS 2026 SOLVED QUESTIONS AND SOLUTIONS GRADED A+

PALS HEARTCODE 2025 CERTIFICATION
EVALUATION EXAMS 2026 SOLVED
QUESTIONS AND SOLUTIONS GRADED A+

⩥ What are the causes of secondary bradycardia? Answer: Hypoxia,
hypotension, hypothermia, acidosis, drugs.


⩥ What are the causes of primary bradycardia? Answer: Congenital or
acquired heart conditions.


⩥ What are the ECG characteristics of bradycardia? Answer: P wave and
QRS may be unrelated.
Heart rate slow for age.
QRS may be narrow or wide.


⩥ In what patients would asymptomatic bradycardia not be problematic?
Answer: A well-conditioned athlete.
A healthy child who is sleeping.


⩥ Define bradycardia. Answer: A heart rate that is:
- slow for normal range
- activity
- clinical condition

, ⩥ What is the leading cause of symptomatic bradycardia? Answer:
Tissue hypoxia.


⩥ What is the dose for epinephrine? Answer: Epinephrine every 3-5
mins
- 0.01 mg/kg IV
- 0.1 mg/kg ETT


⩥ In what conditions is atropine preferred over epinephrine as 1st choice
treatment of symptomatic bradycardia? Answer: When the bradycardia is
due to:
- excessive vagal tone
- cholinergic drug toxicity, e.g. organophosphates
- complete AV block (primary bradycardia)


⩥ What is the dose for atropine? Answer: Atropine 0.02 mg/kg IV


⩥ What clinical findings may be present in a child with
tachyarrhythmia? Answer: Syncope, light-headedness, palpitations.


⩥ If bradycardia persists after initial treatment, and HR < 60 /min, what
is the next step? Answer: Begin CPR.