EPC 4E Test Questions With Correct Answers
An 8 year old male has had vomiting and diarrhea for 4 days. His general
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appearance is poor and his interactions are obtunded. The family states this is not
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usual for him. You note that he has weak peripheral pulses, but his central pulses
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are strong. What does this tell you?
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- He requires immediate intubation
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- He is in compensated shock
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- Nothing; you need a blood pressure to determine if he is in shock
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- He is in decompensated shock - CORRECT ANSWER✔✔-He is in compensated
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shock
While caring for an infant or toddler, the healthcare provider should do which of
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the following?
|
- Examine the infant from toe to head unless they are critical
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- Remove all the patient's clothing immediately
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- Immediately load the child and transport to the closest facility as quickly as
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possible
- Let the infant ride on mom's lap on the stretcher during transport - CORRECT
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ANSWER✔✔-Examine the infant from toe to head unless they are critical | | | | | | | | | |
,When initiating fluid replacement in a badly injured 5 year old, which of the
| | | | | | | | | | | | | |
following is correct? | |
- 10 mL/kg is the amount for IV crystalloid boluses
| | | | | | | | |
- Oral fluids are preferred over IV fluids
| | | | | | |
- D5NS is the fluid of choice
| | | | | |
- 20 mL/kg boluses of NS are preferred - CORRECT ANSWER✔✔-20 mL/kg boluses
| | | | | | | | | | | |
|of NS are preferred
| | |
Children respond to volume-related hypo perfusion by which of the following
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mechanisms?
- Vigorous vasodilation
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- Increasing cerebral perfusion
| | |
- Decreasing heart rate
| | |
- Vigorous vasoconstriction - CORRECT ANSWER✔✔-Vigorous vasoconstriction
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You are dispatched to an 11 year old female patient complaining of abdominal
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pain. Upon your arrival, you find the patient lying on the couch in the fetal
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position. The PAT reveals the patient is alert and has a patent airway, increased
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work ob breathing, and pale skin. The patient is crying and says, "my belly hurts."
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Mom informs you that the patient has been vomiting all day. Your physical exam
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notes a distended abdomen, but no signs of physical trauma. Vital signs are BP
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82/50, HR 138, RR 28, SpO2 94%, GCS 15 (E4, V5, M6), and a blood glucose 112
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mg/dL. The patient has a history of asthma and sickle cell disease. In this
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scenario, which of the following findings is critical with this patient?
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, - Patient age
| |
- Respiratory rate
| |
- Blood glucose level
| | |
- Patient is crying in the fetal position - CORRECT ANSWER✔✔-Patient is crying in
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the fetal position
| |
When evaluating a child with multiple bruises on their body, which of the
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following is the best indicator that the injuries are not the result of child
| | | | | | | | | | | | | |
maltreatment?
- Bruising found on infants who are not yet crawling
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- An 18 month old with bruising on his head
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- Bruising on the torso, ears, or neck in a child 4 years of age or younger
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- Bruises that are located away from bony prominences - CORRECT ANSWER✔✔-
| | | | | | | | | | |
An 18 year old with bruising on his head
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Which of the following behavioral health disorders is most likely to be a risk
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factor for suicidal ideation?
| | |
- Anxiety
|
- Depression
|
- Autism spectrum disorder
| | |
- Attention-deficit/hyperactivity disorder (ADHD) - CORRECT ANSWER✔✔-
| | | | | |
Depression
An 8 year old male has had vomiting and diarrhea for 4 days. His general
| | | | | | | | | | | | | | |
appearance is poor and his interactions are obtunded. The family states this is not
| | | | | | | | | | | | |
usual for him. You note that he has weak peripheral pulses, but his central pulses
| | | | | | | | | | | | | | |
are strong. What does this tell you?
| | | | | | |
- He requires immediate intubation
| | | |
- He is in compensated shock
| | | | |
- Nothing; you need a blood pressure to determine if he is in shock
| | | | | | | | | | | | |
- He is in decompensated shock - CORRECT ANSWER✔✔-He is in compensated
| | | | | | | | | | | |
shock
While caring for an infant or toddler, the healthcare provider should do which of
| | | | | | | | | | | | | |
the following?
|
- Examine the infant from toe to head unless they are critical
| | | | | | | | | | |
- Remove all the patient's clothing immediately
| | | | | |
- Immediately load the child and transport to the closest facility as quickly as
| | | | | | | | | | | | | |
possible
- Let the infant ride on mom's lap on the stretcher during transport - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-Examine the infant from toe to head unless they are critical | | | | | | | | | |
,When initiating fluid replacement in a badly injured 5 year old, which of the
| | | | | | | | | | | | | |
following is correct? | |
- 10 mL/kg is the amount for IV crystalloid boluses
| | | | | | | | |
- Oral fluids are preferred over IV fluids
| | | | | | |
- D5NS is the fluid of choice
| | | | | |
- 20 mL/kg boluses of NS are preferred - CORRECT ANSWER✔✔-20 mL/kg boluses
| | | | | | | | | | | |
|of NS are preferred
| | |
Children respond to volume-related hypo perfusion by which of the following
| | | | | | | | | | |
mechanisms?
- Vigorous vasodilation
| |
- Increasing cerebral perfusion
| | |
- Decreasing heart rate
| | |
- Vigorous vasoconstriction - CORRECT ANSWER✔✔-Vigorous vasoconstriction
| | | | | |
You are dispatched to an 11 year old female patient complaining of abdominal
| | | | | | | | | | | | |
pain. Upon your arrival, you find the patient lying on the couch in the fetal
| | | | | | | | | | | | | | |
position. The PAT reveals the patient is alert and has a patent airway, increased
| | | | | | | | | | | | | |
work ob breathing, and pale skin. The patient is crying and says, "my belly hurts."
| | | | | | | | | | | | | | |
Mom informs you that the patient has been vomiting all day. Your physical exam
| | | | | | | | | | | | | |
notes a distended abdomen, but no signs of physical trauma. Vital signs are BP
| | | | | | | | | | | | | |
82/50, HR 138, RR 28, SpO2 94%, GCS 15 (E4, V5, M6), and a blood glucose 112
| | | | | | | | | | | | | | | | |
mg/dL. The patient has a history of asthma and sickle cell disease. In this
| | | | | | | | | | | | | |
scenario, which of the following findings is critical with this patient?
| | | | | | | | | |
, - Patient age
| |
- Respiratory rate
| |
- Blood glucose level
| | |
- Patient is crying in the fetal position - CORRECT ANSWER✔✔-Patient is crying in
| | | | | | | | | | | | | |
the fetal position
| |
When evaluating a child with multiple bruises on their body, which of the
| | | | | | | | | | | | |
following is the best indicator that the injuries are not the result of child
| | | | | | | | | | | | | |
maltreatment?
- Bruising found on infants who are not yet crawling
| | | | | | | | |
- An 18 month old with bruising on his head
| | | | | | | | |
- Bruising on the torso, ears, or neck in a child 4 years of age or younger
| | | | | | | | | | | | | | | |
- Bruises that are located away from bony prominences - CORRECT ANSWER✔✔-
| | | | | | | | | | |
An 18 year old with bruising on his head
| | | | | | | |
Which of the following behavioral health disorders is most likely to be a risk
| | | | | | | | | | | | | |
factor for suicidal ideation?
| | |
- Anxiety
|
- Depression
|
- Autism spectrum disorder
| | |
- Attention-deficit/hyperactivity disorder (ADHD) - CORRECT ANSWER✔✔-
| | | | | |
Depression
