EPALS FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED
A+
◍ PaO2.
Answer: Ciśnienie parcjalne tlenu we krwi tętniczej
◍ What is Hypernatremia?.
Answer: high sodium. over >145 mmol.
◍ Signs of compensated circulatory failure.
Answer: Tachycardia Impaired peripheral perfusion Decreased peripheral
pulses Normal blood pressureAgitation
◍ Amiodarone precautions.
Answer: It can cause thrombophlebitis therefore should be given central
vascular iV or iO route, but if given peirpherally should be liberally flushed.
◍ Indications for sodium bicarb.
Answer: Not generally recommended Only indicated with prolonged cardiac
arrests where acidity not improving
◍ Salbutamol.
Answer: A beta-2 agonist effect relaxing smooth muscle in airways of
patients with asthma. SE include tachycardia, hypertension, hypokalaemia,
arrhythmias. Salbutamol (albuterol) treats hyperkalemia by stimulating
beta-2 receptors, activating the Na-K pump, and shifting potassium from the
blood into cells, reducing serum levels within minutes to hours
◍ Blind finger sweeps in children.
Answer: - Do not perform Blind finger sweeps in children with partial
airway obstruction as it may be converted to complete obstruction.
, ◍ igel size infants 5-12 kg.
Answer: 1.5
◍ RSI.
Answer: Sekwencja szybkiej intubacji
◍ Management of obstructed tracheostomy.
Answer: - Suctioning the tube. If a suction catheter cannot be passed, the
tracheostomy tube should be removed immediately and replaced.- If a clean
tube is not available, ventilation via BMV a t the tracheostomy stoma site
should be done until the tube is cleaned and replaced. Can give BMV at
mouth if upper airway is patent and whilst tracheal stoma is occluded- In an
emergency situation, tracheal intubation via the tracheostomy with a
classical endotracheal tube may be needed
◍ Arterial oxygen content is Hb x 1.34, x SaO2.
Answer: Hb x 1.34, x SaO2
◍ Fluid bolus.
Answer: 10ml/kg of balances isotonic crystalloid (e.g. NACL)
◍ GCS.
Answer: Skala śpiączki Glasgow
◍ What is the target BP.
Answer: BP should be maintained above the 5th centile. In children who
have been resuscitated from cardiac arrest, the MAP should be maintained
above the 10th centile.
◍ Why should glucose solutions not be used for resuscitation.
Answer: The can cause hyperglycaemia resulting in osmotic diuresis. This
increases urine production which increases circulatory volume loss.
◍ LÍFSMÖRK 5 ÁRA.
Answer: RR - HR - SBÞ - MAPRR - 17-30HR - 70-140SBÞ - 75-100MAP -
55-75
◍ Technique for abdominal thrusts for a child over 1 year.
WITH CORRECT ANSWERS GRADED
A+
◍ PaO2.
Answer: Ciśnienie parcjalne tlenu we krwi tętniczej
◍ What is Hypernatremia?.
Answer: high sodium. over >145 mmol.
◍ Signs of compensated circulatory failure.
Answer: Tachycardia Impaired peripheral perfusion Decreased peripheral
pulses Normal blood pressureAgitation
◍ Amiodarone precautions.
Answer: It can cause thrombophlebitis therefore should be given central
vascular iV or iO route, but if given peirpherally should be liberally flushed.
◍ Indications for sodium bicarb.
Answer: Not generally recommended Only indicated with prolonged cardiac
arrests where acidity not improving
◍ Salbutamol.
Answer: A beta-2 agonist effect relaxing smooth muscle in airways of
patients with asthma. SE include tachycardia, hypertension, hypokalaemia,
arrhythmias. Salbutamol (albuterol) treats hyperkalemia by stimulating
beta-2 receptors, activating the Na-K pump, and shifting potassium from the
blood into cells, reducing serum levels within minutes to hours
◍ Blind finger sweeps in children.
Answer: - Do not perform Blind finger sweeps in children with partial
airway obstruction as it may be converted to complete obstruction.
, ◍ igel size infants 5-12 kg.
Answer: 1.5
◍ RSI.
Answer: Sekwencja szybkiej intubacji
◍ Management of obstructed tracheostomy.
Answer: - Suctioning the tube. If a suction catheter cannot be passed, the
tracheostomy tube should be removed immediately and replaced.- If a clean
tube is not available, ventilation via BMV a t the tracheostomy stoma site
should be done until the tube is cleaned and replaced. Can give BMV at
mouth if upper airway is patent and whilst tracheal stoma is occluded- In an
emergency situation, tracheal intubation via the tracheostomy with a
classical endotracheal tube may be needed
◍ Arterial oxygen content is Hb x 1.34, x SaO2.
Answer: Hb x 1.34, x SaO2
◍ Fluid bolus.
Answer: 10ml/kg of balances isotonic crystalloid (e.g. NACL)
◍ GCS.
Answer: Skala śpiączki Glasgow
◍ What is the target BP.
Answer: BP should be maintained above the 5th centile. In children who
have been resuscitated from cardiac arrest, the MAP should be maintained
above the 10th centile.
◍ Why should glucose solutions not be used for resuscitation.
Answer: The can cause hyperglycaemia resulting in osmotic diuresis. This
increases urine production which increases circulatory volume loss.
◍ LÍFSMÖRK 5 ÁRA.
Answer: RR - HR - SBÞ - MAPRR - 17-30HR - 70-140SBÞ - 75-100MAP -
55-75
◍ Technique for abdominal thrusts for a child over 1 year.
