EPALS PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ Obstructive shock.
Answer: An uncommon cause of circulatory failure due to obstruction of
blood flow to/from the heart (eg. tension pneumothorax, cardiac tamponade
or constrictive pericarditis).
◍ Primary cardiopulmonary arrest.
Answer: Cardiac arrythmia (VF/pVT)
◍ IO Location.
Answer: Proximal tibiaDistal tibiaDistal femur
◍ WETFL(A)G.
Answer: AdrenalineWeight x 0.1ml
◍ VF.
Answer: Migotanie komór
◍ blood gas analysis.
Answer: Ph= severity of condition Respiratory acidosis= pneumonia,
asthma, neuromuscular disorders + coma.Metabolic acidosis= D+V, sepsis,
heart failure, diabetic ketoacidosis + shock.
◍ MAP.
Answer: Średnie ciśnienie tętnicze
◍ Rate of ventilation infant.
Answer: 12-30
◍ In hospital chest compression ratio.
Answer: 15:2
, ◍ What can hyperchloraemic acidosis do.
Answer: Promote inflammation and AKI
◍ Non-shockable rhythms.
Answer: Pulseless Electrical activity (PEA), Asystole, Bradycardia <60/min.
CPR-> adrenaline ASAP then every 3-5 mins. CONSIDER + CORRECT
REVERSIBLE CAUSES
◍ only 1 rescuer.
Answer: If one rescuer, call for help immediately after 5 iniitial rescue
breaths. Proceed to next step whilst waiting for answer. If no phone is
available, perform 1 min of CPR before leaving the child.
◍ LÍFSMÖRK 1ÁRA.
Answer: RR - HR - SBÞ - MAPRR - 20-50HR - 100-170SBÞ - 70-95MAP -
50-70
◍ BP systolic centiles.
Answer: 1 month = 501 year = 705 years - 7510 years = 80
◍ MAP calclation in acute settings.
Answer: MAP (mmHg) = [(2 × diastolic) + systolic] / 3
◍ Phenobarbital.
Answer: A barbiturate that increases GABA activity in the brain and
depresses glutamate activity; the overall effect is to decrease CNS electrical
activity hence its effectiveness in seizures. It can also cause sedation,
respiratory depression and hypotension, particularly in combination with
benzodiazepines.
◍ Infant compressions.
Answer: 2 finger technique or thumbs encirciling
◍ (W)ETFLAG.
Answer: Weight Accurate weight or Age + 4 x 2
◍ what is the treatment for cardiac tamponade?.
Answer: surgery to remove blood from around the heart
QUESTIONS WITH ANSWERS GRADED
A+
◍ Obstructive shock.
Answer: An uncommon cause of circulatory failure due to obstruction of
blood flow to/from the heart (eg. tension pneumothorax, cardiac tamponade
or constrictive pericarditis).
◍ Primary cardiopulmonary arrest.
Answer: Cardiac arrythmia (VF/pVT)
◍ IO Location.
Answer: Proximal tibiaDistal tibiaDistal femur
◍ WETFL(A)G.
Answer: AdrenalineWeight x 0.1ml
◍ VF.
Answer: Migotanie komór
◍ blood gas analysis.
Answer: Ph= severity of condition Respiratory acidosis= pneumonia,
asthma, neuromuscular disorders + coma.Metabolic acidosis= D+V, sepsis,
heart failure, diabetic ketoacidosis + shock.
◍ MAP.
Answer: Średnie ciśnienie tętnicze
◍ Rate of ventilation infant.
Answer: 12-30
◍ In hospital chest compression ratio.
Answer: 15:2
, ◍ What can hyperchloraemic acidosis do.
Answer: Promote inflammation and AKI
◍ Non-shockable rhythms.
Answer: Pulseless Electrical activity (PEA), Asystole, Bradycardia <60/min.
CPR-> adrenaline ASAP then every 3-5 mins. CONSIDER + CORRECT
REVERSIBLE CAUSES
◍ only 1 rescuer.
Answer: If one rescuer, call for help immediately after 5 iniitial rescue
breaths. Proceed to next step whilst waiting for answer. If no phone is
available, perform 1 min of CPR before leaving the child.
◍ LÍFSMÖRK 1ÁRA.
Answer: RR - HR - SBÞ - MAPRR - 20-50HR - 100-170SBÞ - 70-95MAP -
50-70
◍ BP systolic centiles.
Answer: 1 month = 501 year = 705 years - 7510 years = 80
◍ MAP calclation in acute settings.
Answer: MAP (mmHg) = [(2 × diastolic) + systolic] / 3
◍ Phenobarbital.
Answer: A barbiturate that increases GABA activity in the brain and
depresses glutamate activity; the overall effect is to decrease CNS electrical
activity hence its effectiveness in seizures. It can also cause sedation,
respiratory depression and hypotension, particularly in combination with
benzodiazepines.
◍ Infant compressions.
Answer: 2 finger technique or thumbs encirciling
◍ (W)ETFLAG.
Answer: Weight Accurate weight or Age + 4 x 2
◍ what is the treatment for cardiac tamponade?.
Answer: surgery to remove blood from around the heart
