Page 1 of 136
EPALS (European Paediatric Advanced Life Support)
Exam QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES JUST RELEASED
EPALS (European Paediatric Advanced Life Support) — Summarized Coverage
The EPALS (European Paediatric Advanced Life Support) course and examination, developed by the
European Resuscitation Council, evaluates healthcare professionals on the recognition and advanced
management of critically ill or injured infants and children. The exam emphasizes pediatric
resuscitation algorithms, airway management, cardiac arrest response, shock treatment, teamwork,
and emergency stabilization skills.
1. Pediatric basic life support (PBLS) sequence and CPR quality standards
2. Pediatric advanced life support algorithms and resuscitation priorities
3. Recognition of the deteriorating child using ABCDE assessment
4. Pediatric airway anatomy and airway obstruction management
5. Bag-mask ventilation techniques and oxygen delivery methods
6. Advanced airway management (supraglottic airway, endotracheal intubation basics)
7. Respiratory failure recognition and management in infants and children
8. Shock recognition: hypovolemic, septic, cardiogenic, distributive, obstructive
9. Fluid resuscitation principles and pediatric fluid calculations
10. Cardiac arrest rhythms in children (VF, pulseless VT, asystole, PEA)
11. Defibrillation and synchronized cardioversion in pediatric patients
12. Pediatric ECG rhythm recognition basics
13. Bradycardia and tachycardia algorithms in pediatric emergencies
14. Pediatric medication dosing during resuscitation (weight-based calculations)
15. Intraosseous (IO) access indications and emergency vascular access
16. Recognition and management of sepsis in children
17. Anaphylaxis recognition and emergency treatment
18. Seizure emergencies and status epilepticus management
19. Trauma assessment and pediatric trauma stabilization principles
20. Head injury and altered consciousness management in children
21. Burns, drowning, poisoning, and environmental emergency care
22. Recognition and treatment of respiratory illnesses (asthma, bronchiolitis, croup)
23. Electrolyte disturbances and hypoglycemia management
24. Team leadership, communication, and closed-loop communication during resuscitation
25. Human factors and crisis resource management in pediatric emergencies
26. Safe transfer and post-resuscitation stabilization of pediatric patients
27. Ethical issues in pediatric resuscitation and end-of-life considerations
28. Infection prevention and safe pediatric emergency care practices
29. Simulation-based pediatric emergency scenarios and rapid decision-making
30. Integrated multi-system pediatric emergency management combining airway, breathing,
circulation, medication, rhythm interpretation, and team coordination under time-critical
conditions
, Page 2 of 136
EPALS (European Paediatric Advanced Life Support) Practice Exam — Batch 1 (1–50)
1.
What is the primary purpose of the ABCDE assessment approach during pediatric emergency
evaluation?
A. Determine hospital billing priority
B. Identify and treat life-threatening conditions systematically
C. Measure long-term developmental milestones
D. Replace all diagnostic investigations immediately
Answer: B
Rationale: The ABCDE approach prioritizes rapid identification and treatment of immediately life-
threatening problems.
2.
, Page 3 of 136
Which pulse check location is most appropriate during infant basic life support assessment?
A. Radial artery
B. Femoral or brachial artery
C. Carotid artery only
D. Temporal artery exclusively
Answer: B
Rationale: In infants, brachial or femoral pulses are easier and more reliable to assess.
3.
What compression-to-ventilation ratio is recommended during two-rescuer pediatric CPR?
A. 30:2
B. 15:2
C. 5:1
D. 50:5
, Page 4 of 136
Answer: B
Rationale: Two-rescuer pediatric CPR uses a 15:2 ratio to improve oxygen delivery.
4.
Which clinical sign most strongly suggests severe respiratory distress in a child?
A. Mild nasal congestion
B. Grunting and severe chest retractions
C. Occasional sneezing
D. Normal speech patterns
Answer: B
Rationale: Grunting and retractions indicate increased work of breathing and impending respiratory
failure.
5.
EPALS (European Paediatric Advanced Life Support)
Exam QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES JUST RELEASED
EPALS (European Paediatric Advanced Life Support) — Summarized Coverage
The EPALS (European Paediatric Advanced Life Support) course and examination, developed by the
European Resuscitation Council, evaluates healthcare professionals on the recognition and advanced
management of critically ill or injured infants and children. The exam emphasizes pediatric
resuscitation algorithms, airway management, cardiac arrest response, shock treatment, teamwork,
and emergency stabilization skills.
1. Pediatric basic life support (PBLS) sequence and CPR quality standards
2. Pediatric advanced life support algorithms and resuscitation priorities
3. Recognition of the deteriorating child using ABCDE assessment
4. Pediatric airway anatomy and airway obstruction management
5. Bag-mask ventilation techniques and oxygen delivery methods
6. Advanced airway management (supraglottic airway, endotracheal intubation basics)
7. Respiratory failure recognition and management in infants and children
8. Shock recognition: hypovolemic, septic, cardiogenic, distributive, obstructive
9. Fluid resuscitation principles and pediatric fluid calculations
10. Cardiac arrest rhythms in children (VF, pulseless VT, asystole, PEA)
11. Defibrillation and synchronized cardioversion in pediatric patients
12. Pediatric ECG rhythm recognition basics
13. Bradycardia and tachycardia algorithms in pediatric emergencies
14. Pediatric medication dosing during resuscitation (weight-based calculations)
15. Intraosseous (IO) access indications and emergency vascular access
16. Recognition and management of sepsis in children
17. Anaphylaxis recognition and emergency treatment
18. Seizure emergencies and status epilepticus management
19. Trauma assessment and pediatric trauma stabilization principles
20. Head injury and altered consciousness management in children
21. Burns, drowning, poisoning, and environmental emergency care
22. Recognition and treatment of respiratory illnesses (asthma, bronchiolitis, croup)
23. Electrolyte disturbances and hypoglycemia management
24. Team leadership, communication, and closed-loop communication during resuscitation
25. Human factors and crisis resource management in pediatric emergencies
26. Safe transfer and post-resuscitation stabilization of pediatric patients
27. Ethical issues in pediatric resuscitation and end-of-life considerations
28. Infection prevention and safe pediatric emergency care practices
29. Simulation-based pediatric emergency scenarios and rapid decision-making
30. Integrated multi-system pediatric emergency management combining airway, breathing,
circulation, medication, rhythm interpretation, and team coordination under time-critical
conditions
, Page 2 of 136
EPALS (European Paediatric Advanced Life Support) Practice Exam — Batch 1 (1–50)
1.
What is the primary purpose of the ABCDE assessment approach during pediatric emergency
evaluation?
A. Determine hospital billing priority
B. Identify and treat life-threatening conditions systematically
C. Measure long-term developmental milestones
D. Replace all diagnostic investigations immediately
Answer: B
Rationale: The ABCDE approach prioritizes rapid identification and treatment of immediately life-
threatening problems.
2.
, Page 3 of 136
Which pulse check location is most appropriate during infant basic life support assessment?
A. Radial artery
B. Femoral or brachial artery
C. Carotid artery only
D. Temporal artery exclusively
Answer: B
Rationale: In infants, brachial or femoral pulses are easier and more reliable to assess.
3.
What compression-to-ventilation ratio is recommended during two-rescuer pediatric CPR?
A. 30:2
B. 15:2
C. 5:1
D. 50:5
, Page 4 of 136
Answer: B
Rationale: Two-rescuer pediatric CPR uses a 15:2 ratio to improve oxygen delivery.
4.
Which clinical sign most strongly suggests severe respiratory distress in a child?
A. Mild nasal congestion
B. Grunting and severe chest retractions
C. Occasional sneezing
D. Normal speech patterns
Answer: B
Rationale: Grunting and retractions indicate increased work of breathing and impending respiratory
failure.
5.
