Burns, Environmental & Toxicology, High Risk OB,
Neonates, Pediatrics Exam 2023 with complete solution
What is a normal fetal heart rate?
A. 60-100
B. 120-160
C. 160-200
D. 100-150
E. None of the above
B. 120-160
A normal fetal heart rate is 120-160 bpm.
During normal fetal development, the mother's plasma increases by _____________%.
A. 30
B. 40
C. 25
D. 15
E. None of the above
B. 40
During normal fetal development, the mother's plasma increases by 40 percent in an
attempt to increase cardiac output.This also can cause increased possibility for
embolisms and blood clots due to the increased amount of clotting factors in the
plasma.
You are doing rotations in a major pediatric hospital. You note a pediatric patient
walking in the hall outside of the ICU that appears cyanotic. At that time, the patient
stops walking and squats into a knee to chest position.
Based on your training as a flight paramedic, you know this is a common sign of
patients with what cardiac defect?
A. Patent Ductus Arteriosus
B. Patent Foramen Ovale
C. Ventricular septal wall defect
D. Tetralogy of Fallot
E. None of the above
D. Tetralogy of Fallot
This is referred to as a "tet spell". The child is squatting to increase the SVR and
therefore increase the afterload on the left ventricle. By doing this, the pressure in the
left side over-dominates and oxygenated blood is able to pass to the aorta and to the
systemic circulation.If this is not successful, the patient will need to be intubated with 1.0
FIO2.
True or False
An example of left to right shunt is a ventricular septal wall defect.
,A. Yes
B. No
B. No
A VSD is an example of a right to left shunt. (cyanotic heart defect)
You arrive at the interfacility transport of a patient who intentionally overdosed on
Phenytoin. Upon your arrival, you note the patient's urinary output to be 400 ml/hr via
Foley catheter assessment. Further assessment of the patent reveals the patient
unresponsive and intubated.
Based on the information above, what condition do you suspect the patient has
developed?
A. Hyperglycemia
B. Cerebral Edema
C. Encephalopathy
D. Diabetes Insipidus
E. PRIS
D. Diabetes Insipidus
An OD of Keppra or Phenytoin can cause Diabetes Insipidus.Signs and symptoms of
Diabetes Insipidus include large amounts of urinary output.
True or False
An Omphalocele has a worse prognosis than Gastroschisis.
A. Yes
B. No
A, Yes
An Omphalocele is worse than Gastroschisis due to patients with Gastroschisis typically
having full development of abdominal contents. Patients with Omphalocele also typically
have underdeveloped lungs.
You have been called to a scene flight of an infant patient who is lethargic. Upon further
exam, you note retinal hemorrhages and bulging fontanelles. What is the likely cause of
the patient's presentation?
A. Ground level fall
B. Dehydration
C. Shaken baby syndrome
D. Electrical burn
E. None of the above
C. Shaken baby syndrome
Retinal hemorrhages and bulging fontanelles are signs of increased intracranial
pressure.
These signs and symptoms indicate shaken baby syndrome.
What medications must be considered if a neonate is considered septic?
A. Zosyn
B. Meropenem
C. Vancomycin
, D. Gentamycin
E. None of the above
D. Gentamycin
Ampicillin and Gentamycin are the antibiotics of choice for broad-spectrum treatment of
neonatal sepsis.
What is the name and significance of the following ECG finding?
You see a QRS with a large S wave
A. Sine wave, Hyperkalemia
B. Brugada syndrome
C. Wellen's Type A, LAD stenosis
D. Delta wave, Wolf Parkinson White syndrome
E. Osborn wave, Hypothermia
E. Osborn wave, Hypothermia
The arrow is pointing to an Osborn wave on the ECG. This is indicative of hypothermia.
Which maneuver is characterized by pulling back the woman's knees toward the chest,
while applying suprapubic pressure?
A. Mauriceau's maneuver
B. Chovsteks maneuver
C. Waddel's maneuver
D. McRoberts maneuver
E. None of the above
D. McRoberts maneuver
The McRoberts maneuver is utilized for shoulder dystocia.
You have assisted in the delivery of a neonate who is now having a seizure. When you
obtain a glucose you note it to be 44 mg/dl.
What is the correct treatment and dose for management of this patient?
A. 2 ml/kg, Dextrose 25%
B. 5ml/kg, Dextrose 10%
C. 2ml/kg, Dextrose 10%
D. 1ml/kg, Dextrose 50%
E. 5 ml/kg, Dextrose 5%
C. 2ml/kg, Dextrose 10%
The patient in the scenario is hypoglycemic. The treatment for neonatal hypoglycemia is
2 ml/KG of Dextrose 10%.
If the mother is discovered to have a fever or it is believed that she has an infection, the
patient should receive which of the following medications?
A. Zithromax
B. Gentamycin
C. Amoxicillin
D. Zosyn
E. Magnesium Sulfate
Neonates, Pediatrics Exam 2023 with complete solution
What is a normal fetal heart rate?
A. 60-100
B. 120-160
C. 160-200
D. 100-150
E. None of the above
B. 120-160
A normal fetal heart rate is 120-160 bpm.
During normal fetal development, the mother's plasma increases by _____________%.
A. 30
B. 40
C. 25
D. 15
E. None of the above
B. 40
During normal fetal development, the mother's plasma increases by 40 percent in an
attempt to increase cardiac output.This also can cause increased possibility for
embolisms and blood clots due to the increased amount of clotting factors in the
plasma.
You are doing rotations in a major pediatric hospital. You note a pediatric patient
walking in the hall outside of the ICU that appears cyanotic. At that time, the patient
stops walking and squats into a knee to chest position.
Based on your training as a flight paramedic, you know this is a common sign of
patients with what cardiac defect?
A. Patent Ductus Arteriosus
B. Patent Foramen Ovale
C. Ventricular septal wall defect
D. Tetralogy of Fallot
E. None of the above
D. Tetralogy of Fallot
This is referred to as a "tet spell". The child is squatting to increase the SVR and
therefore increase the afterload on the left ventricle. By doing this, the pressure in the
left side over-dominates and oxygenated blood is able to pass to the aorta and to the
systemic circulation.If this is not successful, the patient will need to be intubated with 1.0
FIO2.
True or False
An example of left to right shunt is a ventricular septal wall defect.
,A. Yes
B. No
B. No
A VSD is an example of a right to left shunt. (cyanotic heart defect)
You arrive at the interfacility transport of a patient who intentionally overdosed on
Phenytoin. Upon your arrival, you note the patient's urinary output to be 400 ml/hr via
Foley catheter assessment. Further assessment of the patent reveals the patient
unresponsive and intubated.
Based on the information above, what condition do you suspect the patient has
developed?
A. Hyperglycemia
B. Cerebral Edema
C. Encephalopathy
D. Diabetes Insipidus
E. PRIS
D. Diabetes Insipidus
An OD of Keppra or Phenytoin can cause Diabetes Insipidus.Signs and symptoms of
Diabetes Insipidus include large amounts of urinary output.
True or False
An Omphalocele has a worse prognosis than Gastroschisis.
A. Yes
B. No
A, Yes
An Omphalocele is worse than Gastroschisis due to patients with Gastroschisis typically
having full development of abdominal contents. Patients with Omphalocele also typically
have underdeveloped lungs.
You have been called to a scene flight of an infant patient who is lethargic. Upon further
exam, you note retinal hemorrhages and bulging fontanelles. What is the likely cause of
the patient's presentation?
A. Ground level fall
B. Dehydration
C. Shaken baby syndrome
D. Electrical burn
E. None of the above
C. Shaken baby syndrome
Retinal hemorrhages and bulging fontanelles are signs of increased intracranial
pressure.
These signs and symptoms indicate shaken baby syndrome.
What medications must be considered if a neonate is considered septic?
A. Zosyn
B. Meropenem
C. Vancomycin
, D. Gentamycin
E. None of the above
D. Gentamycin
Ampicillin and Gentamycin are the antibiotics of choice for broad-spectrum treatment of
neonatal sepsis.
What is the name and significance of the following ECG finding?
You see a QRS with a large S wave
A. Sine wave, Hyperkalemia
B. Brugada syndrome
C. Wellen's Type A, LAD stenosis
D. Delta wave, Wolf Parkinson White syndrome
E. Osborn wave, Hypothermia
E. Osborn wave, Hypothermia
The arrow is pointing to an Osborn wave on the ECG. This is indicative of hypothermia.
Which maneuver is characterized by pulling back the woman's knees toward the chest,
while applying suprapubic pressure?
A. Mauriceau's maneuver
B. Chovsteks maneuver
C. Waddel's maneuver
D. McRoberts maneuver
E. None of the above
D. McRoberts maneuver
The McRoberts maneuver is utilized for shoulder dystocia.
You have assisted in the delivery of a neonate who is now having a seizure. When you
obtain a glucose you note it to be 44 mg/dl.
What is the correct treatment and dose for management of this patient?
A. 2 ml/kg, Dextrose 25%
B. 5ml/kg, Dextrose 10%
C. 2ml/kg, Dextrose 10%
D. 1ml/kg, Dextrose 50%
E. 5 ml/kg, Dextrose 5%
C. 2ml/kg, Dextrose 10%
The patient in the scenario is hypoglycemic. The treatment for neonatal hypoglycemia is
2 ml/KG of Dextrose 10%.
If the mother is discovered to have a fever or it is believed that she has an infection, the
patient should receive which of the following medications?
A. Zithromax
B. Gentamycin
C. Amoxicillin
D. Zosyn
E. Magnesium Sulfate
