CPEN Exam (coont punch emergency nerd exam)
Questions With 100% Correct Answers.
Halo traction and Gardner wells tongs
What would be a potential treatment for an unstable cervical spine fracture?
Stretches and straightens a severely compressed or curved spine. Can be used in
cervical instability.
Function of halo traction
Provides spinal traction for the reduction of a cervical spine injury
Function of Gardner wells tongs
Most commonly used trauma scoring system for adults. Combines revised
trauma score, injury severity score, and the patients age.
Define: TRISS
face, legs, activity, cry, consolability
What does FLACC stand for?
Thready, weak pulse
Tachycardia
Change in consciousness
Hypotension
Peripheral vasoconstriction
Name 5 signs of hemorrhage in a pediatric patient
Respiratory failure
What is the most common cause of death within the first hour of a burn injury?
Administration of oxygen, and monitor for signs of increased respiratory distress
What are two interventions that should be done in the case of a burn injury?
Liver, spleen, and kidneys due to proximity to the impacting forces
What are the three most vulnerable abdominal organs in the case of a trauma in a
toddler?
1. Ability to maintain airway
2. Systolic blood pressure
3. CNS status
4. Open Wound
5. Skeletal
What are the 5 factors taken in consideration in a pediatric trauma score?
Pain in the tip of the shoulder when the patient is lying down and the legs are
elevated. Caused by presence of blood in the peritoneal cavity. May be a sign of a
ruptured spleen.
Define: Kehr's sign
Under the age of 1 year.
How does ESI define an infant in terms of age?
Chin lift, jaw thrust
In the case of a child in c-spine, how would you open the airway?
Kehr's sign
What is the correct term for a sign that is often present with bleeding in the peritoneum?
, Irrigation of cold water into the external ear canal. Tests for neurologic function,
specifically the vestibular ocular reflex. It can also be used to test for brain death.
How do you perform cold caloric testing, and what does it test for?
The four traditional responses are:
1. Absent response (brain death)
2. Dysconjugate deviation of the eyes
3. Caloric nystagmus
4. Conjugate deviation
What are the responses to the cold caloric testing, and what is their meaning?
Elevate head of bed to 30 degrees. Irrigate the ear with 50 mL cold water. Allow 1
minute to pass before testing, and 5 minutes to pass between testing either side.
How do you perform cold caloric testing?
MODS: Multi organ dysfunction syndrome. The progressive deterioration of two
or more organ systems.
Define MODs and describe
Hypovolemic shock
What is the most common type of shock in a pediatric patient?
Brain stem encephalitis
Medullary infarction
Posterior fossa tumors
Severe asphyxia following near-drowning
Name potential causes of acquired central hypoventilation syndrome
Central hypoventilation syndrome refers to a build up of CO2 in arterial serum
due to inadequate gas exchange. It is caused by a problem in the central nervous
system, as opposed to the respiratory system.
Define: acquired central hypoventilation syndrome
Narrowing of the airway below the vocal cords AKA level of the glottis.
Define: subglottic stenosis
100-180
Normal heart rate for an awake neonate
80-160
Normal heart rate for a sleeping neonate
the mitral and tricuspid valves close
What happens during S1?
aortic/pulmonic (semilunar) valves close, occurs at the beginning of diastole.
What happens during s2?
Rapid entry of blood into ventricles. Can be a sign of heart failure.
What happens if you hear an S3 sound?
May indicate the stiffening of the walls of the ventricles. Can be a sign of cardiac
dysfunction.
What happens if you hear an S4 sound?
Acute enteroviral infection of spinal cord. Neuromuscular paralysis. Short-term
viremia. Fever, headache, sore throat, myalgia (muscle pain). Drooling.
Signs and symptoms of poliomyelitis
2-60 days
What is the pulmonary incubation period for anthrax?
Questions With 100% Correct Answers.
Halo traction and Gardner wells tongs
What would be a potential treatment for an unstable cervical spine fracture?
Stretches and straightens a severely compressed or curved spine. Can be used in
cervical instability.
Function of halo traction
Provides spinal traction for the reduction of a cervical spine injury
Function of Gardner wells tongs
Most commonly used trauma scoring system for adults. Combines revised
trauma score, injury severity score, and the patients age.
Define: TRISS
face, legs, activity, cry, consolability
What does FLACC stand for?
Thready, weak pulse
Tachycardia
Change in consciousness
Hypotension
Peripheral vasoconstriction
Name 5 signs of hemorrhage in a pediatric patient
Respiratory failure
What is the most common cause of death within the first hour of a burn injury?
Administration of oxygen, and monitor for signs of increased respiratory distress
What are two interventions that should be done in the case of a burn injury?
Liver, spleen, and kidneys due to proximity to the impacting forces
What are the three most vulnerable abdominal organs in the case of a trauma in a
toddler?
1. Ability to maintain airway
2. Systolic blood pressure
3. CNS status
4. Open Wound
5. Skeletal
What are the 5 factors taken in consideration in a pediatric trauma score?
Pain in the tip of the shoulder when the patient is lying down and the legs are
elevated. Caused by presence of blood in the peritoneal cavity. May be a sign of a
ruptured spleen.
Define: Kehr's sign
Under the age of 1 year.
How does ESI define an infant in terms of age?
Chin lift, jaw thrust
In the case of a child in c-spine, how would you open the airway?
Kehr's sign
What is the correct term for a sign that is often present with bleeding in the peritoneum?
, Irrigation of cold water into the external ear canal. Tests for neurologic function,
specifically the vestibular ocular reflex. It can also be used to test for brain death.
How do you perform cold caloric testing, and what does it test for?
The four traditional responses are:
1. Absent response (brain death)
2. Dysconjugate deviation of the eyes
3. Caloric nystagmus
4. Conjugate deviation
What are the responses to the cold caloric testing, and what is their meaning?
Elevate head of bed to 30 degrees. Irrigate the ear with 50 mL cold water. Allow 1
minute to pass before testing, and 5 minutes to pass between testing either side.
How do you perform cold caloric testing?
MODS: Multi organ dysfunction syndrome. The progressive deterioration of two
or more organ systems.
Define MODs and describe
Hypovolemic shock
What is the most common type of shock in a pediatric patient?
Brain stem encephalitis
Medullary infarction
Posterior fossa tumors
Severe asphyxia following near-drowning
Name potential causes of acquired central hypoventilation syndrome
Central hypoventilation syndrome refers to a build up of CO2 in arterial serum
due to inadequate gas exchange. It is caused by a problem in the central nervous
system, as opposed to the respiratory system.
Define: acquired central hypoventilation syndrome
Narrowing of the airway below the vocal cords AKA level of the glottis.
Define: subglottic stenosis
100-180
Normal heart rate for an awake neonate
80-160
Normal heart rate for a sleeping neonate
the mitral and tricuspid valves close
What happens during S1?
aortic/pulmonic (semilunar) valves close, occurs at the beginning of diastole.
What happens during s2?
Rapid entry of blood into ventricles. Can be a sign of heart failure.
What happens if you hear an S3 sound?
May indicate the stiffening of the walls of the ventricles. Can be a sign of cardiac
dysfunction.
What happens if you hear an S4 sound?
Acute enteroviral infection of spinal cord. Neuromuscular paralysis. Short-term
viremia. Fever, headache, sore throat, myalgia (muscle pain). Drooling.
Signs and symptoms of poliomyelitis
2-60 days
What is the pulmonary incubation period for anthrax?
