QUESTIONS AND CORRECT
DETAILED WITH RATIONALES
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Latest 2024/2025
Airway Management and Respiratory Emergencies
1. **Question:** What is the recommended method for
opening the airway of a child with suspected cervical spine
injury?
- **Answer:** The recommended method is the
jaw-thrust maneuver without head tilt. This method
minimizes the risk of exacerbating any potential spinal
injury while providing adequate airway opening.
**Rationale:** In cases of suspected cervical spine
injury, it is crucial to avoid neck movement. The jaw-thrust
maneuver allows for airway management without
manipulating the cervical spine, reducing the risk of spinal
cord damage.
, 2. **Question:** During bag-mask ventilation of a pediatric
patient, what is the appropriate ventilation rate for a child
with a pulse but inadequate breathing?
- **Answer:** The appropriate ventilation rate is 12 to 20
breaths per minute, or one breath every 3 to 5 seconds.
**Rationale:** Providing breaths at this rate helps ensure
adequate oxygenation and ventilation without causing
hyperventilation, which can lead to decreased cardiac
output and increased intrathoracic pressure.
3. **Question:** What is the first-line medication for a child
experiencing severe anaphylaxis, and what is the
recommended dose?
- **Answer:** The first-line medication is intramuscular
(IM) epinephrine. The recommended dose is 0.01 mg/kg
of a 1:1,000 solution, up to a maximum of 0.5 mg.
**Rationale:** Epinephrine is the most effective
treatment for anaphylaxis because it reverses
bronchoconstriction, vasodilation, and edema. Rapid
administration is critical to prevent progression to
respiratory or cardiovascular collapse.
4. **Question:** How should a healthcare provider assess
the effectiveness of bag-mask ventilation in a pediatric
patient?