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1. Which of the following is true about ventricular fibrillation in pediatrics?
a) Ventricular fibrillation is commonly seen in neonates
b) Children who respond to early defibrillation from witnessed sudden cardiac
arrest have the best documented outcomes
c) Ventricular fibrillation is commonly seen in children
d) Children should be defibrillated at 360J - ANSWER Children who
respond to early defibrillation from witnessed sudden cardiac arrest have
the best documented outcomes
2. You arrive on scene to find a 3 year old female patient who is unresponsive
and has no palpable pulses. Initial treatment for this patient includes which
of the following?
a) Opening the airway, positive-pressure ventilations, chest compressions,
IV/IO access
b) 100% oxygen, chest compressions, IV/IO access
c) Opening the airway, oxygen, naloxone
d) Hands-only CPR - ANSWER Opening the airway, positive-pressure
ventilations, chest compressions, IV/IO access
3. In which of the following situations is endotracheal intubation indicated in a
pediatric patient?
, a) A patient is postictal form a seizure with a normal respiratory effort
b) There is evidence of meconium spirit ion and good general appearance
immediately after birth
c) There are signs of basilar skull fracture
d) All other airway management resources have been exhausted - ANSWER
All other airway management resources have been exhausted
4. Which of the following is the correct sequence of initial steps in caring for a
newborn?
a. Dry, elevate the baby above the mother's heart until the cord is up
b. Dry, warm, position, stimulate gently, suction if needed
c. Cut the cord, suction, turn upside down to drain secretions
d. Warm, stimulate if needed, put drops in the eyes - ANSWER Dry,
warm, position, stimulate gently, suction if needed
5. A 7 year old male was involved in a bike versus vehicle collision while on a
bike ride with his family. He was hit head-on by the vehicle and struck the
handlebars. Based on the mechanism of injury, what is the most likely
acute, life-threatening injury?
a. Sternum fracture
b. Fractured tibia and fibula
c. Intra-abdominal organ rupture
d. Orbital fracture - ANSWER Intra-abdominal organ rupture
6. When utilizing a tourniquet on a 7 year old, which of the following is correct?
a. Appropriate to switch to an elastic-style tourniquet when a windlass-
style tourniquet is too large
b. Appropriate to use over joints or cloths with bulky material
c. Appropriate to occasionally release the tourniquet
, d. Appropriate to utilize for minor bleeding - ANSWER Appropriate
to switch to an elastic-style tourniquet when a windlass-style
tourniquet is too large
7. A 7 year old male has been vomiting for 3 days. His HR is 200,
with a capillary refill of 3 seconds; his mucous membranes
are dry; and he's a little sleepy. Treatment for this patient
includes:
a. Vascular access, 20 mL/kg bolus of NS or LR, treat hypoglycemia if
present
b. Synchronized cardioversion
c. Oral glucose
d. Dopamine IV - ANSWER Vascular access, 20 mL/kg bolus of NS or
LR, treat hypoglycemia if present
8. A 13 year old female was struck by a car while riding her bike. She presents with
hypotension, respiratory distress, and decreased breath sounds on the right.
Which of the following is the highest priority treatment for this patient?
a. NG tube placement
b. Immediate needle decompression of the right chest
c. Wide-open IV fluids
d. Elevation of the head of the stretcher - ANSWER Immediate
needle decompression of the right chest
9.An 8 year old male has had vomiting and diarrhea for 4 days. His general
appearance is poor and his interactions are obtunded. The family states this is not