Chapter 4

Question 1

A viral infection of the upper airway and the most common cause of upper airway emergencies in young children?

Answer 1

Croup

Question 2

This seizure is a brief generalized tonic clonic seizure lasting less than 15min and occurs in children w/o underlying neurological abnormalities?

Answer 2

Simple febrile seizures

Question 3

This is defined as a non progressive bilateral neuromuscular disorder in which voluntary muscles are poorly controlled

Answer 3

Cerebral palsy

Question 4

Which IS NOT a sign/symptom to help determine a possible cause for altered mental status.

Answer 4

Dementia

Question 5

If ICS is already in place you should immediately seek the?

Answer 5

Medical staging officer to receive your assignment

Question 6

After about 30min after birth the baby’s heart rate drops to about 90bmp and respiratory rate adjusts to 20-25bpm?

Answer 6

FALSE

Question 7

Measure pulse rate at the radial by:

Answer 7

Counting beats for 15min, then multiply that number by 4.

Question 8

In your assessment you have determined the patient is febrile and has pulmonary and peripheral edema, follow up your examination by doing what?

Answer 8

At least two sets of vitals

Question 9

Lungs with absent breath sounds suggests?

Answer 9

Pneumothorax

Question 10

Becks triad is associated with?

Answer 10

Cardiac tamponade

Question 11

When your PCP starts IV and administers 500ml bolus of normal saline to a patient w gastrointestinal bleeding, you’d usually expect?

Answer 11

A rise in blood pressure and decrease pulse rate

Question 12

List things that require immediate transport??

Answer 12

-Unstable pelvic injury
-Seizure lasting longer than 10m
-Stridor(warning sign airway is narrowed serious potentially life-threatening if accompanied by difficulty breathing)
-facial droop w slurred speech
-breech fetus presentation
-abdominal tenderness and distension.

Question 13

Sickle cell is a common inherited blood disorder in certain populations. After infancy patients w sickle cell are usually??

Answer 13

Anemic

Question 14

A 6yo girl has a temp of 32 degrees celsius, she’s said to have?

Answer 14

A moderate hypothermia (average temp for children that age is 36.4)

Question 16

Alcohol promotes vasoconstriction, sending more blood to the skin and promoting further heat loss?

Answer 16

False! It does the opposite, alcohol promotes vasodilation which equals heat loss.

Question 17

Where do you start your assessment on a pediatric patient?

Answer 17

At the feet 🐾

Question 18

Which bone fracture presents with w swelling, shortened and outward turning leg?

Answer 18

Femur fracture

Question 19

What type of shock presents when the heart is unable to circulate sufficient blood to maintain adequate peripheral oxygen delivery?

Answer 19

Cardiogenic shock

Question 21

Lacerations and avulsions in and around the mouth are associated with?

Answer 21

A risk of intraoral hemorrhage

Question 22

An assessment of motor integrity in an unconscious patient is Largely based on patients response to?

Answer 22

Painful stimulus

Question 23

A fall from a significant height will produce what type of fracture?

Answer 23

Impacted fractures

Question 24

What disease presents an obese patient with a blueish complexion, and hypoxemia?

Answer 24

Chronic bronchitis (a type of COPD)

Question 25

The classic presentation of tuberculosis are:

Answer 25

Weight loss, cough with blood tinged sputum, fever and night sweats.

Question 26

A person with this condition experiences pain after certain predictable amount of exertion

Answer 26

Stable Angina

Question 27

A systolic pressure of 90mm/hg might suggest

Answer 27

Serious hypotension and shock

Question 28

What aren't signs of a panic attack?

Answer 28

Fever

Question 29

When doing an assessment on a woman with gynecologic emergency be sure to palpate the abdomen?

Answer 29

TRUE

Question 33

Who would you NOT expect to have a spinal injury?

Answer 33

Man with stab wound to femur

Question 34

Stable patients vitals should be monitored every?

Answer 34

15mins

Question 35

A 7yo is expected to have pulse rate of??

Answer 35

100bpm

Question 36

Positions?

Answer 36

Supine: lying on your back Fowler: sitting position Semi fowler: head of the bed is at 30degrees and knees are flat or slightly bend. Prone: laying face down on their stomach Lateral recumbent: recovery position Trendenburg: head down feet up.

Question 37

What doesn't present with a possible false pulse oximeter reading?? A) 16yo with nail polish B)78yo w edema to extremities C) someone w BP of 100/54 D) a 17yo w knee injury

Answer 37

D) 17yo with knee injury 🤕 (For answer C, low BP particularly low diastolic pressure, can indicate reduced blood flow to extremities which includes fingers so this could cause false reading.

Question 38

A 3 month old is expected to have a respiration rate of ??

Answer 38

35bpm (age 0-12mo should be 35-60)

Question 39

A 14yo is expected to have a blood pressure of?

Answer 39

120/80. (Adolescents 13+, 120/80 is normal) 🛹

Question 40

When doing a blood pressure by palpation, inflate cuff until you can no longer feel radial pulse, how long do you continue to inflate cuff?

Answer 40

20mmHg

Question 41

Head to toe assessment should be conducted during?

Answer 41

Secondary assessment 🥈

Question 42

Mnemonic OPQRST is used to assess pain?

Answer 42

Yes! O-onset P-provoke Q-quality R-region S-severity T-time

Question 43

A patient who has a near drowning experience, is eye opening to pain, speaks w incomprehensible sounds and localizes pain. What's their Glasgow coma scale

Answer 43

9!

Question 44

If you check cap refill, nail bed doesn't return to it's normal color after you release, what does this mean?????

Answer 44

Patient has insufficient circulation

Question 45

What should you treat before performing a secondary assessment??

Answer 45

Severe bleeding from head 🗣️ 🩸

Question 46

If you find a pulse that's irregular, you should assess for?

Answer 46

Longer than 15 seconds ⌚

Question 47

When blood below the skin is oxygen deficient it can give the skin a blueish tint?

Answer 47

TRUE 💙🔵

Question 48

If you suspect head or spine injury you must address these concerns before continuing w secondary assessment?

Answer 48

True

Question 49

Point tenderness can indicate presence of injury often a fracture?

Answer 49

True

Question 50

Once head to toe assessment is completed. Reassess their ABCs?

Answer 50

True 🚑

Question 51

Skin that is pale, cool and clammy would be expected in a patient experiencing hypovolemic shock?

Answer 51

True hypovolemic shock occurs when the body loses significant amount of blood 🩸 (decreased blood volume) Body prioritizes blood flow to vitla organs so body constricts blood vessels in extremities.

Question 52

Pupils that are fully dilated would indicate possible Head trauma??

Answer 52

True