Paediatric examination

Question 1

Normal HR for a child <1 y/o?

Answer 1

110-160

Question 2

Normal HR for a child 1-2 y/o?

Answer 2

100-150

Question 3

Normal HR for a child 2-5 y/o?

Answer 3

95-140

Question 4

Normal HR for a child 5-12 y/o?

Answer 4

80-120

Question 5

Normal HR for a child >12 y/o?

Answer 5

60-100

Question 6

Normal RR for a child <1 y/o?

Answer 6

30-40

Question 7

Normal RR for a child 1-2 y/o?

Answer 7

25-35

Question 8

Normal RR for a child 2-5 y/o?

Answer 8

25-30

Question 9

Normal RR for a child 5-12 y/o?

Answer 9

20-25

Question 10

Normal RR for a child >12 y/o?

Answer 10

15-20

Question 11

Normal RR for an adult?

Answer 11

12-16

Question 12

Normal SBP for a child <1 y/o?

Answer 12

80-90

Question 13

Normal SBP for a child 1-2 y/o?

Answer 13

85-95

Question 14

Normal SBP for a child 2-5 y/o?

Answer 14

85-100

Question 15

Normal SBP for a child 5-12 y/o?

Answer 15

90-110

Question 16

Normal SBP for a child >12 y/o?

Answer 16

100-120

Question 17

Normal SBP for an adult?

Answer 17

90-120

Question 18

What temp is normothermic in a neonate?

Answer 18

36.5-37.5

Question 19

What temp is hypothermic in a neonate?

Answer 19

<36.5

Question 20

What temp suggests low-grade fever in a neonate?

Answer 20

37.6-37.9

Question 21

What temp is hyperthermic (fever) in a neonate?

Answer 21

≥38

Question 22

What temp is normothermic in a child?

Answer 22

36-37.5

Question 23

What temp is hypothermic in a child?

Answer 23

<36

Question 24

What temp suggests low-grade fever in a child?

Answer 24

37.6-37.9

Question 25

What temp is hyperthermic (fever) in a child?

Answer 25

≥38

Question 26

State the weight calculation for a child 0-12 months old.

Answer 26

(0.5*months) + 4

Question 27

State the weight calculation for a child 1-5 years old.

Answer 27

(2*years) + 8

Question 28

State the weight calculation for a child 6-12 years old.

Answer 28

(3*years) + 7

Question 29

How much energy (in J/Kg) should be administered when using a defib/AED on a child?

Answer 29

4 J/Kg

Question 30

What is the maximum number of joules that can be administered per shock when using a defib/AED on a child?

Answer 30

150-200J biphasic for 1st shock | 150-360J biphasic for subsequent

Question 31

What tube size should be used when intubating a pre-term neonate?

Answer 31

2.5 mm

Question 32

What tube size should be used when intubating a neonate (full-term)?

Answer 32

3 or 3.5 mm

Question 33

What tube size should be used when intubating children >1 y/o?

Answer 33

(age in years/4) + 4 | Units: mm

Question 34

How many mls per kg of fluid should be administered to a child in cases of trauma/DKA/cardiac pathology? What is the max volume of fluid that can be given?

Answer 34

10ml/kg of 0.9% saline | Max vol = 500 mL

Question 35

How many mls per kg of fluid should be administered to a child in cases other than trauma/DKA/cardiac pathology? What is the max volume of fluid that can be given?

Answer 35

20ml/kg of 0.9% saline | Max vol = 1 L

Question 36

How many micrograms per kg of lorazepam can be given to a child? What is the max dose?

Answer 36

100 micrograms/kg | Max dose = 4mg

Question 37

How many micrograms per kg of adrenaline can be given to a child? What is the max dose?

Answer 37

10 micrograms/kg | Max dose = 1mg

Question 38

How many mL per kg of glucose (10%) can be given to a child? What is the max that can be given in a single bolus?

Answer 38

2-5mL/kg | Max: 150-160mL

Question 39

How are daily fluid requirements calculated for children?

Answer 39

100ml/kg for first 10kg of weight 50ml/kg for second 10kg of weight 20ml/kg thereafter

Question 40

What types of fluid should be given to children (>1 y/o)?

Answer 40

``` Normal saline (0.9% NaCl) 5% dextrose ```

Question 41

What type of fluid should be given to neonates?

Answer 41

10% dextrose

Question 42

How many ml/kg of fluid does a 1-day old baby need?

Answer 42

60 ml/kg

Question 43

How many ml/kg of fluid does a 2-day old baby need?

Answer 43

90 ml/kg

Question 44

How many ml/kg of fluid does a 3-day old baby need?

Answer 44

120 ml/kg

Question 45

How many ml/kg of fluid does a 4+ day old baby need?

Answer 45

150 ml/kg

Question 46

How should fluid be replaced orally in a dehydrated child?

Answer 46

Over a 4-hour period At a rate of 50ml/kg Given as volume every 10 mins