Chapter 42 Quiz

Front 1

Which of the following may compromise prehospital ventilation in the pedi pt?

Back 1

Hyperextending the neck

Front 2

Which of the following affects the lower airway?

Back 2

Pneumonia

Front 3

Which of the following is NOT a sign of respiratory distress in the pedi pt?

Back 3

A loud high-pitched cry

Front 4

Which of the following conditions does NOT cause an upper airway obstruction?

Back 4

Asthma

Front 5

Which of the following is true of asthma in the pedi pt?

Back 5

O2 and nebulized beta agonists are indicated in the initial phase of an asthma attack

Front 6

Which of the following is NOT part of the pedi assessment triangle when forming your general impression of the pt condition?

Back 6

BGL

Front 7

Which of the following anatomical differences dictate changes in airway management for the pedi pt

Back 7

1,2,3
occiput is larger
small face flat nose
trachea softer and more flexible

Front 8

8 y/o female, Holding R arm against her body with her L arm. To find out what happened, which of the following is the best approach?

Back 8

Sit next to the pt and ask her what happened

Front 9

15 y/o male kicked in the nuts. Which of the following guildlines applies to the exam of this pt.

Back 9

Attempt to have a medic of the same sex perform the exam.

Front 10

9 y/o female hit by a car. Unresponsive, hematoma L parietal, open depressed skull fx R parietal, blah blah blah irreg RR 8, HR 56...........................Which of the following is/are most likely to account for your pts heart rate.

Back 10

2,3
Hypoxia due to brain injury
> ICP, brain injury, hypoxia

Front 11

Appropriately sized BP cuff for pedi pt, What guildline will help you select the right cuff for your pt?

Back 11

The width of the cuff should be 2/3 the circumference of the arm.

Front 12

5 y/o male with an allergic reaction to peanuts....... bunch of useless info......Which of the following is the best way to communicate with the pt regarding the IV?

Back 12

Just before placing the IV, Tell him you must put a needle in his arm but that it is to give him meds that will make him feel better. tell him it will hurt, but only for a second.

Front 13

Which of the following may result from using oropharyngeal airways in pedi pts

Back 13

all the above
Airway obstruction
Hypoxia
soft tissue swelling
Vomiting
Bradycardia

Front 14

Which of the following provides an acceptable estimate of the correct size of ETT for a pedi pt?

Back 14

1,2,3
pts age + 16/4
diameter of pt little finger
Lenght based tape

Front 15

If unable to estabish an airway by any other means, in which of the following Pts would needle cric be contraindicated?

Back 15

Neither of the above
3 month old
6 month old

Front 16

7 month old female with something and a seizure disorder.......................... Which of the following regiments of diazepam should you implement?

Back 16

0.2 mg every 2-5 min, IVP, max 2.5mg

Front 17

Which of the following differences in the pedi respiratory system should be considered when assessing the pedi pt?

Back 17

1,2,5
Adb rise and fall with breath
easy to hear breath sounds, may miss a pneumo
pedi pt will more readily display mediastinal shift with a tension pneumo

Front 18

At which of the following ages does the risk of foreign body airway obstruction become a serious concern in the normally developing infant?

Back 18

6 months

Front 19

28 month male that hit his forehead, now playing with blocks on the floor. Which of the following is the best way to begin assessing the child?

Back 19

Ask the mother to pick him up and hold him on her lap.

Front 20

Which of the following statements regarding ventilation of the pedi pt is true?

Back 20

The bag valve device should not have a pop-off valve.

Front 21

Toddlers are represented in which of the following age groups?

Back 21

1-3 y/o

Front 22

4 y/o child whom you have intubated due to respiratory failure................ Which of the following would indicate > end-organ perfusion?

Back 22

2,3,4
> muscle tone
HR 112
Warm skin

Front 23

Which of the following is NOT an appropriate activity for medics providing education aimed at reducing childhood morbidity and mortality?

Back 23

Counseling parents of seriously injuried children at the scene or durning transport.

Hope Jersey shore remembers this!!

Front 24

Which of the following childhood respiratory diseases has > dramatically over the past few decades?

Back 24

Asthma

Front 25

In which of the following ways can medics help identify the need for more pedi services or specialized pedi services in their areas?

Back 25

Carefully document pedi emergency calls.