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Aurora Health Care
EMS Continuing Education
1st Quarter 2015 Quiz
Pediatric Assessment and Management
Name ___________________________________
Department ______________________________
E-mail address ____________________________
Please highlight or bold your answers and e-mail to [email protected]
1.
Cardiovascular compensation in children is primarily accomplished by:
a.
increase in contractile force.
b.
increased heart rate.
c.
increased vascular tone.
d.
all of the above.
2.
The oxygen metabolism rate in children is:
a.
two times more than an adult.
b.
four times more than an adult.
c.
1/4th that of an adult.
d.
the same as an adult.
3.
Which of the following sites for pulse oximetry is considered central on a child?
a.
Finger.
b.
Toe.
c.
Nose.
d.
Elbow.
4.
You are caring for a child whose parents report the child was unconscious for
approximately seven minutes. Which of the following best explains this
presentation?
a.
Syncopal event.
b.
Seizure event.
c.
Near syncopal event.
d.
Coma.
5.
The Aurora South Market IO protocol allows for placement of an EZ IO in a
pediatric patient at the following sites:
a.
Proximal tibia.
b.
Distal tibia.
c.
Proximal humerus as long as landmarks are easily located.
d.
All of the above.
e.
EZ IO’s are not allowed to be placed in pediatric patients.
6.
A standard pediatric resuscitation length-based tape contains all of the following
except:
a.
Drug dosages in mL.
b.
Drug dosages in mg.
c.
Airway equipment.
d.
Normal vital signs.
7.
The ideal site for capillary refill assessment in a child is:
a.
Finger.
b.
Toe.
c.
Nose.
d.
Knee.
8.
When using a blood pressure cuff as a venous tourniquet for IV placement, what
is the appropriate inflation pressure?
a.
5-20 mmHg
b.
20-35 mmHg
c.
35-50 mmHg
d.
50-65 mmHg
9.
Our Aurora South Market protocol for fluid infusion in a pediatric patient is:
a.
20 ml/kg up to a total of 60ml/kg.
b.
20ml/kg up to a total of 100ml/kg.
c.
no maximum amount.
d.
none of the above.
10.
How many pounds are there in a kilogram (kg)?
a.
1.1
b.
2.2
c.
4.4
d.
6.6
11.
Which of the following is true about a pediatric patient’s perception of pain?
a.
They have fewer pain receptors than an adult.
b.
They have the same number of pain receptors as adults.
c.
They have more pain receptors than an adult.
d.
They have the same number of pain receptors as an adult but experience
pain differently.
12.
What is the least reliable finding when ventilating a pediatric patient?
a.
Lung compliance.
b.
Adequacy of chest rise and fall.
c.
Pulse oximetry (sPO2) reading of 98%.
d.
None of the above as these are all reliable findings.
13.
Incontinence following a period of unconsciousness is most likely indicative of
which of the following presentations?
a.
Syncopal event.
b.
Near-syncopal event.
c.
Seizure event.
d.
Hypoxia.
14.
The term chronotropy refers to:
a.
Blood pressure.
b.
Heart rate.
c.
Heart contractile force.
d.
Blood vessel constriction.
15.
The “H” in the “ABCDEFGHI” mnemonic refers to:
a.
History.
b.
Head-to-toe exam
c.
Heart rate.
d.
A and B.
e.
None of the above.
16.
The “L” in the ‘TICLS” mnemonic refers to:
a.
Listlessness.
b.
Look (or gaze).
c.
Limp.
d.
A and C.
e.
None of the above.
17.
You are assessing the GCS of a 2 year old child who presents with the following
findings: eye opening to speech, crying and screaming, localizes to
pain/withdraws to touch. What is the child’s GCS?
a.
9.
b.
11.
c.
13.
d.
15.
18.
The Pediatric Assessment Triangle is a tool that can rapidly be used to form a
general impression of a pediatric patient. This tool can be used prior to making
physical contact with the child and help us determine if the child is “sick” or “not
sick”. The three sides of the triangle represent:
a.
Pulse, Respiratory Rate, Consolability
b.
Appearance, Work of Breathing, Speech
c.
Circulation, Appearance,
d.
Appearance, Work of Breathing, Circulation
19.
Knowing what vital signs might be considered normal for a pediatric
patient are crucial to appreciating whether or not a patient is “sick” or “not sick”.
Vital signs that would be considered normal or typical for an awake 5-year old
child are:
a.
P-90, RR-20, BP-78/64.
b.
P-100, RR-16, BP-98/70.
c.
P-96, RR-20, BP-94/72.
d.
P-120, RR-34, BP-88/66.
20.
Hypoxia is the number one cause of death in a pediatric patient. The most
common cause of hypoxia is a compromised airway with respiratory
insufficiency. The EMT conducting an assessment on a pediatric patient must be
aware of clinical indicators that suggests a child is critically ill. Some of those
indicators include:
a.
Respiratory rate greater than 60, altered mental status.
b.
Noisy respirations that are not corrected, heart rate less than 60.
c.
Heart rate greater than 180, mottling.
d.
All of the above.