PEPP ALS Pretest

Which of the following is not a component of the Pediatric Assessment Triangle?
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Which of the following is not a component of the Pediatric Assessment Triangle?
Verbal Response
A provider would expect a 4-month-old to demonstrate which of the following traits?
Make eye contact
The most effective way to begin a physical examination of a toddler is to start at his or her
Toes
On arrival you find a 7-year-old boy experiencing respiratory distress, wheezing, stridor, facial edema, and hives. you suspect that the patient has a(n):_____
Anaphylactic reaction
Which of the following patients do you suspect to have croup?
14-month-old with cold symptoms, stridor, and low-grade fever
For a child with croup and stridor, if an ALS ambulance does not carry racemic epinephrine, you can use epinephrine 1:1,000 because:
It has the same effect
What is the most common respiratory disorder in children?
Asthma
A child has a history of asthma, as well as an allergy to peanuts. This child if now wheezing, and it is unclear is the child was exposed to nuts. Administration of albuterol via a nebulizer is appropriate.
True
According to the Pediatric Assessment Triangle, what suggests circulatory compromise?
Peripheral and central cyanosis
A 14-year-old boy dives into a lake while boating and hits his head on the boat when he ascends. He gets into the boat and complains of a headache. At the dock 15 minutes later, he passes out. On your arrival he is unresponsive, but breathing, and his heart rate is 48. Which of the following additional vital signs would be consistent with bradycardia due to a head injury?
BP 140/90, irregular respiratory rate of 6
You are at a pediatric cardiac arrest call for a 7 year old. CPR has been on-going for 6 minutes, with two defibrillation attempts, and IO epinephrine. On the next rhythm check, VF persists, so another shock is administered as 4 J/kg. During the next cycle of CPR, this patient should receive which of the following?Amiodarone IOIn young Children (less than 8 years of age), chest compressions must be done at a rate of 100 beats per minute and a depth of ____ inches.2Identify which of the following patients is having an absence seizure.A 12-year-old with no abnormal movements who does not respond to verbal commands.A child has been having a seizure for 15 minutes upon your arrival. The child has a history of seizures and is on fosphenytoin twice a day. His mother gave him a dose of rectal diazepam 5 minutes ago. The most appropriate management for you is which of the following?Obtain IV access and give 1/2 dose of benzodiazepine.a 15-year-old female with diabetes is feeling weak, dizzy, and is diaphoretic. Her blood sugar is 40 mg/dl. She tells you she took her insulin this morning, but has been vomiting since then. she tells you she is a very hard IV stick. Which of the following is the best way to treat her?Glucagon 1mg IMThe most common cause of serious trauma in children is:Head injuriesYou have extricated a 14-year-old male who was a passenger on an all-terrain vehicle that flipped over, landing on top of the chest of the patient. He is awake, but has increased work of breathing and is complaining of chest pain. His heart rate is 120, respiratory rate is 36, SpO2 is 89% on room air. On examination, there is bruising and tenderness on the left chest wall and decreases breath sounds. The most appropriate next step is which of the following?Perform needle thoracostomy on the left sideEMS management of pediatric burns include all of the following EXCEPT:Applying burn ointmentYou are called the the home of a 2-year-old child who has pulled a cup of hot soup onto himself. He is crying and has a splash burn, which is blistering, to his chest. There are no facial burns. Heart rate is 120, respiratory rate is 28, BP is 90/50, SpO2 is 99% on room air. An IV is started and IV fluids are initiated. Which additional therapy is appropriate?IV pain medicationWhile working for a suburban ambulance service that staffs six ambulances a day, which of the following would be considered a mass-casualty incident if all of the units are available and in service?A church van with 12 passengers is struck on the driver's side by a sedan that went through a red stoplight.When an EMS provider performs a scene assessment and establishes incident command, what phase of a disaster response is he or she initiating?ActivationWhen utilizing the SALT triage system, what does the "A" stand for?AssessWhich of the following could indicate an immediate delivery?A 19-year-old woman who is having contractions less than 2 minutes apart and abdominal pressure as if she needs to defecate.In which of the following disorders is the child's head too large to pass through the vaginal canal?Cephalopelvic DisproportionYou deliver an infant of approximately 32 weeks gestation at a home. There is meconium stained amniotic fluid at the delivery. The infant is not vigorous and not crying. Which of the following is the most appropriate next step:Intubate and use the meconium aspiratorIf you are responding to a child who is on a ventilator and you suspect a potential equipment issue, what is the appropriate first step for managing this patient?Remove patient from the ventilator and ventilate with a bag.What is the most likely cause of pneumomediastinum or a pneumothorax?Misplaced tracheostomy tubeYou are called for a 4-year-old female with sickle cell disease and fever. On your arrival, the patient is listless, she has no increased work of breathing, and she looks pale. Heart rate is 170, respiratory rate is 36, blood pressure is 70/40, SpO2 is 92% on room air. Mom tells you her temperature was 103 degrees F, and the child has not taken her penicillin for 2 days. Which of the following is the most appropriate treatment?Give Oxygen and IV fluid bolus at 20 mL/kgWhich of the following is NOT considered a red flag for child maltreatment?Dog bite from a neighbor's dogWhich of the following situations is NOT considered child maltreatment?a 3-year-old girl has a scald burn on her chest from pulling down a cup of hot soup.if you suspect child abuse and report it to the Emergency Department, what must be done if they do not investigate or report the incident?Notify CPS