Pediatrics (6th edition)

A viral infection of the pediatric upper airway that results in inflammation of the subglottic region is known​ as:

An inflammation of an airway structure that is often due to a bacterial infection in children and is known to be potentially life threatening​ is:

Which of these is the best description of​ asthma?

What type of shock in the pediatric patient occurs when there is a marked decrease in peripheral vascular​ resistance?

Which of these terms should be used to convey the preventable nature of childhood​ trauma?

Which of these terms is best applied to the majority of childhood​ injuries?

Several large emergency medical services​ (EMS) systems have abandoned the practice of pediatric endotracheal intubation in favor of​ simple:

The less frequently a paramedic uses a​ skill, the:

While you are questioning a​ 4-year-old with abdominal​ pain, he tells you that his stomach started hurting last week. Which of the following should you do​ next?

You are caring for a​ 5-year-old who was injured when his older brother accidentally stabbed him in the thigh with a pocketknife. The patient has lost about 350 mL of blood. He is​ pale, with​ cool, diaphoretic​ skin, and is awake but very still. As part of your​ treatment, you have applied direct pressure to the​ wound, stopped the​ bleeding, and covered the patient with a blanket. The​ patient's mother is very upset and does not want to let go of the​ child's hand. How should you go about completing your​ treatment?

You are caring for a​ 6-year-old who was struck by a car on the street in front of her home in a very impoverished part of town. Her distraught father yells at you to hurry up and​ says, "If this was a kid on the other side of the​ tracks, you would be moving​ faster!" Which of the following is the most appropriate​ response?

Generally, adolescents:

You are transporting a dehydrated​ 9-month-old who has had a​ fever, vomiting, and diarrhea for 12 hours. He is lethargic with​ pale, cool, mottled skin and capillary refill time of 4 seconds. His respiratory rate is​ 38, and you have initiated oxygen due to a low pulse oximeter reading and have started an intraosseous​ (IO) infusion followed by an initial bolus of fluid according to protocol. The​ patient's perfusion has not improved. Which of the following is the best choice with regard to fluid​ resuscitation?

You should consider the heart rate of a​ 5-year-old patient to be bradycardic beginning at a rate below how many beats per​ minute?

Which of these is the most common cause of cardiac arrest in an infant or a young​ child?

Compared to an​ adult's, an​ infant's or a​ child's:

Above what respiratory rate would a​ 10-year-old child be considered to be breathing abnormally​ fast?

According to the pediatric assessment​ triangle, which of the following is used to assess the work of breathing when forming a general impression of the​ patient?

What age should a pediatric patient be before blood pressures are routinely​ utilized?

According to the pediatric assessment​ triangle, which of the following is used to assess circulation to the​ skin?

A​ 4-year-old male patient presents with​ stridor, a​ cough, and hoarseness when speaking. The paramedic​ should:

You are suctioning a​ 10-year-old female​ patient's airway following the patient having vomited. The patient has a decreased level of consciousness. You​ should:

An​ 8-year-old male patient presents with​ pale, cool, clammy​ skin; tachycardia and​ tachypnea; a weak peripheral​ pulse; and a decreased level of consciousness. The parents say the patient has been sick and vomiting with diarrhea for several days. According to his​ vitals, he is at the tail end of compensated​ shock, and his pulse oximeter reading is​ 90%. Your treatment should​ include:

A​ 7-year-old child is in cardiac arrest after experiencing respiratory arrest. Treatment for this patient should NOT​ include:

What is the oxygenation goal for a pediatric patient receiving​ oxygen?

When performing ventilation on an infant receiving cardiopulmonary resuscitation​ (CPR), it may likely be necessary​ to:

When does respiratory failure​ occur?

If​ present, which of the following findings should alert the paramedic that a child is in respiratory​ failure?

You are caring for a​ 2-year-old child who has been sick with a​ fever, diarrhea, and vomiting for 24 hours. To assess​ perfusion, which of these would provide you with the least reliable information about​ dehydration?

Which of the following presentations is most consistent with​ bronchiolitis?

In the secondary assessment of a​ 7-year-old child with difficulty breathing and a history of reactive airway​ disease, which of the following would give the paramedic the least amount of relevant information about the​ patient's ventilation and​ oxygenation?

A​ seven-year-old female patient who was drowning in a pond was rescued and resuscitated prior to your arrival. It is a cold​ day, and the water soaking the​ patient's clothing is very cold. What can you assume for this​ patient?

Which of the following actions should you take if you suspect that your pediatric patient is a victim of​ abuse?

Which of the following findings seems least consistent with child​ abuse?

What term is used to describe the situation in which a child is regularly​ threatened, yelled​ at, or humiliated but not otherwise​ harmed?

Which of these statements is​ true?

Which of these statements best describes why paramedics should be knowledgeable about pediatric patients who are dependent on medical​ technology?

What is a common complication of a tracheostomy tube that a mucus plug may​ cause?

You are on scene with a pediatric patient who is obtunded due to a congenital brain defect. As you are assessing the​ patient, you note that she has a gastric feeding tube and currently is hooked up to a machine that is delivering a feeding. You have not seen this type of pump before and have little experience with gastric tubes. What action should you​ take?

When responding to a report of a patient with difficulty​ breathing, you find a pediatric male about 3 years old in a hospital bed at home. He is cared for 24 hours a day by his parents. You note a​ small, round tube that exits from the​ patient's neck, through which he is breathing. Given this​ finding, which of these devices does the patient most likely​ have?

JumpSTART provides a framework for triage decisions that​ is:

Which of the following best identifies the age group of patients who should be triaged by using the JumpSTART​ system?

Which statement best describes the purpose of the JumpSTART triage​ method?

High winds blew down a tent at an outdoor high school graduation reception. A fire started from the fuel used for the hot buffet. Several people were injured by the tent​ collapse, and several patients have burns. The first patient you triage is a​ 3-year-old girl. She is not breathing. You open her​ airway, but she does not start breathing. What is the next​ action?

You are called to a residence for a​ 7-year-old child in hypovolemic shock. You note evidence of severe​ dehydration, hypoxia, and malnutrition. The child is wearing dirty clothes and appears to be unwashed. The​ child's home is visibly unclean. What is your immediate​ priority?

You respond to a call for a​ 10-year-old patient who hit a road sign while traveling at high speed on a bicycle. The child is unconscious with no eye opening or motor or verbal response and has a severe contusion to the head. You note elevated blood pressure but a depressed heart rate with​ decreasing, deep respirations and an SpO2 of 92 percent. What do you assess as the​ problem, and how do you manage this​ patient?

You note gastric distention in a​ 6-month-old patient experiencing respiratory failure you are attempting to ventilate but for whom you are not able to achieve adequate tidal volume. What do you​ do?

A​ 12-year-old patient collided face first with another child while both were riding bikes. The patient bit his tongue when his jaw was struck and received a black right eye and bloody nose. He is alert and​ oriented, and after you suction some blood from his airway appears to have no respiratory​ compromise, with respirations clear bilaterally and​ 20/minute. Your index of suspicion should be high for what other​ injury?