AEMCA Pediatric Emergencies 2

Question 1

A 3-year-old presents with inspiratory stridor, a barking cough, and low-grade fever. What is the most likely diagnosis?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Croup classically presents with a barking seal-like cough, inspiratory stridor, and low-grade fever in children aged 6 months to 3 years.

Question 2

When assessing a pediatric patient, which component of the Pediatric Assessment Triangle (PAT) evaluates skin color, moisture, and temperature?

Accepted Answer

Circulation to skin

Answer

Circulation to skin in the PAT evaluates skin color (pallor, mottling, cyanosis), moisture, and temperature as indirect indicators of perfusion.

Question 3

A 6-week-old infant presents with projectile vomiting after every feeding, hunger after vomiting, and an olive-shaped mass in the epigastrium. What condition should the AEMCA suspect?

Accepted Answer

Pyloric stenosis

Answer

Pyloric stenosis typically presents at 2–6 weeks of age with nonbilious projectile vomiting, persistent hunger, and a palpable pyloric 'olive' mass.

Question 4

Which fluid bolus volume is recommended for a pediatric patient in hemorrhagic shock?

Accepted Answer

20 mL/kg normal saline or lactated Ringer's

Answer

Initial fluid resuscitation for pediatric shock is 20 mL/kg of isotonic crystalloid (normal saline or lactated Ringer's), which may be repeated up to three times.

Question 5

A 4-year-old is found unresponsive after suspected submersion. After 5 initial rescue breaths, you find no pulse. What is the correct CPR compression-to-ventilation ratio for a two-rescuer pediatric resuscitation?

Accepted Answer

15:2

Answer

Two-rescuer pediatric CPR uses a 15:2 compression-to-ventilation ratio, optimizing coronary perfusion pressure while accounting for the often respiratory-cause of pediatric arrest.

AEMCA - Advanced Emergency Medical Care Assistant Practice Test

AEMCA - Advanced Emergency Medical Care Assistant Practice Test

AEMCA Pediatric Emergencies 2