AEMCA Pediatric Emergencies 3

Question 1

A 9-month-old is brought in with sudden onset inconsolable crying, drawing up of the legs, and 'currant jelly' stools. What condition is most likely?

Accepted Answer

Intussusception

Answer

Intussusception classically presents in infants with colicky abdominal pain, legs drawn to chest, and late-stage 'currant jelly' stools (blood mixed with mucus).

Question 2

When using a length-based resuscitation tape (Broselow tape) for a pediatric patient, what does the color zone primarily determine?

Accepted Answer

Estimated weight and appropriate drug doses and equipment sizes

Answer

The Broselow tape estimates a child's weight by length and provides color-coded drug dosages and equipment sizes to minimize medication errors during resuscitation.

Question 3

A 7-year-old with type 1 diabetes presents with confusion, diaphoresis, pallor, and a blood glucose of 38 mg/dL. The child is unable to swallow safely. What is the appropriate treatment?

Accepted Answer

Administer 2–4 mL/kg of D25W IV or IO

Answer

For a pediatric patient unable to swallow, IV/IO dextrose is preferred; D25W at 2–4 mL/kg is the appropriate concentration for children to avoid hypertonicity.

Question 4

A 5-year-old presents with sudden onset of high fever, drooling, tripod positioning, and muffled voice. The child appears toxic. What should the AEMCA avoid doing?

Accepted Answer

Performing direct visualization of the oropharynx with a tongue depressor

Answer

In suspected epiglottitis, examining the oropharynx can precipitate complete airway obstruction; the child should be kept calm and transported immediately.

Question 5

What is the correct intraosseous (IO) needle placement site for a 2-year-old in cardiac arrest when IV access cannot be obtained?

Accepted Answer

Proximal tibia, 1–2 cm below the tibial tuberosity on the anteromedial surface

Answer

The proximal tibia (1–2 cm below the tibial tuberosity on the anteromedial flat surface) is the preferred first-line IO site in pediatric patients.

AEMCA - Advanced Emergency Medical Care Assistant Practice Test

AEMCA - Advanced Emergency Medical Care Assistant Practice Test

AEMCA Pediatric Emergencies 3