AEMT Pediatric and Geriatric Emergencies 2

Question 1

In pediatric cardiac arrest, the MOST common initial rhythm is:

Accepted Answer

Asystole or pulseless electrical activity (PEA)

Answer

Ventricular fibrillation

Answer

Pulseless ventricular tachycardia

Answer

Complete heart block

Question 2

The epinephrine dose for pediatric cardiac arrest is:

Accepted Answer

0.01 mg/kg of 1:10,000 IV/IO

Answer

0.1 mg/kg of 1:1,000 IV/IO

Answer

1 mg flat dose regardless of weight

Answer

0.1 mg/kg of 1:10,000 IM

Question 3

An elderly patient presents with confusion, fever of 101.8°F, and urinary symptoms. You should suspect:

Accepted Answer

Urinary tract infection (UTI) — a common cause of altered mental status in the elderly

Answer

Ischemic stroke

Answer

Myocardial infarction

Answer

Hyperthyroid storm

Question 4

Which of the following physiologic changes in the elderly increases the risk of drug toxicity?

Accepted Answer

Decreased renal clearance and reduced hepatic metabolism

Answer

Increased hepatic enzyme activity

Answer

Increased lean muscle mass

Answer

Enhanced gastric absorption of oral medications

Question 5

A 7-year-old child (22 kg) needs defibrillation. What is the correct initial energy dose?

Accepted Answer

88 J (2 J/kg)

Answer

50 J

Answer

200 J

Answer

360 J

Question 6

When assessing pain in a 3-year-old child who cannot verbalize, you should use:

Accepted Answer

FLACC scale (Face, Legs, Activity, Cry, Consolability)

Answer

Visual Analog Scale (VAS)

Answer

Numeric Rating Scale (0–10)

Answer

Wong-Baker FACES scale only