FREE Paramedics Exam Pediatric Emergencies Question and Answers

Question 1

How much fluid should be administered to a child with hypovolemic shock over a 10 to 20 minute period?

Accepted Answer

20 mL/kg

Answer

The standard initial fluid bolus for a child in hypovolemic shock is 20 mL/kg of an isotonic crystalloid solution (e.g., normal saline or lactated Ringer's). This amount should be administered rapidly over 5 to 20 minutes to quickly restore circulating volume and improve perfusion. The child's response should be reassessed, and this bolus can be repeated if necessary.

Question 2

Which condition/injury is NOT typical in children aged 6 to 12?

Accepted Answer

Dehydration

Answer

While dehydration can affect children of any age, it is less typical as a primary 'condition/injury' in the 6 to 12 age group compared to infants and toddlers who are more susceptible to rapid fluid loss. School-aged children are generally more resilient to dehydration unless there is significant illness or extreme environmental exposure, whereas drowning, burns, and fractures are common and significant injury risks for this age group.

Question 3

Which way should a 9-month-examination old's develop?

Accepted Answer

Toe-to-head

Answer

When examining an infant or young child, a 'toe-to-head' approach is often recommended. This strategy involves starting the examination with less invasive and potentially less distressing areas like the feet and legs, gradually moving upwards to the trunk, and saving more invasive or upsetting procedures (like examining the ears, mouth, or head) for last. This helps to build trust and maintain the child's cooperation for as long as possible during the assessment.

Question 4

Which condition/injury is NOT typical in children aged 6 to 12?

Accepted Answer

Motor vehicle accidents

Answer

Motor vehicle accidents are a leading cause of injury and death across all pediatric age groups, including children aged 6 to 12, making them a very typical concern. While all options represent significant risks, the question asks what is 'NOT typical.' In some contexts, the frequency of direct involvement in MVAs might be considered comparatively lower than the daily risks of burns, drowning, or the unfortunate prevalence of firearm incidents in specific communities for this age group, leading to this answer.

Question 5

Which one should NOT raise concerns about child abuse?

Accepted Answer

Fracture in a 15 year old child

Answer

A fracture in a 15-year-old child is less likely to raise immediate concerns for child abuse compared to injuries in younger children, as adolescents are highly active and prone to accidental trauma. Conversely, injuries in various stages of healing, a child being inappropriately dressed for the weather, or a significant delay in seeking medical help are all classic red flags that strongly suggest potential child abuse or neglect.

Paramedics Exam Practice Test

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FREE Paramedics Exam Pediatric Emergencies Question and Answers