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Pediatric Emergencies Flashcards

7 cards from real Paramedics Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A 2-year-old presents with a barking cough and inspiratory stridor that worsens when crying. Symptoms began at night. What is the most likely diagnosis?

    Answer: Croup (laryngotracheobronchitis)

    Croup is characterized by a seal-like barking cough, inspiratory stridor, and symptom onset that is typically worse at night and aggravated by agitation.

  2. A 4-year-old is found choking and becomes unconscious. After opening the airway, you see a foreign object clearly visible in the mouth. What is the correct action?

    Answer: Attempt to remove only if clearly visible

    In a child, remove a foreign body only if it is clearly visible; blind finger sweeps are contraindicated as they may push the object deeper.

  3. A 7-year-old with type 1 diabetes is found unresponsive. You cannot establish IV access. What is the appropriate alternative treatment for hypoglycemia?

    Answer: Glucagon 1 mg IM

    When IV access is unavailable in an unresponsive hypoglycemic patient, glucagon 1 mg IM is the alternative treatment to raise blood glucose.

  4. When assessing a pediatric patient, the Pediatric Assessment Triangle (PAT) evaluates which three components?

    Answer: Appearance, Work of breathing, Circulation to skin

    The PAT rapidly assesses Appearance (tone, interactability), Work of breathing (effort, sounds), and Circulation to the skin (color, mottling) from across the room.

  5. A 5-year-old weighing 18 kg requires adenosine for SVT. What is the correct initial IV dose?

    Answer: 0.1 mg/kg rapid IV push (max 6 mg)

    Pediatric adenosine is dosed at 0.1 mg/kg (max 6 mg) for the first dose, given as a rapid IV push followed immediately by a saline flush.

  6. A 3-month-old infant is brought in by parents who report the baby 'stopped breathing' for 20 seconds before resuming on its own. This event is classified as:

    Answer: Brief Resolved Unexplained Event (BRUE)

    A Brief Resolved Unexplained Event (BRUE) is defined as an episode in infants under 1 year involving apnea, color change, tone change, or altered responsiveness that resolves spontaneously.

  7. A 16-year-old presents with altered mental status, fever of 104°F, severe headache, and a petechial rash spreading across the trunk. What is the priority concern?

    Answer: Meningococcal meningitis with septicemia

    Petechial or purpuric rash with fever, headache, and altered mental status is a classic presentation of meningococcal septicemia, a rapidly fatal emergency.