Paramedics Exam Pediatric Emergencies 3

Question 1

A 9-month-old infant has a respiratory rate of 65 breaths/min, nasal flaring, and subcostal retractions. What is the most likely diagnosis?

Accepted Answer

Bronchiolitis

Answer

Bronchiolitis in infants typically presents with tachypnea, nasal flaring, retractions, and wheezing, most commonly caused by RSV.

Question 2

When inserting a nasopharyngeal airway in a pediatric patient, which measurement determines the correct size?

Accepted Answer

Distance from the tip of the nose to the earlobe

Answer

A nasopharyngeal airway is sized by measuring from the tip of the nose to the earlobe to ensure appropriate length.

Question 3

A 5-year-old is found with altered mental status and blood glucose of 38 mg/dL. You establish IV access. What is the appropriate dextrose dose?

Accepted Answer

D25W 2 mL/kg IV (0.5 g/kg)

Answer

For pediatric hypoglycemia, D25W at 2 mL/kg (0.5 g/kg) is the standard dose; D50 is avoided due to osmotic injury risk.

Question 4

A 3-year-old has ingested an unknown substance. Parents show you the bottle, which contains a caustic drain cleaner. Which intervention is contraindicated?

Accepted Answer

Inducing vomiting with syrup of ipecac

Answer

Inducing vomiting after caustic ingestion is contraindicated because re-exposure of the esophagus and airway can worsen burns.

Question 5

A 6-week-old presents with projectile vomiting after every feeding for one week. On exam, you note an olive-shaped mass in the right upper quadrant. What condition does this suggest?

Accepted Answer

Pyloric stenosis

Answer

Pyloric stenosis classically presents in infants 2–8 weeks old with projectile non-bilious vomiting and a palpable 'olive' mass at the pylorus.

Paramedics Exam Practice Test

Paramedics Exam Practice Test

Paramedics Exam Pediatric Emergencies 3