Paramedics Exam Pediatric Emergencies 4

Question 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?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

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

Question 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?

Accepted Answer

Attempt to remove only if clearly visible

Answer

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.

Question 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?

Accepted Answer

Glucagon 1 mg IM

Answer

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

Question 4

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

Accepted Answer

Appearance, Work of breathing, Circulation to skin

Answer

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

Question 5

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

Accepted Answer

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

Answer

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.

Paramedics Exam Practice Test

Paramedics Exam Practice Test

Paramedics Exam Pediatric Emergencies 4