PEARS Recognizing Respiratory Emergencies 2

Question 1

A 3-year-old presents with a barky cough, inspiratory stridor at rest, and mild retractions. Which condition does this presentation most suggest?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Barky cough with inspiratory stridor and mild retractions at rest is the classic presentation of croup.

Question 2

Which finding best distinguishes upper airway obstruction from lower airway obstruction in a pediatric patient?

Accepted Answer

Inspiratory stridor versus expiratory wheezing

Answer

Inspiratory stridor indicates upper airway obstruction, while expiratory wheezing indicates lower airway obstruction.

Question 3

A 6-week-old infant has a respiratory rate of 68/min, mild subcostal retractions, and SpO2 of 93% on room air. How should you classify this infant's respiratory status?

Accepted Answer

Respiratory distress

Answer

Tachypnea, retractions, and SpO2 of 93% indicate respiratory distress requiring prompt intervention.

Question 4

When assessing a child's work of breathing, which muscle group use indicates the most severe respiratory distress?

Accepted Answer

Suprasternal retractions

Answer

Suprasternal (tracheal tug) retractions indicate severe upper airway obstruction and significant increased work of breathing.

Question 5

A 4-year-old with known asthma presents with diffuse expiratory wheezing, SpO2 95%, and is able to speak in full sentences. Which category best describes his respiratory status?

Accepted Answer

Respiratory distress

Answer

Wheezing with SpO2 of 95% and maintained speech indicates respiratory distress, not failure.

(PEARS) Pediatric Emergency Assessment, Recognition, and Stabilization Practice Test

(PEARS) Pediatric Emergency Assessment, Recognition, and Stabilization Practice Test

PEARS Recognizing Respiratory Emergencies 2