obgynquiz2.txt

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Author:
hollynighthawk
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70721
Filename:
obgynquiz2.txt
Updated:
2011-03-04 14:51:00
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OBGYN
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EMS OBGYN
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  1. A suppository is a medication designed for:
    Rectal administration
  2. When a paramedic suspects child abuse, she is mandated to:
    Report the incident to the appropriate authorities
  3. What would lead you to a diagnosis of bronchiolitis instead of asthma?
    Limited reversal of bronchospasm with beta agonist
  4. Your patient is a 4-year-old boy who is having difficulty breathing and has slight expiratory wheezes. He is dyspneic and tachycardic, and when you listen to his chest with a stethoscope you hear very little air movement. If you intubate this patient, you should:
    Ventilate with reduced tidal volumes to avoid barotrauma
  5. Many children with cardiac tamponade have no signs or symptoms other than:
    Hypotension
  6. Your 2-year-old patient is being treated for bronchiolitis. His mother called you to �check him out.� Which of the following physical findings would indicate that he is progressing to respiratory failure?
    Respiratory rate 10/min.
  7. Normal systolic blood pressure for a 10-year-old child is:
    100 mm Hg
  8. Which of the following statements about the chest and lungs of a child is true?
    The chest muscles are immature and can tire easily
  9. Major fears of school-age children include:
    Bodily injury and mutilation
  10. You are called to the home of a 6-year-old child who woke up with a sore throat and pain on swallowing. The child has a fever of 105� F and a muffled voice and is drooling. The child appears to be very ill. His mother is extremely anxious and said he had no symptoms when he went to bed last night. You suspect this patient has:
    Epiglottitis
  11. You are evaluating an 8-month-old child who recently had a cold. The symptoms have progressed to low-grade fever, hoarse cry, inspiratory stridor, and a barking cough. The infant is sitting straight up in his mother�s arms. Prehospital treatment for this child includes:
    Cool mist or humidified oxygen
  12. You are transporting an 8-year-old with a 3-day history of fever and painful cough. Breath sounds reveal crackles and wheezing in the right lower lobe of the lung. Vital signs are BP 94/58 P 120 bpm, R. 30/min., SaO2 96%. Which intervention is most appropriate?
    Deliver albuterol by nebulizer and reassess
  13. In comparison to an adult�s head and face, a child has:
    A proportionally larger head
  14. A flat fontanelle in a 4-month-old child with mild tachycardia is a sign of:
    Mild dehydration
  15. The most common nonarrest rhythm in childhood is:
    SVT
  16. Most cases of cardiac arrest in children occur secondary to:
    Respiratory insufficiency
  17. Rectal diazepam administration for seizing pediatric patients:
    May have to be repeated because valium has a short half-life
  18. A yellow bruise is probably how old?
    7 to 10 days
  19. You are called to the home of a 2-year-old who had a sudden onset of respiratory compromise. The father reports that the child was playing quietly before this began and has not been ill. You suspect that this patient has:
    Foreign body airway obstruction
  20. You are called to the home of the parents of a 2-day-old child. The child was born at home with the assistance of a midwife. The mother is concerned because the child weighed 7 pounds at birth and now weighs less than mc004-1.jpg pounds. She feels the child is eating well, and he has several wet diapers daily. Your assessment is that:
    This is normal fluid loss in a neonate
  21. The most common perpetrator of child abuse is:
    The victim's mother
  22. The large majority of substantiated child-abuse reports are generated by:
    Professional sources
  23. The most common type of injury seen in child abuse is:
    Soft tissue injury
  24. The most common type of child abuse is:
    Neglect
  25. You are called to care for a 10-month-old �premie graduate� who pulled out his tracheostomy tube. When you arrive, he is coughing and has noisy, wet, respirations with good color and a heart rate of 120 bpm. Which action is indicated first?
    Suction the trachea
  26. AED use in children under 1 year of age is:
    Of unknown benefit without further research
  27. Febrile seizures usually occur in children:
    With rapidly rising fever
  28. Three components of the Pediatric Assessment Triangle include the work of breathing, circulation, and:
    Appearance
  29. What mental status is typical of a pediatric patient in respiratory failure?
    Lethargy
  30. What is true about the chest wall of a child?
    The chest muscles are immature and can tire easily
  31. Imagination and interaction with age-mates begins to develop in the:
    Preschool years (3 to 5 years of age)
  32. Children with pneumonia usually require:
    No immediate stabilization or airway support
  33. A child�s compensatory mechanisms when in shock are:
    Very efficient, masking potentially serious conditions
  34. Most illnesses in school-age children are caused by:
    Viral infections
  35. You are called to the home of a 4-month-old infant. His hysterical parents report that he was fine and healthy at his 2 AM feeding, but he didn�t wake up this morning. To reduce the risk of SIDS, you can recommend to parents that they:
    Place the infant on his back to sleep
  36. Rectal diazepam administration for seizing pediatric patients:
    May have to be repeated because valium has a short half-life
  37. To increase cardiac output, children increase:
    Heart rate
  38. The first fluid bolus for a hypovolemic child should be:
    20 mL/kg
  39. The �rule of six� in calculating drug infusions means you can estimate:
    The drug dose by multiplying the patient�s body weight in kilograms by 6
  40. Correctly positioning a 2-year-old�s airway includes:
    Padding under the shoulders
  41. You are evaluating an 8-month-old child who recently had a cold. The symptoms have progressed to low-grade fever, hoarse cry, inspiratory stridor, and a barking cough. The infant is sitting straight up in his mother�s arms. Prehospital treatment for this child includes:
    Cool mist or humidified oxygen
  42. If a pediatric patient has lost less than 20% of her circulating blood volume, how would you expect her to respond to the recommended first bolus of normal saline?
    The patient�s condition will improve following this fluid bolus
  43. You are called to the home of a 4-month-old infant. His hysterical parents report that he was fine and healthy at his 2 AM feeding, but he didn�t wake up this morning. Risk factors associated with SIDS include:
    Maternal smoking
  44. Most fatalities in child abuse cases occur in what age group?
    Less than 4 years of age
  45. What burn pattern is most suggestive of possible abuse in a 2-year-old child?
    2nd and 3rd degree burns on both lower legs from the knees down
  46. What correctly identifies the parameters of infantile apnea?
    Cessation of respirations for less than 10 seconds, with bradycardia
  47. A microdrip administration set delivers:
    60 drops/mL
  48. Signs of increasing intracranial blood pressure in infants include:
    Bulging fontanelles
  49. An IM medication that can be used in place of dextrose is:
    Glucagon
  50. The GCS finding in a 1-year-old child that corresponds to a verbal response of 5 (is oriented and converses) in an adult is:
    Smiles and coos, cries appropriately
  51. A ventricular shunt is used to:
    Drain excess cerebrospinal fluid
  52. You are called to the home of the parents of a 2-day-old child. The child was born at home with the assistance of a midwife. The mother is concerned because the child weighed 7 pounds at birth and now weighs less than mc004-1.jpg pounds. She feels the child is eating well, and he has several wet diapers daily. Your assessment is that:
    This is normal fluid loss in a neonate
  53. The assessment tool commonly used to evaluate newborns is the:
    APGAR
  54. The transition phase of pediatric assessment:
    Is not appropriate for seriously ill or injured children
  55. Bradycardia in children that is not caused by heart block or increased vagal tone should be treated initially with:
    Epinephrine
  56. Cardiomyopathy results from a disease that causes:
    Reduction in the force of cardiac contractions
  57. You are called to the home of a 6-year-old child who woke up with a sore throat and pain on swallowing. The child has a fever of 105� F and a muffled voice and is drooling. The child appears to be very ill. His mother is extremely anxious and said he had no symptoms when he went to bed last night. You suspect this patient has:
    Epiglottitis
  58. The leading cause of injury in children is:
    Falls
  59. Hypoglycemia is most commonly seen in children:
    With type 1 diabetes
  60. A major factor in the likelihood of child abuse is:
    Living in a home where spouse or partner abuse occurs
  61. You are called to the home of a 14-year-old male who is being treated on an outpatient basis for leukemia. He has a peripherally inserted central catheter for vascular access. While roughhousing with his older brother, the patient's vascular access device was damaged and he is bleeding. To control the bleeding you should:
    Apply gentle, direct pressure at the bleeding site
  62. Your 2-year-old patient is being treated for bronchiolitis. His mother called you to �check him out.� Which of the following physical findings would indicate that he is progressing to respiratory failure?
    Respiratory rate 10/min.
  63. Postcardiac-arrest ventilation should be aimed at:
    Normal ventilation; aim for a CO2 level of 35 to 40 mm Hg
  64. Most victims of child abuse are:
    Less than 7 years of age
  65. You are called to the home of a 4-month-old infant. His hysterical parents report that he was fine and healthy at his 2 AM feeding, but he didn�t wake up this morning. You know that SIDS is:
    The leading cause of death in children of this age group
  66. In comparison to an adult airway structure, a child has:
    The narrowest portion of the airway at the cricoid ring

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