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How is a pediatric defined? *

If they fit on a length-based resuscitation tape.

Age less than or equal to 15.

Weight is less than or equal to 49 kg's.

All of the above.

None of the above.

Which of the following is an approved medical abbreviation?

L&D

UOA

♂

None of the above

All of the above

We do not have "Approved Medical Abbreviations"

Clear selection

Epinephrine for Pediatric Bradycardia is: *

Given at 0.1 - 1 mcg/kg min IV/IO

Given at 0.1 mg/kg min IV/IO

Given at 1 mg/kg min IV/IO

Given at 1 mcg/kg min IV/IO

If the asthma patient requires intubation, it is very important to match their ventilation rate after you control their airway. For example, if they were breathing 40 times per minute you should attempt to ventilate them at or near that rate as they typically have profound respiratory acidosis by this point. *

True

False

Choose all that are true for Clinical Indications of the King Airway: *

Inability to adequately ventilate a patient with a Bag Valve Mask or longer EMS transport distances require a more advanced airway.

Appropriate intubation is impossible due to patient access or difficult airway anatomy.

A minimum of 2 EMT-Paramedics on scene able to participate in patient care.

Inability to secure an endotracheal tube in a patient who does not have a gag reflex where at least one failed intubation attempt has occurred.

Patient must be unconscious.

Required

Capnography shall be used when available with the use of all invasive airway procedures including endotracheal, nasotracheal, cricothyrotomy, or Blind Insertion Airway Devices (BIAD). *

True

False

With a patient who is suffering from dental problems, it is acceptable to fashion gauze into a small square and place it into a socket of an opening within the mouth with the patient closing their teeth to exert pressure. *

True

False

Which types of bites have a higher infection rate due to normal mouth bacteria? *

Human bites

Dog bites

Snake bites

Spider bites

For adult patients with Asystole/PEA, after 10 minutes of CPR: *

Give Epinephrine (1:10,000) 1 mg IV / IO

Give Epinephrine (1:10,000) 1 mg IV / IO Every 5 minutes if EtCO2 < 30 or Every 10 minutes if EtCO2 > 30

Give Epinephrine (1:10,000) 1 mg IV / IO Every 10 minutes if EtCO2 < 30 or Every 10 minutes if EtCO2 > 30

Give Epinephrine (1:10,000) 1 mg IV / IO Every 5 minutes if EtCO2 > 30 or Every 10 minutes if EtCO2 < 30

A patient has taken Haloperidol and now has a condition causing involuntary muscle spasms of the face and neck. You determine this is a extra-pyramidal reaction. What is the appropriate response? *

Keep the patient in a position of comfort and transport to the Emergency Room.

Administer 50 mg's of Diphenhydramine.

Contact the on-duty supervisor for further information.

None of the above.

Forsyth Medical Center will accept Last Seen Normal times for suspected stroke patients for up to: *

5 hours

8 hours

4 hours

24 hours

All patients who receive IM or IV medications must be observed __?__ minutes for drug reaction in the event no transport occurs. *

Choose all the apply when assessing a patient's capacity to refuse care: *

The patient should be able to communicate a clear choice.

The patient should be able to display a factual understanding of the illness, the options and risk and benefits.

The patient should be able to communicate and understand the facts of the situation. They should be able to recognize the significance of the outcome from their decision.

The patient should be able to demonstrate a rational process to come to a decision. The patient should be able to describe the logic they are using to come to the decision, even though you may not agree with it.

Required

Haldol is an acceptable treatment in pediatric patients 13 years old and older. Safety and efficacy is not established in younger ages. *

True

False

True or false: A family member or guardian CAN (is able to) revoke a DNR/MOST? *

True

False

Which one shows the correct dose for pediatric vfib/vtach? *

Amiodarone 5 mg / kg IV / IO (single dose Maximum 300 mg). May repeat x 2 to a Maximum of 15 mg / kg.

Procainamide 10 mg / kg IV / IO over 30 – 60 minutes. Monitor for increased QRS and increased QT.

Lidocaine 2 mg / kg IV / IO. Infusion 20 – 50 mcg / kg / min. If infusion is initiate > 15 minutes from first bolus, repeat 0.5 mg / kg bolus.

Magnesium Sulfate 20 mg / kg IV / IO over 10 – 20 minutes. In Torsades de pointes give over 1 – 2 minutes. Maximum 2 g.

Spinal motion restriction is -ALWAYS- utilized with at-risk trauma patients. *

True

False

The pediatric dose of Midazolam for seizure activity is: *

0.1 - 0.2 mg/kg IV/IO/IM/IN

0.1 - 0.2 mg/kg IV/IO/IM

1-2 mg/kg IV/IO/IM/IN

1-2 mg/kg IV/IO/IM

20Match the correct ventilation rates: *

8-10

Toddlers

School age

Adolescents

Neonates

What does the abbreviation "S/P" stand for? *

Simple Plan

Self-Propelled

Single Piece

Status Post

Match the correct dosing of Albuterol for pediatric patients: *

1.25 mg's

1.25 - 2.5 mg's

2.5 mg's

2.5 - 5 mg's

1-6 years of age

6-14 years of age

greater than or equal to fifteen years of age

Less than or equal to 1 year of age

All patients with decision-making capacity in police custody retain the right to participate in decision making regarding their care and may request care or refuse care of EMS. *

True

False

What is the incorrect medication dosage amount for bradycardia with pulses. Choose the best answer: *

Atropine 0.5 mg IV / IO May repeat every 3 – 5 minutes Maximum 3 mg Maximum 2 L

Epinephrine Push-dose 2 – 3 mcg IV / IO Repeat every 10 minutes Titrate to SBP ≥ 90 mmHg

Epinephrine 1 - 10 mcg/min IV / IO Titrate to SBP ≥ 90 mmHg

Normal Saline Fluid Bolus 500 mL – 2 L NS IV / IO (Unless Acute CHF)

You have a patient with multiple trauma. Their blood pressure is 106/70. What is the best course of action? *

Administer a bolus of 1000 mL's of fluid.

Administer a bolus of 2000 mL's of fluid.

Administer no fluid until the blood pressure is less than 90 systolic.

Contact Medical Control or the on-duty supervisor.

What is the correct dose of Epi for severe pediatric allergic reactions? *

Epinephrine 1:1000 IM greater than or equal to 30 kg = 0.3 mg IM; less than or equal to 30 kg = 0.15 mg IM

Epinephrine 1:1000 IM greater than or equal to 30 kg = 0.3 - 0.5 mg IM; less than 30 kg = 0.15 mg IM

Epinephrine 1:1000 IM less than or equal to 30 kg = 0.3 mg IM; less than or equal to 30 kg = 0.15 mg IM

Epinephrine 1:1000 IM greater than to 30 kg = 0.3 mg IM; less than or equal to 30 kg = 0.15 mg IM

Insure that all pediatric patient less than __?__ lbs are restrained with an approved child restraint device secured appropriately to the stretcher or captains chair. *

With drowning patients, foam is usually present in the airway and may be copious, DO NOT waste time attempting to suction. *

True

False

In the delivery of a newly born, you should clamp the the cord: *

2 inches from the abdomen with 2 clamps and cut the cord between the clamp.

2 inches from the abdomen with 2 clamps and cut the cord in front of the first the clamp.

4 inches from the abdomen with 2 clamps and cut the cord around the clamp.

5 inches from the abdomen with 2 clamps and cut the cord between the clamp.

Match the Mallampati scores: *

Class 1

Class II

Class III

Class IV

Visualization of the soft palate and the base of the uvula.

Visualization of the soft palate, fauces, uvula, anterior and posterior pillars

Soft palate is not visible at all.

Visualization of the soft palate, fauces and uvula.

Name: *

What is the blood glucose level range in the LAPSS? *

Between 69 and 200

Between 60 and 400

Between 59 and 200

Between 90 and 120

Ketamine may be used for airway management of patients who fit on the Broselow-Luten Tape without online medical control orders.

True

False

Clear selection

Match the rows with the correct columns: *

90-degree angle skin pinched

45-degree angle skin pinched

90-degree angle skin flattened

45-degree angle skin flattened

SQ Administration

IM Administration

In order for a chest decompression to performed, the patient's blood pressure must be: *

Less than 100 systolic

Less than 80 systolic

Less than 90 systolic

Less then 110 systolic

There is no blood pressure threshold

For newly borns, a pulse oximetry can be applied to the *

Right upper arm

Wrist

Palm

All of the above

None of the above

Match appropriately: *

Status epilepticus

Grand mal seizures (generalized)

Focal seizures

Affects only a part of the body and are not usually associated with a loss of consciousness, but can propagate to generalized seizures with loss of consciousness.

Are associated with loss of consciousness, incontinence, and tongue trauma.

Is defined as two or more successive seizures without a period of consciousness or recovery. This is a true emergency requiring rapid airway control, treatment, and transport.

Status epilepticus

Grand mal seizures (generalized)

Focal seizures

Affects only a part of the body and are not usually associated with a loss of consciousness, but can propagate to generalized seizures with loss of consciousness.

Are associated with loss of consciousness, incontinence, and tongue trauma.

Is defined as two or more successive seizures without a period of consciousness or recovery. This is a true emergency requiring rapid airway control, treatment, and transport.

You have a trauma patient with symptoms of shock, they are expected to have internal bleeding, and have a potential for needing a blood transfusion. What is the best answer. *

Administer 1 gm of TXA over 10 minutes if the SBP is >90 and/or HR >110

Administer fluid challenges if the SBP is >90 and/or HR >110

Administer 1 gm of TXA over 10 minutes if the SBP is >90 and/or HR <110

Administer 1 gm of TXA over 10 minutes if the SBP is <90 and/or HR >110

If a patient suspected of EDS suffers cardiac arrest, consider: *

Contacting online medical control

Administering 1mg of 1:10,000 epi

Administering mag-sulfate early

Administering a fluid bolus and sodium bicarbonate early

Initial attempts at pain relief can begin with ibuprofen or acetaminophen as long as the patient is able to take liquids/medications by mouth. *

True

False

Defibrillation is not safe at all energy levels for maternal arrest *

True

False

Consider removal of CPAP if the blood pressure remains less than 110 systolic.

True

False

Clear selection

What vitals indicate a positive Sepsis Screen: *

Temperature greater than or equal to 100.4 degrees (f) -and- any 1 of the following: HR greater than 90; RR greater than 20; EtCO less than 25 mmHg.

Temperature greater than or equal to 100.4 degrees (f) or less than or equal to 96.8 degrees (f) -and- any 1 of the following: HR greater than 90; RR greater than 20;

Temperature greater than or equal to 100.4 degrees (f) or less than or equal to 96.8 degrees (f) -and- any 1 of the following: HR greater than 90; RR greater than 20; EtCO less than 25 mmHg.

Temperature greater than or equal to 100.4 degrees (f) -and- any 1 of the following: HR greater than 90; EtCO less than 25 mmHg.

When is an adult patient considered hypotensive? *

When their blood pressure is less than 120 and they feel weak.

When their blood pressure is less than 90.

When theri blood pressure is less than 100.

When their blood pressure is less than 110.

Match the correct answers together *

A viral infection typically affecting infants which results in wheezing which may not respond to beta-agonists.

Typically affects children less than 2 years of age. It is viral, possible fever, gradual onset, no drooling is noted.

Typically affects children greater than 2 years of age. It is bacterial, with fever, rapid onset, possible stridor, patient wants to sit up to keep airway open, drooling is common. Airway manipulation may worsen the condition.

Bronchiolitis

Croup

Epiglottitis

A viral infection typically affecting infants which results in wheezing which may not respond to beta-agonists.

Typically affects children less than 2 years of age. It is viral, possible fever, gradual onset, no drooling is noted.

Bronchiolitis

Croup

Epiglottitis

Following the CHF/Pulmonary Edema Protocol, match the correct amount of Nitro Paste to use with each Blood Pressure reading: *

Not addressed in the protocol

1.5 Inches

1 inch

2 inches

SBP greater than or equal to 100 mmHg

SBP greater than or equal to 150 mmHg

SBP greater than or equal to 200 mmHg

SBP greater than or equal to 90 mmHg

Trauma in Pregnancy: Providing optimal care for the mother = optimal care for the fetus. After __?__ weeks of gestation, you must transport the patient on the left side with 10-20 degrees of elevation. How many weeks is this? Enter in numerical format. *

An EMT may not administer Albuterol to a patient, even if that patient is already prescribed the medication. *

True

False

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