Exam (elaborations)
PFCCS Final Exam – Questions & Correct Answers
PFCCS Final Exam – Questions & Correct Answers
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PFCCS Final Exam – Questions & Correct AnswersWhat bacteria can cause toxic shock syndrome Right Ans - Staphylococcus
aureus and Streptococcus pyogenes
What to assume child has if has fever and petechiae? How to treat it ? Right
Ans - Meningococcemia
TX: aggressive fluid resuscitation and Ax= cephalosporin
What is the diagnostic test for bacterial meningitis ? Right Ans - CSF
examination
IT IS A MED EMERGENCY
What is common in a pediatric patient who has hyponatremia Right Ans -
SIADH
Tx for symptomatic hyponatremia Right Ans - 3% saline
TX for hypernatremic dehydration Right Ans - isotonic fluids (0.9% NS)
By how much can sodium levels safely change an hour Right Ans - 0.5-1.0
mEq/L/h
What to give hyperkalemic patient to stabilize myocardium Right Ans -
Calcium gluconate
Other interventions to move potassium intercellularly (hyperkalemia)
Right Ans - Insulin/glucose
sodium bicarb
albuterol
Hypocalcemia tx Right Ans - - Calcium gluconate
- Calcium chloride ( CV line bc can cause tissue extravascation/necrosis)
What steps are in the primary survey during Trauma Right Ans - ABCDE
airway, breathing, circulation, disability, and environment exposure
Common life threats during trauma Right Ans - Tension pneumothorax
Open pneumothorax
, Massive hemothorax
Tension pneumothorax IV Right Ans - needle decompression then chest
tube
Open pneumothorax IV Right Ans - 3 sided occlusive dressing then chest
tube
Massive hemothorax IV Right Ans - volume resuscitation then chest tube
most common shock in trauma Right Ans - hemorrhagic shock
Pneumonic for possible cause of desaturations during trauma Right Ans -
D: dislodgment of ett tube
O: obstruction (kinked, pt biting tube etc)
P: Tension pneumothorax
E: equipment failure
What is the rule of nines for pediatric patients under 15 Right Ans - Lund
Browder chart
Signs of herniation in head trauma or seizure Right Ans - Pupil is fixed and
dilated
leading cause of disability injury in children is Right Ans - head trauma
Signs of Shaken baby syndrome or Abusive head trauma includes Right Ans
- Bilateral Subdural Hematoma
Retinal hemorrhages
Altered LOC
What is the most sensitive an specific test for TBI Right Ans - Head CT
TX for active seizures Right Ans - 1. benzos ( lorazepam)
2. Anticonvulsants (phenytoin, phenorbital)
Disaster related injuries and illnesses can be identified using which acronym
Right Ans - CBRNE
chemical, biological, radiation, nucelar, explosives
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