CPEN Exam (coont punch emergency nerd exam) Questions With 100% Correct Answers

CPEN Exam (coont punch emergency nerd exam) Questions With 100% Correct Answers Halo traction and Gardner wells tongs -Answer-What would be a potential treatment for an unstable cervical spine fracture? Stretches and straightens a severely compressed or curved spine. Can be used in cervical instability. -Answer-Function of halo traction Provides spinal traction for the reduction of a cervical spine injury -Answer-Function of Gardner wells tongs Most commonly used trauma scoring system for adults. Combines revised trauma score, injury severity score, and the patients age. -Answer-Define: TRISS face, legs, activity, cry, consolability -Answer-What does FLACC stand for? Thready, weak pulse Tachycardia Change in consciousness Hypotension Peripheral vasoconstriction -Answer-Name 5 signs of hemorrhage in a pediatric patient Respiratory failure -Answer-What is the most common cause of death within the first hour of a burn injury? Administration of oxygen, and monitor for signs of increased respiratory distress -Answer-What are two interventions that should be done in the case of a burn injury? Liver, spleen, and kidneys due to proximity to the impacting forces -Answer-What are the three most vulnerable abdominal organs in the case of a trauma in a toddler? 1. Ability to maintain airway 2. Systolic blood pressure 3. CNS status 4. Open Wound 5. Skeletal -Answer-What are the 5 factors taken in consideration in a pediatric trauma score? Pain in the tip of the shoulder when the patient is lying down and the legs are elevated. Caused by presence of blood in the peritoneal cavity. May be a sign of a ruptured spleen. -Answer- Define: Kehr's sign Under the age of 1 year. -Answer-How does ESI define an infant in terms of age? Chin lift, jaw thrust -Answer-In the case of a child in c-spine, how would you open the airway? Kehr's sign -Answer-What is the correct term for a sign that is often present with bleeding in the peritoneum? Irrigation of cold water into the external ear canal. Tests for neurologic function, specifically the vestibular ocular reflex. It can also be used to test for brain death. -Answer-How do you perform cold caloric testing, and what does it test for? The four traditional responses are: 1. Absent response (brain death) 2. Dysconjugate deviation of the eyes 3. Caloric nystagmus 4. Conjugate deviation -Answer-What are the responses to the cold caloric testing, and what is their meaning? Elevate head of bed to 30 degrees. Irrigate the ear with 50 mL cold water. Allow 1 minute to pass before testing, and 5 minutes to pass between testing either side. -Answer-How do you perform cold caloric testing? MODS: Multi organ dysfunction syndrome. The progressive deterioration of two or more organ systems. -Answer-Define MODs and describe Hypovolemic shock -Answer-What is the most common type of shock in a pediatric patient? Brain stem encephalitis Medullary infarction Posterior fossa tumors Severe asphyxia following near-drowning -Answer-Name potential causes of acquired central hypoventilation syndrome Central hypoventilation syndrome refers to a build up of CO2 in arterial serum due to inadequate gas exchange. It is caused by a problem in the central nervous system, as opposed to the respiratory system. -Answer-Define: acquired central hypoventilation syndrome Narrowing of the airway below the vocal cords AKA level of the glottis. -Answer-Define: subglottic stenosis 100-180 -Answer-Normal heart r