Random from CPEN Practice Test 1 Solved 100%
Correct!!
plague (yersinia pestis)
- fever
- bloody sputum
- clinical pneumonia <-- early sign
- sepsis + DIC <-- late sign
anthrax (bacillius anthracis)
- fever
- headache
- dyspnea
- cough
- N/V
- chest/abd pain
botulism (clostridium botulinum)
-descending flaccid paralysis
- cranial nerve palsy
- normal mentation
smallpox (variola)
- fever
- vesiculopustular leisons in face + trunk
Dextrose 5%
not used to tx hypoglycemia in kids
Dextrose 10%
tx hypoglycemia in neonates
Dextrose 25%
tx hypoglycemia in 1month to 2years old
Dextrose 50%
tx hypoglycemia in 2 years old & older
in compartment syndrome, do you elevate extremity above the heart or at the
level of the heart
keep limb at leave of heart
b/c if you elevate, you're reducing blood flow and w/ compartment syndrome, you are
already worried about reduced blood flow
femur factures are (name 4 things)
1. can cause significant blood loss
2. cause hemorrhagic shock
3. painful
4. presents w/ external rotation
Oxygen supplement helps a sickle cell anemia pt by
ease WOB
oxygen baseline for sickle cell anemia pts are generally
lower d/t sickling of RBC so important to measure their O2
,Jaw thrust maneuver is used in
traumatic injury / spinal injury is suspected
protects the spine
head tilt maneuver is used in
non-trauma patients (when spine injury is NOT suspected)
normal liver palpable up to how many cms below costal margin
up to 2cm below costal margin
Sickle cell disease is most susceptible to what 2 things?
1. acute chest syndrome (ACS)
2.sequestration crisis (firm/enlarged spleen) - LUQ pain
sequestration crisis tx
1. PRBC
2. oxygen (tx inadequate tissue oxygenation)
What heart sounds are heard w/ cardiogenic shock?
muffled heart sounds
what can cause a blunt carotid artery injury?
cervical seat belt abrasion
s/s of blunt carotid artery injury
- unilateral weakness
- unremarkable CT of head
- carotid bruit
- normal mental status
s/s of intrabdominal hemorrhage
- hypovolemic shock (hypotensive)
- altered mental status
- tachycardia
- pallor
Henoch-Schonlein Purpura
- generalized vasculitis
- presents usually in lower extremities (including butt)
- bloody stools
- abd pain, D/V
when can henoch-schonlein purpura occur
after a recent URI
FLACC highest score is ____ w/ _____ categories
highest score 10
5 categories
face
0 = no particular expression
1 = occasional grimace, frown, withdrawn, disinterested
2= frequent to constant frown, clenched jaw, quivering chin
legs
0= normal/relaxed
1= uneasy, restless, tense
2= kicking or legs drawn up
, activity
0= lying quietly, normal position, moves easily
1= squirming, shifting back & forth, tense
2= arched, rigid, jerking
cry
0= no crying
1= moans or occasional whimper
2=crying steadily, screams or sobs, frequent complaining
consolibility
0=content, relaxed
1= reassured by occasional touch, hug, or being talked to, distractable
2=difficult to console/comfort
do not give what type of drugs to sickle cell disease patients
NSAIDS - they can impair kidney function and accelerate kidney damage
anticonvulsant meds have shown to increase the risk of what
violence or aggressive behaviors
s/s of epiglottitis
- drooling
- inability to swallow
- retractions
- stridor
epiglottitis can be caused by
HIB (take HIB vaccine)
s/s of croup
- inspiratory stridor (s in inspir for s=tridor)
- expiratory wheeze
- barking cough
- retractions
- fever
birth weight doubles
6 months
birth weight triples
12 months
birth weight quadruples
30 to 36 months
preferred IO site
proximal tibia
skeletal survey
will help reveal fractures and healing fractures
generally used when suspected child abuse/suspicious fall/fall
if babinski reflex is NOT observed in children under 2 year old, what do you
suspect? so what exam is required?
lesion on the spine
CT scan of lower spine
Correct!!
plague (yersinia pestis)
- fever
- bloody sputum
- clinical pneumonia <-- early sign
- sepsis + DIC <-- late sign
anthrax (bacillius anthracis)
- fever
- headache
- dyspnea
- cough
- N/V
- chest/abd pain
botulism (clostridium botulinum)
-descending flaccid paralysis
- cranial nerve palsy
- normal mentation
smallpox (variola)
- fever
- vesiculopustular leisons in face + trunk
Dextrose 5%
not used to tx hypoglycemia in kids
Dextrose 10%
tx hypoglycemia in neonates
Dextrose 25%
tx hypoglycemia in 1month to 2years old
Dextrose 50%
tx hypoglycemia in 2 years old & older
in compartment syndrome, do you elevate extremity above the heart or at the
level of the heart
keep limb at leave of heart
b/c if you elevate, you're reducing blood flow and w/ compartment syndrome, you are
already worried about reduced blood flow
femur factures are (name 4 things)
1. can cause significant blood loss
2. cause hemorrhagic shock
3. painful
4. presents w/ external rotation
Oxygen supplement helps a sickle cell anemia pt by
ease WOB
oxygen baseline for sickle cell anemia pts are generally
lower d/t sickling of RBC so important to measure their O2
,Jaw thrust maneuver is used in
traumatic injury / spinal injury is suspected
protects the spine
head tilt maneuver is used in
non-trauma patients (when spine injury is NOT suspected)
normal liver palpable up to how many cms below costal margin
up to 2cm below costal margin
Sickle cell disease is most susceptible to what 2 things?
1. acute chest syndrome (ACS)
2.sequestration crisis (firm/enlarged spleen) - LUQ pain
sequestration crisis tx
1. PRBC
2. oxygen (tx inadequate tissue oxygenation)
What heart sounds are heard w/ cardiogenic shock?
muffled heart sounds
what can cause a blunt carotid artery injury?
cervical seat belt abrasion
s/s of blunt carotid artery injury
- unilateral weakness
- unremarkable CT of head
- carotid bruit
- normal mental status
s/s of intrabdominal hemorrhage
- hypovolemic shock (hypotensive)
- altered mental status
- tachycardia
- pallor
Henoch-Schonlein Purpura
- generalized vasculitis
- presents usually in lower extremities (including butt)
- bloody stools
- abd pain, D/V
when can henoch-schonlein purpura occur
after a recent URI
FLACC highest score is ____ w/ _____ categories
highest score 10
5 categories
face
0 = no particular expression
1 = occasional grimace, frown, withdrawn, disinterested
2= frequent to constant frown, clenched jaw, quivering chin
legs
0= normal/relaxed
1= uneasy, restless, tense
2= kicking or legs drawn up
, activity
0= lying quietly, normal position, moves easily
1= squirming, shifting back & forth, tense
2= arched, rigid, jerking
cry
0= no crying
1= moans or occasional whimper
2=crying steadily, screams or sobs, frequent complaining
consolibility
0=content, relaxed
1= reassured by occasional touch, hug, or being talked to, distractable
2=difficult to console/comfort
do not give what type of drugs to sickle cell disease patients
NSAIDS - they can impair kidney function and accelerate kidney damage
anticonvulsant meds have shown to increase the risk of what
violence or aggressive behaviors
s/s of epiglottitis
- drooling
- inability to swallow
- retractions
- stridor
epiglottitis can be caused by
HIB (take HIB vaccine)
s/s of croup
- inspiratory stridor (s in inspir for s=tridor)
- expiratory wheeze
- barking cough
- retractions
- fever
birth weight doubles
6 months
birth weight triples
12 months
birth weight quadruples
30 to 36 months
preferred IO site
proximal tibia
skeletal survey
will help reveal fractures and healing fractures
generally used when suspected child abuse/suspicious fall/fall
if babinski reflex is NOT observed in children under 2 year old, what do you
suspect? so what exam is required?
lesion on the spine
CT scan of lower spine
