IT IS A MED EMERGENCY

PFCCS Final Exam – Questions & Correct Answers What 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 1 / 2

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)

• 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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